Boston University College of Health & Rehabilitation Sciences: Sargent College:
Center for Psychiatric Rehabilitation

Boston University College of Health & Rehabilitation Sciences: Sargent College:
Center for Psychiatric Rehabilitation

Improving Employment Outcomes for Individuals with Psychiatric Disabilities

Rehabilitation Research and Training Center 2009-2014

Funding:

NIDILRR, SAMHSA/CMHS

Dates:

2009 - 2014

Contact:

E. Sally Rogers, Sc.D., Co-Principal Investigator
Marianne Farkas, Sc.D., Co-Principal Investigator

 

Description

This project developed and tested innovative interventions, identified barriers to and facilitators of effective partnerships among providers of employment services, and developed and tested adaptations of evidence-based employment interventions for individuals with psychiatric disabilities from traditionally underserved groups. This project also incorporated research findings into practice and policy by developing, evaluating, and implementing strategies to increase utilization of research findings; and conducts training, technical assistance, and dissemination activities (TDTA) with the same purpose. TDTA projects were organized into programmatic areas which together focus on the development and implementation of practices and services to improve employment outcomes. Using the knowledge transfer framework, TDTA projects produce usable, new technologies for improving employment outcomes.

 

Projects

Research Projects

Project Directors

R-1

A randomized clinical trial evaluating the incremental efficacy of Vocational Illness Management and Recovery (V-IMR) when compared to Individual Placement and Support (IPS) alone

The purpose of this study was to evaluate the effectiveness of an innovative modification of the evidence-based Illness Management and Recovery (IMR). Vocational Illness Management and Recovery (V-IMR) is designed to increase the capacity of individuals to manage their own psychiatric condition and to improve vocational outcomes. The study was a multi-site randomized trial that took place in Colorado, Connecticut and Texas. All participants received the evidence-based supported employment (Individual Placement and Support, IPS) and experimental participants received up to 24 weeks of the manualized V-IMR intervention. Employment outcomes were assessed as well as overall psychosocial functioning, vocational hope, work-related self-efficacy, proactive coping, and self-stigma.

Link to this manual.

A randomized clinical trial evaluating the incremental efficacy of Vocational Illness Management and Recovery (V-IMR) when compared to Individual Placement and Support (IPS) alone

The purpose of this study was to evaluate the effectiveness of an innovative modification of the evidence-based Illness Management and Recovery (IMR). Vocational Illness Management and Recovery (V-IMR) is designed to increase the capacity of individuals to manage their own psychiatric condition and to improve vocational outcomes. The study was a multi-site randomized trial that took place in Colorado, Connecticut and Texas. All participants received the evidence-based supported employment (Individual Placement and Support, IPS) and experimental participants received up to 24 weeks of the manualized V-IMR intervention. Employment outcomes were assessed as well as overall psychosocial functioning, vocational hope, work-related self-efficacy, proactive coping, and self-stigma.

Link to this manual.

Project Directors

R-2

Analysis of the effectiveness of the Northeast Partnership of Medicaid Infrastructure Grants (MIGs) in improving interagency collaboration to promote employment among persons with disabilities

The purpose of this project was to study the barriers to, and facilitators of, effective collaboration and partnerships among a state recipients of Medicaid Infrastructure and Comprehensive Employment Opportunity Grants (MICEO grants) authorized under the Ticket to Work and Work Incentives Improvement Act. The mission of those grant awards was to improve work opportunities and services to individuals with disabilities by improving the system infrastructure for employment services. The entities involved included state vocational rehabilitation (VR) agencies, the Social Security Administration, state and local mental health programs, Department of Labor One-Stops, universities and other consumer-directed programs. We conducted key informant interviews and other data collection to examine the activities of a subset of MICEO awardees consisting of all New England states. We examined their interagency collaboration and partnerships as they implemented their grant activities.

Analysis of the effectiveness of the Northeast Partnership of Medicaid Infrastructure Grants (MIGs) in improving interagency collaboration to promote employment among persons with disabilities

The purpose of this project was to study the barriers to, and facilitators of, effective collaboration and partnerships among a state recipients of Medicaid Infrastructure and Comprehensive Employment Opportunity Grants (MICEO grants) authorized under the Ticket to Work and Work Incentives Improvement Act. The mission of those grant awards was to improve work opportunities and services to individuals with disabilities by improving the system infrastructure for employment services. The entities involved included state vocational rehabilitation (VR) agencies, the Social Security Administration, state and local mental health programs, Department of Labor One-Stops, universities and other consumer-directed programs. We conducted key informant interviews and other data collection to examine the activities of a subset of MICEO awardees consisting of all New England states. We examined their interagency collaboration and partnerships as they implemented their grant activities.

Project Directors

R-3

A randomized clinical trial evaluating the efficacy of a peer-run Photovoice-based intervention to empower individuals with psychiatric disabilities to pursue employment.

The purpose of this project was to develop and evaluate an innovative peer-run psycho-educational group intervention titled “Vocational Empowerment Photovoice (VEP)” that aims to empower individuals with psychiatric disabilities to pursue vocational goals through the enhancement of their vocational hope, sense of vocational identity, work motivation, work-related self-efficacy, and capacity to deal with psychiatric stigma and discrimination. This intervention is specifically designed for individuals who are not engaged in employment services with the expectation that they will move closer to establishing a vocational goal and engaging in employment services as a result of participating in VEP. We conducted a randomized controlled trial (RCT) with individuals receiving VEP or services as usual.

Link to VIMR manual.
Link to this article.

A randomized clinical trial evaluating the efficacy of a peer-run Photovoice-based intervention to empower individuals with psychiatric disabilities to pursue employment.

The purpose of this project was to develop and evaluate an innovative peer-run psycho-educational group intervention titled “Vocational Empowerment Photovoice (VEP)” that aims to empower individuals with psychiatric disabilities to pursue vocational goals through the enhancement of their vocational hope, sense of vocational identity, work motivation, work-related self-efficacy, and capacity to deal with psychiatric stigma and discrimination. This intervention is specifically designed for individuals who are not engaged in employment services with the expectation that they will move closer to establishing a vocational goal and engaging in employment services as a result of participating in VEP. We conducted a randomized controlled trial (RCT) with individuals receiving VEP or services as usual.

Link to VIMR manual.
Link to this article.

R-4

A randomized clinical trial of vocational peer support services.

The purpose of this project was to develop and test a vocational peer support (VPS) intervention and to examine its effects on readiness for employment, work hope, and vocational activity. We conducted a randomized clinical trial in two locations (Massachusetts and Arizona) by training experienced peer support specialists to deliver VPS. We recruit N=166 individuals to receive Vocational Peer Support, or peer support services-as-usual. Modest differences were found between recipients of the intervention and the control group on domains of readiness for work and work activity. The VPS intervention also mediated some aspects of better quality of life and greater work hope.

Link to this article.
Link to Center Manual.

A randomized clinical trial of vocational peer support services.

The purpose of this project was to develop and test a vocational peer support (VPS) intervention and to examine its effects on readiness for employment, work hope, and vocational activity. We conducted a randomized clinical trial in two locations (Massachusetts and Arizona) by training experienced peer support specialists to deliver VPS. We recruit N=166 individuals to receive Vocational Peer Support, or peer support services-as-usual. Modest differences were found between recipients of the intervention and the control group on domains of readiness for work and work activity. The VPS intervention also mediated some aspects of better quality of life and greater work hope.

Link to this article.
Link to Center Manual.

Project Directors

R-5

Enhancing employment through a combined supported employment/supported education model: An exploratory study.

The purpose of this project was to conduct an exploratory study designed to address the needs of young adults with psychiatric conditions who wished to pursue employment or educational goals. The study was conducted at the Center for Psychiatric Rehabilitation, Recovery Services Center. We examined the effects of this integrated supported employment (SE) and supported education (SEd) program that aimed to overcome structural and programmatic barriers to create seamless supported education and supported employment services for young adults. We examined educational and employment outcomes as well as psychological functioning over a one year period in an open trial with n=57 individuals. Results were promising in terms of work and school outcomes as well as the effect on psychological distress.

Link to following article.

Enhancing employment through a combined supported employment/supported education model: An exploratory study.

The purpose of this project was to conduct an exploratory study designed to address the needs of young adults with psychiatric conditions who wished to pursue employment or educational goals. The study was conducted at the Center for Psychiatric Rehabilitation, Recovery Services Center. We examined the effects of this integrated supported employment (SE) and supported education (SEd) program that aimed to overcome structural and programmatic barriers to create seamless supported education and supported employment services for young adults. We examined educational and employment outcomes as well as psychological functioning over a one year period in an open trial with n=57 individuals. Results were promising in terms of work and school outcomes as well as the effect on psychological distress.

Link to following article.

Project Directors

Mihoko Maru, MSW

National Resource Center: Training, Dissemination, and Technical Assistance

Project Directors

TDTA-1

Developing a Vocational Illness Management Recovery Curriculum to Train Providers.

Developing a Vocational Illness Management Recovery Curriculum to Train Providers.

Project Directors

TDTA-2

Vocational Peer Support: The Development of a Curriculum to Train Peer Specialists to Support the Vocational Aspirations of People with Psychiatric Disabilities.

Vocational Peer Support: The Development of a Curriculum to Train Peer Specialists to Support the Vocational Aspirations of People with Psychiatric Disabilities.

Project Directors

Debbie Nicollelis

TDTA-3

Vocational Empowerment: The Development of a Culturally Competent Peer-Run Photovoice Training Program.

Vocational Empowerment: The Development of a Culturally Competent Peer-Run Photovoice Training Program.

Project Directors

Maria Restrepo-Toro

TDTA-4

Distance Learning Course: Job Development and Job Retention for Individuals with Psychiatric Disabilities.

Distance Learning Course: Job Development and Job Retention for Individuals with Psychiatric Disabilities.

Project Directors

Joan Rapp

TDTA-5

Improving the Use of Research on Job Accommodations Using a Knowledge Translation Process.

Improving the Use of Research on Job Accommodations Using a Knowledge Translation Process.

Project Directors

Joan Rapp

TDTA-6

A Modern Day Learning Community Focused on the Vision of Full Employment for People with Psychiatric Disabilities.

A Modern Day Learning Community Focused on the Vision of Full Employment for People with Psychiatric Disabilities.

Project Directors

Rick Forbess, MSW

TDTA-7

General Training

General Training

Project Directors

Joan Rapp

Findings

For R-3 findings: Russinova, Z., Gidugu, V., Bloch, P., Restrepo-Toro, M., Rogers, E. S. (2018). Empowering individuals with psychiatric disabilities to work: Results of a randomized trial. Psychiatric Rehabilitation Journal, 41(3), 196-207. doi:10.1037/prj0000303. https://www.ncbi.nlm.nih.gov/pubmed/29985014 and https://psycnet.apa.org/record/2018-32572-001

For R-4 findings: Balogun-Mwangi O, Rogers ES, Maru M, Magee C. Vocational Peer Support: Results of a Qualitative Study. (2019) Journal of Behavioral Health Services Research. 46(3):450-463. doi: 10.1007/s11414-017-9583-6.  https://www.ncbi.nlm.nih.gov/pubmed/29285720

For R-5 findings: Maru, M., Rogers, E.S., Hutchinson, D., & Shappell, H. (2018). An integrated supported employment and education model: Exploratory study of an innovative approach designed to better meet the needs of young adults with psychiatric conditions.  Journal of Behavioral Health Services & Research, 45(3), 489-498. https://link.springer.com/article/10.1007%2Fs11414-018-9595-x

For Vocational Illness Management and Recovery Curricula and Vocational Empowerment Photovoice (R-1, Vocational Illness Management and Recovery see Vocational Illness Management and Recovery  and for R-3 see Vocational Empowerment Photovoice. For curricula related to R-4, see Vocational Peer Support Vocational Peer Support.