Clinical factors associated with employment among people with severe mental illness: Findings from the employment intervention demonstration program

Lisa A. Razzano, Judith A. Cook, Jane K. Burke-Miller, Kim T. Mueser, Susan A. Pickett-Schenk, Dennis D. Grey, Richard W. Goldberg, Crystal R. Blyler, Paul B. Gold, H. Stephen Leff, Anthony F. Lehman, Michael Shafer, Laura E. Blankertz, William R. McFarlane, Marcia G. Toprac, Martha Ann Carey

Research output: Contribution to journalArticle

93 Scopus citations

Abstract

Research has shown that supported employment programs are effective in helping psychiatric outpatients achieve vocational outcomes, yet not all program participants are able to realize their employment goals. This study used 24 months of longitudinal data from a multisite study of supported employment interventions to examine the relationship of patient clinical factors to employment outcomes. Multivariate random regression analysis indicated that, even when controlling for an extensive series of demographic, study condition (experimental versus control), and work history covariates, clinical factors were associated with individuals' ability to achieve competitive jobs and to work 40 or more hours per month. Poor self-rated functioning, negative psychiatric symptoms, and recent hospitalizations were most consistently associated with failure to achieve these employment outcomes. These findings suggest ways that providers can tailor supported employment programs to achieve success with a diverse array of clinical subpopulations.

Original languageEnglish (US)
Pages (from-to)705-713
Number of pages9
JournalJournal of Nervous and Mental Disease
Volume193
Issue number11
DOIs
StatePublished - Nov 1 2005

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Keywords

  • Clinical factors
  • Employment
  • Mental illness
  • Random regression

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Razzano, L. A., Cook, J. A., Burke-Miller, J. K., Mueser, K. T., Pickett-Schenk, S. A., Grey, D. D., Goldberg, R. W., Blyler, C. R., Gold, P. B., Leff, H. S., Lehman, A. F., Shafer, M., Blankertz, L. E., McFarlane, W. R., Toprac, M. G., & Carey, M. A. (2005). Clinical factors associated with employment among people with severe mental illness: Findings from the employment intervention demonstration program. Journal of Nervous and Mental Disease, 193(11), 705-713. https://doi.org/10.1097/01.nmd.0000185939.11282.3e