Employment outcomes from a randomized controlled trial of two employment interventions with homeless youth

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Abstract

Objective: Limited research exists on how employment interventions contribute to employment outcomes for homeless youth. This study examines the comparative efficacy of 2 interventions—Social Enterprise Intervention (SEI) and Individual Placement and Support (IPS)—provided to homeless youth with mental illness in a randomized controlled trial. Method: Participants were recruited from 1 homeless youth agency in Los Angeles, CA, and randomized to the SEI (n = 36) or IPS (n = 36) conditions. Over 20 months, SEI participants received 4 SEI components, and IPS participants received IPS services based on 8 principles. Data were collected at baseline and follow-up for the primary employment outcome (paid employment) and 5 secondary employment outcomes. Results: Over 20 months, 39% of SEI participants and 32% of IPS participants reported any paid employment. Across both groups, participants who reported working at baseline had nearly 8 times the odds of working at follow-up (OR = 7.91, p < 0.05). No statistically significant differences were detected across the full sample or between groups on the primary or secondary employment outcomes. Conclusions: Future effectiveness research is needed to compare the long-term employment outcomes of the SEI and IPS with a more heterogeneous sample of homeless youth using customized homelessness support services and more nuanced employment outcomes.

Original languageEnglish (US)
Pages (from-to)1-21
Number of pages21
JournalJournal of the Society for Social Work and Research
Volume9
Issue number1
DOIs
StatePublished - Mar 1 2018

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homelessness
mental illness
Group

Keywords

  • Homeless youth
  • Individual placement and support
  • Randomized controlled trial (RCT)
  • Social enterprise
  • Supported employment

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Sociology and Political Science

Cite this

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title = "Employment outcomes from a randomized controlled trial of two employment interventions with homeless youth",
abstract = "Objective: Limited research exists on how employment interventions contribute to employment outcomes for homeless youth. This study examines the comparative efficacy of 2 interventions—Social Enterprise Intervention (SEI) and Individual Placement and Support (IPS)—provided to homeless youth with mental illness in a randomized controlled trial. Method: Participants were recruited from 1 homeless youth agency in Los Angeles, CA, and randomized to the SEI (n = 36) or IPS (n = 36) conditions. Over 20 months, SEI participants received 4 SEI components, and IPS participants received IPS services based on 8 principles. Data were collected at baseline and follow-up for the primary employment outcome (paid employment) and 5 secondary employment outcomes. Results: Over 20 months, 39{\%} of SEI participants and 32{\%} of IPS participants reported any paid employment. Across both groups, participants who reported working at baseline had nearly 8 times the odds of working at follow-up (OR = 7.91, p < 0.05). No statistically significant differences were detected across the full sample or between groups on the primary or secondary employment outcomes. Conclusions: Future effectiveness research is needed to compare the long-term employment outcomes of the SEI and IPS with a more heterogeneous sample of homeless youth using customized homelessness support services and more nuanced employment outcomes.",
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AB - Objective: Limited research exists on how employment interventions contribute to employment outcomes for homeless youth. This study examines the comparative efficacy of 2 interventions—Social Enterprise Intervention (SEI) and Individual Placement and Support (IPS)—provided to homeless youth with mental illness in a randomized controlled trial. Method: Participants were recruited from 1 homeless youth agency in Los Angeles, CA, and randomized to the SEI (n = 36) or IPS (n = 36) conditions. Over 20 months, SEI participants received 4 SEI components, and IPS participants received IPS services based on 8 principles. Data were collected at baseline and follow-up for the primary employment outcome (paid employment) and 5 secondary employment outcomes. Results: Over 20 months, 39% of SEI participants and 32% of IPS participants reported any paid employment. Across both groups, participants who reported working at baseline had nearly 8 times the odds of working at follow-up (OR = 7.91, p < 0.05). No statistically significant differences were detected across the full sample or between groups on the primary or secondary employment outcomes. Conclusions: Future effectiveness research is needed to compare the long-term employment outcomes of the SEI and IPS with a more heterogeneous sample of homeless youth using customized homelessness support services and more nuanced employment outcomes.

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