Predictors of Acquisition of Competitive Employment for People Enrolled in Supported Employment Programs

被引:39
|
作者
Corbiere, Marc [1 ]
Lecomte, Tania [2 ]
Reinharz, Daniel [3 ]
Kirsh, Bonnie [4 ]
Goering, Paula [2 ,5 ]
Menear, Matthew [6 ]
Berbiche, Djamal [7 ]
Genest, Karine [8 ]
Goldner, Elliot M. [9 ]
机构
[1] Univ Quebec, Dept Educ & Pedag Career Counseling, Pavillon Paul Gerin Lajoie,Local N-6840,CP 8888, Montreal, PQ H3C 3P8, Canada
[2] Univ Quebec, Dept Psychol, Ctr Rech, Inst Univ Sante Mentale Montreal, Montreal, PQ, Canada
[3] Univ Laval, Dept Social & Prevent Med, Quebec City, PQ, Canada
[4] Univ Toronto, Dept Occupat Sci & Occupat Therapy, Toronto, ON, Canada
[5] Univ Toronto, Dept Psychiat, Ctr Addict & Mental Hlth, Toronto, ON, Canada
[6] Univ Laval, Dept Family Med & Emergency Med, Quebec City, PQ, Canada
[7] Univ Sherbrooke, Dept Community Hlth Sci, Longueuil, PQ, Canada
[8] FRQS, Montreal, PQ, Canada
[9] Simon Fraser Univ, Ctr Appl Res Mental Hlth, Fac Hlth Sci, Vancouver, BC, Canada
基金
加拿大健康研究院;
关键词
Supported employment programs; severe mental illness; clients' variables; employment specialist competencies; work outcomes; SEVERE MENTAL-ILLNESS; RANDOMIZED CONTROLLED-TRIAL; INDIVIDUAL PLACEMENT; SCHIZOPHRENIA; FIDELITY; OUTCOMES; WORK; GENERALIZABILITY; IMPLEMENTATION; VALIDATION;
D O I
10.1097/NMD.0000000000000612
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study aims at assessing the relative contribution of employment specialist competencies working in supported employment (SE) programs and client variables in determining the likelihood of obtaining competitive employment. A total of 489 persons with a severe mental illness and 97 employment specialists working in 24 SE programs across three Canadian provinces were included in the study. Overall, 43% of the sample obtained competitive work. Both client variables and employment specialist competencies, while controlling for the quality of SE programs implementation, predicted job acquisition. Multilevel analyses further indicated that younger client age, shorter duration of unemployment, and client use of job search strategies, as well as the working alliance perceived by the employment specialist, were the strongest predictors of competitive employment for people with severe mental illness, with 51% of variance explained. For people with severe mental illness seeking employment, active job search behaviors, relational abilities, and employment specialist competencies are central contributors to acquisition of competitive employment.
引用
收藏
页码:275 / 282
页数:8
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