A cost-effectiveness comparison of supported employment and rehabilitative day treatment
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Recent research suggests that, for some people with severe mental illness, supported employment could improve vocational outcomes for little additional expense. This study describes the costs and client outcomes in one mental health center that converted two rehabilitative day treatment programs to supported employment. Converting from day treatment to supported employment improved vocational outcomes significantly without increasing costs. Although total costs for community treatment were lower in both sites after implementing supported employment, differences appeared to be due to decreasing unit costs over the study period. Results illustrate the importance of testing the effects of cost estimation methods on findings.
- Allness, D. (1992, June 10 & 11).Future dissemination of the PACT model: Alternative strategies. Presentation at NIMH conference on Programs of Assertive Community Treatment (PACT), Rockville, MD.
- Andrews, H., Barker, J., Pittman, J., Mars, L., Streuning, E., & LaRocca, N. (1992). National trends in vocational rehabilitation: A comparison of individuals with physical disabilities and individuals with psychiatric disabilities.Journal of Rehabilitation, 58, 7–16.
- Anthony, W.A., & Blanch, A. (1987). Supported employment for persons who are psychiatrically disabled: An historical and conceptual perspective.Psychosocial Rehabilitation Journal, 11(2), 5–23.
- Anthony, W.A., & Liberman, R.P. (1986). The practice of psychiatric rehabilitation: Historical, conceptual, and research base.Schizophrenia Bulletin, 12, 542–559.
- Attkisson, C., Cook, J., Karno, M., Lehman, A., McGlashan, T.H., Meltzer, H.Y., O'Connor, M., Richardson, D., Rosenblatt, A., Wells, K., Williams, J., & Hohmann, A.A. (1992). Clinical services research.Schizophrenia Bulletin, 18, 561–626.
- Becker, D.R., & Drake, R.E. (1994). Individual placement and support: A community mental health center approach to vocational rehabilitation.Community Mental Health Journal, 30, 193–206.
- Black, B.J. (1988).Work and mental illness: Transitions to employment. Baltimore: Johns Hopkins University Press.
- Bond, G.R., Dietzen, L.L., McGrew, J.H., & Miller, L.D. (1995). Accelerating entry into supported employment for persons with severe psychiatric disabilities.Rehabilitation Psychology 40, 91–111.
- Center for Mental Health Services & National Institute of Mental Health. (1992).Mental Health, United States, 1992. Manderscheid, R.W., & Sonnenschein, M.A. (Eds.), DHHS Pub. No. (SMA)92-1942. Washington, DC: U.S. Government Printing Office.
- Clark, R.E., Drake, R.E., & Teague, G.B. (1993). The costs and benefits of case management. In M. Harris & H. Bergman (Ed.),Case management: Theory and practice (pp. 217–236). Langhorne, PA: Harwood Academic Publishers.
- Clark, R.E., & Bond, G.R. (1996). Costs and benefits of vocational programs for people with serious mental illness. In M. Moscarelli, A. Rupp, & N. Sartorius (Eds.),The economics of schizophrenia (pp. 219–237). Sussex, England: John Wiley.
- Clark, R.E., Ricketts, S.K., & McHugo, G.J. (1996). Measuring hospital use without claims: A comparison of self- and provider reports.Health Services Research, 31, 153–169.
- Creed, F., Black, D., & Anthony, P. (1989). Day-hospital and community treatment for acute psychiatric illness: A critical appraisal.British Journal of Psychiatry, 154, 300–310.
- Drake, R.E., Becker, D.R., Biesanz, J.C., & Wyzik, P.F. (in press). Rehabilitative day treatment vs. supported employment: III. A replication.Psychiatric Services.
- Drake, R.E., Becker, D.R., Biesanz, J.C., Torrey, W.C., McHugo, G.J., & Wyzik, P.F. (1994). Rehabilitative day treatment vs. supported employment: I. Vocational outcomes.Community Mental Health Journal, 30(5), 519–531.
- Gervey, R., & Bedell, J.R. (1993). Supported employment. In J.R. Bedell (Ed.),Psychological assessments and treatment of persons with severe mental illness (pp. 139–163). Washington, DC: Taylor & Francis.
- Endicott, J., Herz, M., & Gibbon, M. (1978). Brief versus standard hospitalization: The differential costs.American Journal of Psychiatry 135, 707–712.
- Hoge, M.A., Davidson, L., Hill, W.L., Turner, V.E., & Ameli, R. (1992). The promise of partial hospitalization: A reassessment.Hospital and Community Psychiatry, 127, 1371–1382.
- Mathews, J.W. (1979). Effects of a work activity program on the self-concept of chronic schizophrenics.Dissertation Abstracts International, 41, 358b (University microfilms No. 816281, 98).
- McGrath, G., & Tantam, D. (1987). Long-stay patients in a psychiatric day hospital: A case note review.British Journal of Psychiatry, 150, 836–840.
- Meisel, J., McGowen, M., Patotzka, D., Madison, K., & Chandler, D. (1993).Evaluation of AB 3777 client and cost outcomes: July 1990 through March 1992. Report prepared by Lewin-VHI, Inc. Available from California Department of Mental Health, 1600 9th St., Sacramento, CA 95814.
- Palmer, F. (1989). The place of work in psychiatric rehabilitation.Hospital & Community Psychiatry, 40, 222–224.
- Pryce, I. (1982). An expanding “stage army” of long-stay psychiatric day patients.British Journal of Psychiatry, 141, 595–601.
- Rogers, E.S., Walsh, D., Masotta, L., & Danley, K. (1991).Massachusetts survey of client preferences for community support services (Final Report). Boston: Center for Psychiatric Rehabilitation.
- Rosenheck, R., Frisman, L., & Neale, M. (1994). Estimating the capital component of mental health care costs in the public sector.Administration and Policy in Mental Health, 21, 493–509. CrossRef
- Torrey, W.C., Becker, D.R., & Drake, R.E. (1995). Rehabilitative day treatment vs. supported employment: II. Consumer, family and staff reactions to a program change.Psychosocial Rehabilitation Journal, 18(3), 67–75.
- Washburn, S., Vannicelli, M., Longabaugh R., & Scheff, B. (1976). A controlled comparison of psychiatric day treatment and in-patient hospitalization.Journal of Consulting and Clinical Psychology, 37, 400–405.
- A cost-effectiveness comparison of supported employment and rehabilitative day treatment
Administration and Policy in Mental Health and Mental Health Services Research
Volume 24, Issue 1 , pp 63-77
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