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Employment Specialist Competencies for Supported Employment Programs

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Abstract

Purpose Supported employment (SE) programs are evidence-based programs offered to people with severe mental illness to facilitate obtaining and keeping competitive work. However, significant variations in individuals’ vocational success may be partly explained by differences in their employment specialists’ competencies. Aim The main objectives of this study were to develop a questionnaire measuring the behaviors, attitudes and knowledge of employment specialists working in SE programs and to link specific competencies to vocational outcomes. Methods A total of 153 employment specialists working in Canadian and Dutch supported employment programs completed the Behaviors, Attitudes, and Knowledge in Employment Specialists (BAKES) questionnaire and provided information about their clients’ vocational outcomes. Results Exploratory Factor Analyses results found 90 items over 12 subscales (e.g., Relationships with employers and supervisors). Regression analyses indicated that the two most useful subscales for predicting vocational success were: (1) Relationships with employers and supervisors, and (2) support and client-centered approach. Conclusion Employment specialists require specific competencies to help people with severe mental illness obtain and maintain competitive employment. Validating the BAKES will better define the broad range of competencies expected for this position, and this tool may facilitate training of employment specialists.

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References

  1. Drake RE, Bond GR, Becker DR. Individual placement and support: an evidence-based approach to supported employment. New York: Oxford University Press; 2012.

    Book  Google Scholar 

  2. Corbière M, Bond GR, Goldner EM, Ptasinki T. The fidelity of supported employment implementation in Canada and the United States. Psychiatr Serv. 2005;56(11):1444–7.

    Article  PubMed  Google Scholar 

  3. Bond GR, Campbell K, Evans LJ, Gervey R, Pascaris A, Tice S, et al. A scale to measure quality of supported employment for persons with severe mental illness. J Vocat Rehabil. 2002;17:239–50.

    Google Scholar 

  4. Bond GR, Peterson AE, Becker DR, Drake RE. Validation of the revised Individual Placement and Support Fidelity Scale (IPS-25). Psychiatr Serv (Washington, DC). 2012;63(8):758–63. doi:10.1176/appi.ps.201100476.

    Google Scholar 

  5. Bond GR, Drake RE, Becker DR. An update on randomised controlled trials of evidence-based supported employment. Psychiatr Rehabil J. 2008;31(4):280–90.

    Article  PubMed  Google Scholar 

  6. Bond GR. Supported employment: evidence for an evidence-based practice. Psychiatr Rehabil J. 2004;27(4):345–59.

    Article  PubMed  Google Scholar 

  7. Drake RE, Bond GR, Rapp CA. Explaining the variance within supported employment programs: comment on “What predicts supported employment outcomes?”. Community Ment Health J. 2006;42(3):315–8. doi:10.1007/s10597-006-9038-7.

    Article  PubMed  Google Scholar 

  8. Bond GR, Drake RE, Becker DR. Generalizability of the Individual Placement and Support (IPS) model of supported employment outside the US. World Psychiatry. 2012;11(1):32–9.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Loisel P, Corbière M. Compétences requises de l'intervenant qui facilite le retour ou la réintégration au travail de personnes à risque d'une incapacité prolongée (Health professionals required competencies for facilitating the return to work or the work integration of people at risk of prolonged disability). In: Corbière M, Durand MJ, editors. Du trouble mental à l'incapacité au travail (From mental disorder to work disability). Montréal: Presses de l’Université du Québec; 2011. p. 253–77.

    Google Scholar 

  10. van Erp NHJ, Giesen FBM, van Weeghel J, Kroon H, Michon HWC, Becker D, et al. A multisite study of implementing supported employment in the Netherlands. Psychiatr Serv. 2007;58(11):1421–6.

    Article  PubMed  Google Scholar 

  11. Becker DR, Drake RE. Individual placement and support: a community mental health center approach to vocational rehabilitation. Community Ment Health J. 1994;30(2):193–206.

    Article  CAS  PubMed  Google Scholar 

  12. Rinaldi M, Perkins R. Implementing evidence-based supported employment. Psychiatr Bull R Coll Psychiatr. 2007;31:244–9.

    Article  Google Scholar 

  13. Rinaldi M, Perkins R, Glynn E, Montibeller T, Clenaghan M, Rutherford J. Individual placement and support: from research to practice. Adv Psychiatr Treat. 2008;13:50–60.

    Article  Google Scholar 

  14. Drake RE, Bond GR. The future of supported employment for people with severe mental illness. Psychiatr Rehabil J. 2008;31(4):367–76.

    Article  PubMed  Google Scholar 

  15. Leff HS, Cook JA, Gold PB, Toprac M, Blyler C, Goldberg RW, et al. Effects of job development and job support on competitive employment of persons with severe mental illness. Psychiatr Serv. 2005;56(10):1237–44.

    Article  PubMed  Google Scholar 

  16. Blitz C, Mechanic D. Facilitators and barriers to employment among individuals with psychiatric disabilities: a job coach perspective. Work. 2006;26:407–19.

    PubMed  Google Scholar 

  17. Henry AD, Lucca AM. Facilitators and barriers to employment: the perspectives of people with psychiatric disabilities and employment service providers. Work. 2004;22:169–82.

    PubMed  Google Scholar 

  18. Whitley R, Kostick KM, Bush PW. Desirable characteristics and competencies of supported employment specialists: an empirically-grounded framework. Adm Policy Ment Health. 2010;37(6):509–19. doi:10.1007/s10488-010-0297-9.

    Article  PubMed  Google Scholar 

  19. Corbière M, Lanctôt N. Salient components in supported employment programs: perspectives from employment specialists and clients. Work. 2011;39(4):427–39. doi:10.3233/wor-2011-1192.

    Google Scholar 

  20. Koletsi M, Niersman A, Busschbach JT, Catty J, Becker T, Burns T, et al. Working with mental health problems: clients’ experiences of IPS, vocational rehabilitation and employment. Soc Psychiat Epidemiol. 2009;44(11):961–70. doi:10.1007/s00127-009-0017-5.

    Article  Google Scholar 

  21. Perkins R, Rinaldi M, Hardisty J. Harnessing the expertise of experience: increasing access to employment within mental health services for people who have themselves experienced mental health problems. Divers Health Care. 2010;7:13–21.

    Google Scholar 

  22. Gervey R, Kowal H. The job developer’s presence in the job interview: is it helpful or harmful to persons with psychiatric disabilities seeking employment? Psychiatr Rehabil J. 2005;29(2):128–31.

    Article  PubMed  Google Scholar 

  23. Dreher KC, Bond GR, Becker DR. Creation of a measure to assess knowledge of the individual placement and support model. Psychiatr Rehabil J. 2010;33(3):181–9.

    Article  PubMed  Google Scholar 

  24. Corbière M, Neduha V, Lanctôt N. Behaviors, Attitudes and Knowledge in Employment Specialists Scale (BAKES). Sherbrooke, Canada: Université de Sherbrooke; 2007.

    Google Scholar 

  25. Aubry TD, Flynn RJ, Gerber G, Dostaler T. Identifying the core competencies of community support providers working with people with psychiatric disabilities. Psychiatr Rehabil J. 2005;28(4):346–53.

    Article  PubMed  Google Scholar 

  26. Casper ES, Oursler J, Schmidt LT, Gill KJ. Measuring practitioners’ beliefs, goals, and practices in psychiatric rehabilitation. Psychiatr Rehabil J. 2002;25(3):223–34.

    Article  PubMed  Google Scholar 

  27. Coursey RD, Curtis L, Marsh DT, Campbell J, Harding C, Spaniol L, et al. Competencies for direct service staff members who work with adults with severe mental illnesses: specific knowledge, attitudes, skills, and bibliography. Psychiatr Rehabil J. 2000;23(4):378–93.

    Article  Google Scholar 

  28. Hugo M. Mental health professionals’ attitudes towards people who have experienced a mental health disorder. J Psychiatr Ment Health Nurs. 2001;8(5):419–25. doi:10.1046/j.1351-0126.2001.00430.x.

    Article  CAS  PubMed  Google Scholar 

  29. Hagner D, Noll A, Donovan LE. Identifying community employment program staff competencies: a critical incident approach. J Rehabil. 2002;68(1):45–51.

    Google Scholar 

  30. McCarthy H, Leierer SJ. Consumer concepts of ideal characteristics and minimum qualifications for rehabilitation counselors. Rehabil Couns Bull. 2001;45(1):12–23. doi:10.1177/003435520104500102.

    Article  Google Scholar 

  31. Young AS, Forquer SL, Tran A, Starzynski M, Shatkin J. Identifying clinical competencies that support rehabilitation and empowerment in individuals with severe mental illness. J Behav Health Serv Res. 2000;27(3):321–33.

    Article  CAS  PubMed  Google Scholar 

  32. O’Brien KM, Heppner MJ, Flores LY, Bikos LH. The career counseling self-efficacy scale: instrument development and training applications. J Couns Psychol. 1997;44(1):20–31.

    Article  Google Scholar 

  33. Davidson L, Schmutte T, Dinzeo T, Andres-Hyman R. Remission and recovery in schizophrenia: practitioner and patient perspectives. Schizophr Bull (Bp). 2008;34(1):5–8. doi:10.1093/schbul/sbm122.

    Article  Google Scholar 

  34. Kane M, Trochim WMK. Concept mapping for planning and evaluation. Thousand Oaks, California: Sage Publications Inc.; 2007.

    Google Scholar 

  35. Corbière M, Lanctôt N, Lecomte T, Latimer EA, Goering P, Kirsh B, et al. A Pan-Canadian evaluation of supported employment programs dedicated to people with severe mental disorders. Community Ment Health J. 2010;46(1):44–55. doi:10.1007/s10597-009-9207-6.

    Article  PubMed  Google Scholar 

  36. Weeghel JV. The implementation of IPS in the Netherlands. Annual meeting of the J&J-Dartmouth Mental Health Program; May 18; St-Louis, USA 2012.

  37. Corbière M. Les programmes de soutien à l’emploi: Leurs ingrédients et leur implantation. In: Lecomte T, Leclerc C, editors. Manuel de réadaptation psychiatrique. 2nd ed. Montréal: Presses de l’Université du Québec; 2012.

    Google Scholar 

  38. Becker DR, Drake RE. A working life for people with severe mental illness. New York: Oxford University Press; 2003.

    Book  Google Scholar 

  39. McDonald-Wilson KL, Rogers ES, Massaro JM, Lyass A, Crean T. An investigation of reasonable workplace accommodations for people with psychiatric disabilities: quantitative findings from a multi-site study. Community Ment Health J. 2002;38(1):35–50.

    Article  Google Scholar 

  40. Hoekstra EJ, Sanders K, van den Heuvel WJ, Post D, Groothoff JW. Supported employment in The Netherlands for people with an intellectual disability, a psychiatric disability and a chronic disease. J Vocat Rehabil. 2004;21(11):39–48.

    Google Scholar 

  41. Corbière M, Zaniboni S, Lecomte T, Bond GR, Gilles PY, Lesage A, et al. Job acquisition for people with severe mental illness enrolled in supported employment programs: a theoretically grounded empirical study. J Occup Rehabil. 2011;21(3):342–54. doi:10.1007/s10926-011-9315-3.

    Article  PubMed  Google Scholar 

  42. Gilles PY, Corbière M, Fort I. Les dimensions de la recherche d’emploi et leurs conséquences sur l’insertion professionnelle chez des personnes ayant un trouble mental grave. Paper presented at Colloque international INETOP/CNAM (Paris, France). 2010.

  43. Bégin E, Corbière M. Les compétences perçues de la personne ayant un trouble mental grave : un facteur significatif de maintien en emploi. Can J Commun Ment Health. 2012;31(2):35–50.

    Google Scholar 

  44. Bond GR, Drake RE. Predictors of competitive employment among patients with schizophrenia. Curr Opin Psychiatry. 2008;21(4):362–9.

    Article  PubMed  Google Scholar 

  45. Bond GR, Kukla M. Is job tenure brief in individual placement and support (IPS) employment programs? Psychiatr Serv. 2011;62(8):950–3. doi:10.1176/appi.ps.62.8.950.

    Article  PubMed  Google Scholar 

  46. Catty J, Lissouba P, White S, Becker T, Drake RE, Fioritti A, et al. Predictors of employment for people with severe mental illness: results of an international six-centre randomised controlled trial. Br J Psychiatry. 2008;192:224–31.

    Article  PubMed  Google Scholar 

  47. Marwaha S, Balachandra S, Johnson S. Clinicians’ attitudes to the employment of people with psychosis. Soc Psychiatry Psychiatr Epidemiol. 2009;44(5):349–60.

    Article  PubMed  Google Scholar 

  48. Stuart H. Stigmatisation et discrimination liées à la santé mentale en milieu de travail (Mental health related stigma and discrimination in the workplace). In: Corbière M, Durand MJ, editors. Du trouble mental à l’incapacité au travail (From mental disorder to work disability). Québec: Presses de l’Université du Québec (PUQ); 2011. p. 339–61.

    Google Scholar 

  49. Wallace CJ, Tauber R. Supplementing supported employment with workplace skills training. Psychiatr Serv. 2004;55(5):513–5.

    Article  PubMed  Google Scholar 

  50. Wallace CJ, Tauber R, Wilde JW. Teaching fundamental workplace skills to persons with serious mental illness. Psychiatr Serv. 1999;50(9):1147–9.

    CAS  PubMed  Google Scholar 

  51. Baker A, Kay-Lambkin F, Richmond R, Filia S, Castle D, Williams J, et al. Study protocol: a randomised controlled trial investigating the effect of a healthy lifestyle intervention for people with severe mental disorders. BMC Public Health. 2011;11(1):10.

    Article  PubMed Central  PubMed  Google Scholar 

  52. Michon HWC, van Weeghel J, Kroon H, Schene AH. Illness self-management assessment in psychiatric vocational rehabilitation. Psychiatr Rehabil J. 2011;35(1):21–7. doi:10.2975/35.1.2011.21.27.

    Article  PubMed  Google Scholar 

  53. Bond GR, Kukla M. Impact of follow-along support on job tenure in the individual placement and support model. J Nerv Ment Dis. 2011;199(3):150–5.

    Google Scholar 

  54. Shaw WS, Robertson MM, Pransky G, McLellan RK. Employee perspectives on the role of supervisors to prevent workplace disability after injuries. J Occup Rehabil. 2003;13(3):129–42.

    Article  PubMed  Google Scholar 

  55. Carling P. Reasonable accommodations in the workplace for individuals with psychiatric disabilities. Consult Psychol J Pract Res. 1993;45(2):46–67.

    Article  Google Scholar 

  56. Bond GR, Drake RE, Becker DR. Beyond evidence-based practice: nine ideal features of a mental health intervention. Res Soc Work Pract. 2010;20(5):493–501. doi:10.1177/1049731509358085.

    Article  Google Scholar 

  57. McGurk SR, Mueser KT. Strategies for coping with cognitive impairments of clients in supported employment. Psychiatr Serv (Washington, DC). 2006;57(10):1421–9. doi:10.1176/appi.ps.57.10.1421.

    Article  Google Scholar 

  58. Marshall T, Rapp CA, Becker DR, Bond GR. Key factors for implementing supported employment. Psychiatr Serv. 2008;59(8):886–92.

    Article  PubMed  Google Scholar 

  59. Rapp CA, Etzel-Wise D, Marty D, Coffman M, Carlson L, Asher D, et al. Barriers to evidence-based practice implementation: results of a qualitative study. Community Ment Health J. 2010;46:112–8.

    Article  PubMed  Google Scholar 

  60. Swain K, Whitley R, McHugo GJ, Drake RE. The sustainability of evidence-based practices in routine mental health agencies. Community Ment Health J. 2010;46:119–29.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank the employment specialists for their feedback on the development of the BAKES questionnaire. This study was in part funded by CIHR (for the recruitment in Canada).

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Authors and Affiliations

  1. Centre for Action in Work Disability Prevention and Rehabilitation (CAPRIT), School of Rehabilitation, Université de Sherbrooke, 150 Place Charles Le Moyne, Bureau 200, Longueuil, QC, J4K 0A8, Canada

    Marc Corbière

  2. Department Tranzo, Tilburg University, P.O. Box 90153, 5000 LE, Tilburg, The Netherlands

    Evelien Brouwers & Jaap van Weeghel

  3. Centre d’étude sur le trauma, Institut universitaire en santé mentale de Montréal, 7401 Hochelaga, CET-228, Montreal, QC, H1N 3M5, Canada

    Nathalie Lanctôt

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  1. Marc Corbière
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  2. Evelien Brouwers
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  3. Nathalie Lanctôt
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  4. Jaap van Weeghel
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Correspondence to Marc Corbière.

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Corbière, M., Brouwers, E., Lanctôt, N. et al. Employment Specialist Competencies for Supported Employment Programs. J Occup Rehabil 24, 484–497 (2014). https://doi.org/10.1007/s10926-013-9482-5

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