Abstract
Transition age youth and young adults (TAYYAs) diagnosed with serious mental health conditions (SMHCs) are at greater risk of being unemployed compared to their peers without SMHCs. Job counseling and job placement services are the greatest predictor of competitive employment, yet we have limited knowledge about what TAYYAs believe they need to obtain gainful employment. In person, qualitative interviews were conducted with 57 non-Hispanic and Hispanic TAYYAs with SMHCs enrolled in three vocational support programs in MA (Vocational Rehabilitation, Individual Placement and Support; the Clubhouse Model as described by the International Center for Clubhouse Development). Six themes emerged from the data: three themes were identified as social capital (supportive relationships, readily available workplace supports, and vocational preparation), two themes related to human capital (effective educational supports and work experience), and one theme related to cultural capital (social skills training). Unique features (Spanish-speaking staff and/or familiar in Latino culture, familial-like staff support) were frequently noted by Hispanic TAYYAs.
Similar content being viewed by others
References
Insel TR. Assessing the economic costs of serious mental illness. American Journal of Psychiatry 2008;165(6):663-665.
Kessler RC, Heeringa S, Lakoma MD, et al. Individual and societal effects of mental disorders on earnings in the United States: results from the national comorbidity survey replication. American Journal of Psychiatry 2008;165(6):703-711.
Anthony WA, Cohen M, Farkas M, et al. Psychiatric Rehabilitation, 2nd edition. Boston: Boston University Center for Psychiatric Rehabilitation, 2002.
United States Government Accountability Office. Available online at http://www.gao.gov/assets/280/277176.html. Accessed August 16, 2013.
Davis M. Addressing the needs of youth in transition to adulthood. Administration and Policy in Mental Health. Jul 2003;30(6):495-509.
Davis M, Koroloff N, Ellison ML. Between adolescence and adulthood: rehabilitation research to improve services for youth and young adults. Psychiatric Rehabilitation Journal. Winter 2012;35(3):167-170.
U. S. Census Bureau.. Available online at http://www.census.gov/population/socdemo/education/tableA-2.txt. Assessed 16 August 2013.
Wagner M, Newman L. Longitudinal transition outcomes of youth with emotional disturbances. Psychiatric Rehabilitation Journal. Winter 2012;35(3):199-208.
Ramsay CE, Stewart T, Compton MT. Unemployment among patients with newly diagnosed first-episode psychosis: prevalence and clinical correlates in a U.S. sample. Social Psychiatry and Psychiatric Epidemiology 2012;47(5):797-803.
Killackey E, Jackson HJ, McGorry PD. Vocational intervention in first-episode psychosis: individual placement and support v. treatment as usual. British Journal of Psychiatry 2008;193(2):114-120.
Carter E, Wehby J. Job Performance of Transition-Age Youth With Emotional and Behavioral Disorders. Exceptional Children 2003;69(4):449-465.
Gresham FM, Sugai G, Horner, RH. Interpreting outcomes of social skills training for students with high-incidence disabilities. Exceptional Children 2001;67(3):331-344.
Bond GR, Xie H, Drake RE. Can SSDI and SSI beneficiaries with mental illness benefit from evidence-based supported employment? Psychiatric Services 2007;58(11):1412-1420.
Heflinger CA, Hoffman C. Transition age youth in publicly funded systems: identifying high-risk youth for policy planning and improved service delivery. Journal of Behavioral Health Services and Research 2008;35(4):390-401.
Haber MG, Karpur A, Deschenes N, et al. Predicting improvement of transitioning young people in the partnerships for youth transition initiative: findings from a multisite demonstration. Journal of Behavioral Health Services and Research 2008;35(4):488-513.
Frey WD, Azrin ST, Goldman HH, et al. The mental health treatment study. Psychiatric Rehabilitation Journal 2008;31(4):306-312.
Burns T, Catty J, Becker T, et al. The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial. Lancet 2007;370(9593):1146-1152.
Bond GR, Drake RE. Predictors of competitive employment among patients with schizophrenia. Current Opinion in Psychiatry 2008;21(4):362-369.
Rosenthal DA, Dalton JA, Gervey R. Analyzing vocational outcomes of individuals with psychiatric disabilities who received state vocational rehabilitation services: a data mining approach. International Journal of Social Psychiatry 2007;53(4):357-368.
Burke-Miller J, Razzano LA, Grey DD, et al. Supported employment outcomes for transition age youth and young adults. Psychiatric Rehabilitaion Journal 2012;35(3):171-179.
Woolsey L, Katz-Leavy J. Transitioning Youth With Mental Health Needs to Meaningful Employment & Independent Living. Washington, D.C. National Collaborative on Workforce and Disability for Youth, Institute for Educational Leadership, 2008.
Office of Juvenile Justice and Delinquency Prevention. Disproportionate Minority Contact Technical Assistance Manual. Available online at http://www.ojjdp.gov/compliance/dmc_ta_manual.pdf. Accessed 16 August 2013.
Alegria M, Canino G, Rios R, et al. Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatric Services 2002;53(12):1547-1555.
Berdahl TA, Kirby JB, Torries Stone R. Access to health care for nonmetro and metro Latinos of Mexican origin in the United States. Medical Care 2007;45(7):647-654.
Berdahl TA, Torres Stone R. Examining Latino differences in mental healthcare use: the roles of acculturation and attitudes towards healthcare. Community Mental Health Journal 2009;45(5):393-403.
Torres Stone R, McQuillan J. Beyond Hispanic/Latino: The importance of gender/ethnicity-specific earnings analyses. Social Science Research 2007;36(1):175-200.
Torres Stone R, Purkayastha B, Berdahl, TA. Beyond Asian American: Examining Conditions and Mechanisms of Earnings Inequality for Filipina and Asian Indian Women. Sociological Perspectives 2006;49(2):261-281.
Collins PH. Black Feminist Thought: Knowledge Consciousness, and the Politics of Empowerment, 2nd edition. New York: Routledge; 2000.
Browne I, Misra J. The intersection of gender and race in the labor market. Annual Review of Sociology 2003;29:487–513.
Collins PH. Gender, Black Feminism, and Black Political Economy. The ANNALS of the American Academy of Political and Social Science 2000;568:41-53.
Hutchinson A, Lovell A. Participatory action research: moving beyond the mental health 'service user' identity. Journal of Psychiatric and Mental Health Nursing 2013;20(7):641-649.
Cook JA, Shore SE, Burke-Miller JK, et al. Participatory action research to establish self-directed care for mental health recovery in Texas. Psychiatric Rehabilitation Journal 2010;34(2):137-144.
Padgett DK. Does the Glove Really Fit? Qualitative Research and Clinical Social Work Practice. Social Work 1998;43(4):373-381.
Miles MB, Huberman HM. Qualitative Data Analysis: An Expanded Sourcebook, 2nd Edition. Thousand Oaks, CA: Sage Publications, 1994.
Mishler EG. Researching Interviewing: Context and Narrative. Cambridge Harvard University Press, 1986.
Cook JA, Blyler CR, Leff HS, et al. The employment intervention demonstration program: major findings and policy implications. Psychiatic Rehabilitation Journal 2008;31(4):291-295.
Schonebaum AD, Boyd JK, Dudek KJ. A comparison of competitive employment outcomes for the clubhouse and PACT models. Psychiatric Services 2006;57(10):1416-1420.
Creswell JW. Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks, CA: Sage, 2012.
Coleman JS. Social Capital in the Creation of Human Capital. American Journal of Sociology 1988; 94:S95-S120.
Becker GS. Investment in Human Capital: A Theoretical Analysis. Journal of Political Economy 1962;70(5):9-49.
Bourdieu P. The forms of capital. In: RichardsonJ(Ed). Handbook of Theory and Research for the Sociology of Education. New York: Greenwood, 1986
NVivo qualitative data analysis software. QSR International Pty Ltd. Version 8, 2008.
Vorhies V, Davis KE, Frounfelker RL, et al. Applying social and cultural capital frameworks: understanding employment perspectives of transition age youth with serious mental health conditions. Journal of Behavioral Health Services Research 2012;39(3):257-270.
Cook JA. Employment barriers for persons with psychiatric disabilities: update of a report for the President's Commission. Psychiatric Services 2006;57(10):1391-1405.
Resnick MD, Bearman PS, Blum RW, et al. Protecting adolescents from harm. Findings from the National Longitudinal Study on Adolescent Health Journal of the American Medical Association 1997;278(10):823-832.
Resnick SG, Rosenheck RA. Integrating peer-provided services: a quasi-experimental study of recovery orientation, confidence, and empowerment. Psychiatric Services 2008;59(11):1307-1314.
Lawn S, Smith A, Hunter K. Mental health peer support for hospital avoidance and early discharge: an Australian example of consumer driven and operated service. Journal of Mental Health. 2008;17:498-508.
Betz CL, Redcay G. Dimensions of the Transition Service Coordinator Role. Journal for Specialists in Pediatric Nursing. 2005;10(2):49-59.
Wagner M, Davis, M. How Are We Preparing Students With Emotional Disturbances for the Transition to Young Adulthood? Findings From the National Longitudinal Transition Study--2. Journal of Emotional & Behavioral Disorders 2006;14(2):86-98.
Corrigan PW, Barr L, Driscoll H, et al. The educational goals of people with psychiatric disabilities. Psychiatric Rehabilitation Journal 2008;32(1):67-70.
Ferguson KM, Bender K, Thompson SJ et al. Employment status and income generation among homeless young adults: Results from a five-city, mixed-methods study. Youth & Society 2012; 44(3): 385-407.
Gil AG, Wagner EF, Vega WA. Acculturation, familism, and alcohol use among Latino adolescent males: Longitudinal relations. Journal of Community Psychology 2000;28:443–458.
Unger JB, Ritt-Olson A, Teran L, et al. Cultural values and substance use in a multiethnic sample of California adolescents. Addictions Research Theory 2002:257–280.
Morris M, Vekker A. An alternative look at temporary workers, their choices, and the growth in temporary employment. Journal of Labor Research 2001;22(2):373-390.
Ellison ML, Mueller L, Smelson D, et al. Supporting the education goals of post-9/11 veterans with self-reported PTSD symptoms: a needs assessment. Psychiatric Rehabilitation Journal 2012;35(3):209-217.
Rogers S, Farkas M, Anthony W, et al. Systematic review of supported education literature 1989-2009. Center for Psychiatric Rehabilitation, Boston: Boston University, Sargent College, Center for Psychiatric Rehabilitation. Available online at http://www.bu.edu/drrk/research-syntheses/psychiatric-disabilities/supported-education/. Assessed 16 August, 2013.
Westerlund D, Granucci EA, Gamache P, et al. Effects of peer mentors on work-related performance of adolescents with behavioral and/or learning disabilities. Journal of Positive Behavior Interventions 2006;8:244-251.
Acknowledgment
We would like to thank the Transitions Research and Training Center young adult project assistants, Amanda Costa and Jennifer Whitney, for their valuable help in collecting and reviewing the data, their enthusiastic encouragement, and their technical support in the development and planning of this research. We would also like to express our deep gratitude to Dr. Charles Lidz for his useful and constructive recommendations for this manuscript. His willingness to give his time so generously has been very much appreciated.
Funding Support
The content of this manuscript was developed with funding from the US Department of Education, National Institute on Disability and Rehabilitation Research, and the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration (NIDRR Grant H133B090018). Additional funding was provided by UMass Medical School’s Commonwealth Medicine Division. The content of this manuscript does not necessarily reflect the views of the funding agencies and you should not assume endorsement by the Federal Government.
Conflict of Interest Statement
I declare no conflict of interests. The content of this manuscript were developed with funding from the US Department of Education, National Institute on Disability and Rehabilitation Research, and the Center for Mental Health Services Research, Substance Abuse and Mental Health Services Administration (NIDRR Grant H122B090018). Additional funding was provided by UMass Medical School’s Commonwealth Medicine Division. The content of this manuscript does not necessarily reflect the views of the funding agencies.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Stone, R.A.T., Delman, J., McKay, C.E. et al. Appealing Features of Vocational Support Services for Hispanic and non-Hispanic Transition Age Youth and Young Adults with Serious Mental Health Conditions. J Behav Health Serv Res 42, 452–465 (2015). https://doi.org/10.1007/s11414-014-9402-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11414-014-9402-2