Abstract
Most clients with severe mental illnesses (SMI) such as schizophrenia and treatment refractory major mood disorders want to work, but fewer than 15% within the public mental health system are currently employed. Most identify employment as a primary goal because working is a normal adult role and it provides meaning, social contact, community integration, self-esteem, increased income, and better quality of life. In this chapter we describe the individual placement and support model of supported employment, one practice that has demonstrated effectiveness in helping clients with SMI gain competitive employment. We describe the eight principles of this model: zero exclusion, focus on competitive work, integration of vocational and clinical services, personalized benefits counseling, attention to client preferences, targeted job development, rapid job search, and individualized follow-along supports.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23.
Anthony, W. A., & Jansen, M. A. (1984). Predicting the vocational capacity of the chronically mentally ill: Research and implications. American Psychologist, 39, 537–544.
Baller, J., Blyler, C., Bronnikov, S., Xie, H., Bond, G. R., Filion, K., & Hale, T. (2020). Long-term follow-up of a randomized trial of supported employment for Social Security disability beneficiaries with mental illness. Psychiatric Services, 71, 243–249.
Beard, J. H., Propst, R. N., & Malamud, T. J. (1982). The Fountain House model of psychiatric rehabilitation. Psychosocial Rehabilitation Journal, 5(1), 47–53.
Becker, D. R., & Bond, G. R. (2020). Commentary on special issue on IPS International. Psychiatric Rehabilitation Journal, 43, 79–82.
Becker, D. R., Drake, R., & Naughton, W. J. (2005). Supported employment for people with co-occurring disorders. Psychiatric Rehabilitation Journal, 28, 332–338.
Becker, D. R., & Drake, R. E. (1993). A working life: The Individual Placement and Support (IPS) Program. Concord, NH: New Hampshire-Dartmouth Psychiatric Research Center.
Becker, D. R., & Drake, R. E. (2003). A working life for people with severe mental illness. New York: Oxford University Press.
Becker, D. R., Drake, R. E., Farabaugh, A., & Bond, G. R. (1996). Job preferences of clients with severe psychiatric disorders participating in supported employment programs. Psychiatric Services, 47, 1223–1226. https://doi.org/10.1176/ps.47.11.1223
Becker, D. R., Whitley, R., Bailey, E. L., & Drake, R. E. (2007). Long-term employment trajectories among participants with severe mental illness in supported employment. Psychiatric Services, 58, 922–928. https://doi.org/10.1176/ps.2007.58.7.922
Bond, G. R. (1992). Vocational rehabilitation. In R. P. Liberman (Ed.), Handbook of psychiatric rehabilitation (pp. 244–275). New York: Macmillan.
Bond, G. R. (2004). Supported employment: Evidence for an evidence-based practice. Psychiatric Rehabilitation Journal, 27, 345–359.
Bond, G. R., Campbell, K., & Drake, R. E. (2012a). Standardizing measures in four domains of employment outcome for Individual Placement and Support. Psychiatric Services, 63, 751–757. https://doi.org/10.1176/appi.ps.201100270
Bond, G. R., & Drake, R. E. (2014). Making the case for IPS supported employment. Administration and Policy in Mental Health and Mental Health Services Research, 41, 69–73. https://doi.org/10.1007/s10488-012-0444-6
Bond, G. R., Drake, R. E., & Becker, D. R. (2020a). An update on Individual Placement and Support. World Psychiatry, 19, 390–391. https://doi.org/10.1002/wps.20784
Bond, G. R., Drake, R. E., Becker, D. R., & Mueser, K. T. (1999). Effectiveness of psychiatric rehabilitation approaches for employment of people with severe mental illness. Journal of Disability Policy Studies, 10, 18–52. https://doi.org/10.1177/104420739901000104
Bond, G. R., Drake, R. E., Becker, D. R., & Noel, V. A. (2016). The IPS Learning Community: a longitudinal study of sustainment, quality, and outcome. Psychiatric Services, 67, 864–869.
Bond, G. R., Drake, R. E., & Luciano, A. E. (2015). Employment and educational outcomes in early intervention programmes for early psychosis: a systematic review. Epidemiology and Psychiatric Sciences, 24, 446–457. https://doi.org/10.1017/S2045796014000419
Bond, G. R., Johnson-Kwochka, A. V., Pogue, J. A., Langfitt-Reese, S., Becker, D. R., & Drake, R. E. (2021). A tale of four states: factors influencing the statewide adoption of IPS. Administration and Policy in Mental Health and Mental Health Services Research, 48, 528–538. https://doi.org/10.1007/s10488-020-01087-2
Bond, G. R., & Kukla, M. (2011). Impact of follow-along support on job tenure in the Individual Placement and Support model. Journal of Nervous and Mental Disease, 199, 150–155.
Bond, G. R., Lockett, H., & van Weeghel, J. (2020b). International growth of Individual Placement and Support. Epidemiology and Psychiatric Sciences, 29, e183, 181–183. https://doi.org/10.1017/S2045796020000955.
Bond, G. R., Peterson, A. E., Becker, D. R., & Drake, R. E. (2012b). Validation of the revised Individual Placement and Support Fidelity Scale (IPS-25). Psychiatric Services, 63, 758–763. https://doi.org/10.1176/appi.ps.201100476
Bond, G. R., Swanson, S. J., Becker, D. R., Ellison, M. L., & Reeder, K. E. (2019). The IPS-Y: IPS Fidelity Scale for Young Adults. American Journal of Psychiatric Rehabilitation, 22, 239–255. https://www.muse.jhu.edu/article/797612
Brinchmann, B., Widding-Havneraas, T., Modini, M., Rinaldi, M., Moe, C. F., McDaid, D., … Mykletun, A. (2020). A meta-regression of the impact of policy on the efficacy of Individual Placement and Support. Acta Psychiatrica Scandinavica, 141, 206–220. https://doi.org/10.1111/acps.13129
Bruns, E. J., Kerns, S. E., Pullmann, M. D., Hensley, S. W., Lutterman, T., & Hoagwood, K. E. (2016). Research, data, and evidence-based treatment use in state behavioral health systems, 2001–2012. Psychiatric Services, 67, 496–503. https://doi.org/10.1176/appi.ps.201500014
Burnim, I. (2015). The promise of the Americans with Disabilities Act for people with mental illness. Journal of the American Medical Association, 313, 2223–2224.
Carlson, L., Smith, G., Mariscal, E. S., Rapp, C. A., Holter, M. C., Ko, E., … Fukui, S. (2018). The comparative effectiveness of a model of job development versus treatment as usual. Best Practices in Mental Health, 14, 21–31.
Christensen, T. N., Kruse, M., Hellström, L., & Eplov, L. F. (2021). Cost-utility and cost-effectiveness of Individual Placement Support and cognitive remediation in people with severe mental illness: Results from a randomised clinical trial. European Psychiatry, https://doi.org/10.1192/j.eurpsy.2020.111.
Clark, R. E. (1998). Supported employment and managed care: Can they coexist? Psychiatric Rehabilitation Journal, 22(1), 62–68.
Cook, J. A., Lehman, A. F., Drake, R., McFarlane, W. R., Gold, P. B., Leff, H. S., … Grey, D. D. (2005). Integration of psychiatric and vocational services: A multisite randomized, controlled trial of supported employment. American Journal of Psychiatry, 162, 1948–1956. https://doi.org/10.1176/appi.ajp.162.10.1948
Corrigan, P. W., Reedy, P., Thadani, D., & Ganet, M. (1995). Correlates of participation and completion in a job club for clients with psychiatric disability. Rehabilitation Counseling Bulletin, 39, 42–53.
DeTore, N. R., Hintz, K., Khare, C., & Mueser, K. T. (2019). Disclosure of mental illness to prospective employers: clinical, psychosocial, and work correlates in persons receiving supported employment. Psychiatry Research, 273, 312–317.
Draine, J., Salzer, M. S., Culhane, D. P., & Hadley, T. R. (2002). Role of social disadvantage in crime, joblessness, and homelessness among persons with serious mental illness. Psychiatric Services, 53, 565–573.
Drake, R. E. (2020a). Mental health technology tools: two alternative approaches. Epidemiology and Psychiatric Sciences, 29, e99, 91–91.
Drake, R. E. (2020b). Special Issue: International Implementation of Individual Placement and Support. Psychiatric Rehabilitation Journal, 43(1), 1–82.
Drake, R. E., Becker, D. R., & Bond, G. R. (2019). Introducing Individual Placement and Support (IPS) supported employment in Japan. Psychiatry and Clinical Neurosciences, 73, 47–49.
Drake, R. E., Becker, D. R., & Bond, G. R. (2020a). The growth and sustainment of Individual Placement and Support. Psychiatric Services, 71, 1075–1077.
Drake, R. E., Becker, D. R., Bond, G. R., & Mueser, K. T. (2003). A process analysis of integrated and non-integrated approaches to supported employment. Journal of Vocational Rehabilitation, 18, 51–58.
Drake, R. E., Bond, G. R., & Becker, D. R. (2012). Individual Placement and Support: An evidence-based approach to supported employment. New York: Oxford University Press.
Drake, R. E., Bond, G. R., Goldman, H. H., Hogan, M. F., & Karakus, M. (2016). Individual Placement and Support services boost employment for people with serious mental illness, but funding is lacking. Health Affairs, 35, 1098–1105. https://doi.org/10.1377/hlthaff.2016.0001
Drake, R. E., Meara, E. R., & Bond, G. R. (2020b). Policy issues regarding employment for people with serious mental illness. In H. H. Goldman, R. G. Frank, & J. P. Morrissey (Eds.), The Palgrave Handbook of American Mental Health Policy (pp. 449–470). New York: Palgrave Macmillan.
Drake, R. E., & Wallach, M. A. (2020). Employment is a critical mental health intervention. Epidemiology and Psychiatric Sciences, 29, e178, 171–173. https://doi.org/10.1017/S2045796020000906.
Frederick, D. E., & VanderWeele, T. J. (2019). Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support. PLOS ONE, 14(2), e0212208. https://doi.org/10.1371/journal.pone.0212208
Gingerich, S., & Mueser, K. T. (2010). Illness Management and Recovery Implementation Resource Kit (Revised ed.). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.
Gingerich, S., & Mueser, K. T. (2011). Illness management and recovery: Personalized skills and strategies for those with mental illness (3rd ed.). Center City, MN: Hazelden.
Hakulinen, C., Elovainio, M., Arffman, M., Lumme, S., Suokas, K., Pirkola, S., … Böckerman, P. (2020). Employment status and personal income before and after onset of a severe mental disorder: a case-control study. Psychiatric Services, 71, 250–255. https://doi.org/10.1176/appi.ps.201900239
Heinssen, R. K., Goldstein, A. B., & Azrin, S. T. (2014). Evidence-based treatments for first episode psychosis: Components of coordinated specialty care. Rockville, MD: NIMH.
Hoffmann, H., Jäckel, D., Glauser, S., Mueser, K. T., & Kupper, Z. (2014). Long-term effectiveness of supported employment: five-year follow-up of a randomized controlled trial. American Journal of Psychiatry, 171, 1183–1190.
Jaiswal, A., Carmichael, K., Gupta, S., Siemens, T., Crowley, P., Carlsson, A., … Brown, N. (2020). Essential elements that contribute to the recovery of persons with severe mental illness: a systematic scoping study. Frontiers in Psychiatry, https://doi.org/10.3389/fpsyt.2020.586230.
Johnson-Kwochka, A. V., Bond, G. R., Drake, R. E., Becker, D. R., & Greene, M. A. (2017). Prevalence and quality of Individual Placement and Support (IPS) supported employment in the United States. Administration and Policy in Mental Health and Mental Health Services Research, 44, 311–319.
Jones, A. M., & Bond, G. R. (2007). Disclosure of severe mental illness in the workplace. Schizophrenia Bulletin, 33, 593.
Kessler, R. C., Foster, C. L., Saunders, W. B., & Stang, P. E. (1995). Social consequences of psychiatric disorders I.: Educational attainment. American Journal of Psychiatry, 152, 1026–1052. https://doi.org/10.1176/ajp.152.7.1026
Knapp, M., Patel, A., Curran, C., Latimer, E., Catty, J., Becker, T., … Burns, T. (2013). Supported employment: cost-effectiveness across six European sites. World Psychiatry, 12, 60–68.
Kukla, M., Strasburger, A. M., Salyers, M. P., Rollins, A. L., & Lysaker, P. H. (2020). Psychosocial outcomes of a pilot study of work-tailored cognitive behavioral therapy intervention for adults with serious mental illness. Journal of Clinical Psychology, https://doi.org/10.1002/jclp.23048.
Leff, H. S., Cook, J. A., Gold, P. B., Toprac, M., Blyler, C., Goldberg, R. W., … Raab, B. (2005). Effects of job development and job support on competitive employment of persons with severe mental illness. Psychiatric Services, 56, 1237–1244.
Lehman, A. F. (1995). Vocational rehabilitation in schizophrenia. Schizophrenia Bulletin, 21(4), 645–656.
Livermore, G. A., & Bardos, M. (2017). Characteristics of adults with psychiatric disabilities participating in the federal disability programs. Psychiatric Rehabilitation Journal, 40, 153–162. https://doi.org/10.1037/prj0000239
Luciano, A. E., Bond, G. R., & Drake, R. E. (2014). Does employment alter the course and outcome of schizophrenia and other severe mental illnesses? A systematic review of longitudinal research. Schizophrenia Research, 159, 312–321. https://doi.org/10.1016/j.schres.2014.09.010
Manthey, T. J., Holter, M., Rapp, C. A., Davis, J. K., & Carlson, L. (2012). The perceived importance of integrated supported education and employment services. Journal of Rehabilitation, 78, 16–24.
Maslow, A. H. (1970). Motivation and personality (2nd ed.): Harper & Row.
McGurk, S. R., & Mueser, K. T. (2004). Cognitive functioning, symptoms, and work in supported employment: A review and heuristic model. Schizophrenia Research, 70, 147–173.
McGurk, S. R., & Mueser, K. T. (2006). Strategies for coping with cognitive impairment in supported employment. Psychiatric Services, 57, 1421–1429.
McGurk, S. R., Mueser, K. T., Feldman, K., Wolfe, R., & Pascaris, A. (2007). Cognitive training for supported employment: 2–3 year outcomes of a randomized controlled trial. American Journal of Psychiatry, 164, 437–441.
McGurk, S. R., Mueser, K. T., Xie, H., Welsh, J., Kaiser, S., Drake, R. E., … McHugo, G. J. (2015). Cognitive enhancement treatment for people with mental illness who do not respond to supported employment: a randomized controlled trial. American Journal of Psychiatry, 172, 852–861.
McKay, C., Nugent, K. L., Johnsen, M., Eaton, W. W., & Lidz, C. W. (2018). A systematic review of evidence for the clubhouse model of psychosocial rehabilitation. Administration and Policy in Mental Health and Mental Health Services Research, 45, 28–47.
Modini, M., Joyce, S., Mykletun, A., Christensen, H., Bryant, R. A., Mitchell, P. B., & Harvey, S. B. (2016a). The mental health benefits of employment: results of a systematic meta-review. Australasian Psychiatry 24, 331–336. https://doi.org/10.1177/1039856215618523
Modini, M., Tan, L., Brinchmann, B., Wang, M., Killackey, E., Glozier, N., … Harvey, S. B. (2016b). Supported employment for people with severe mental illness: a systematic review and meta-analysis of the international evidence. British Journal of Psychiatry, 209, 14–22. https://doi.org/10.1192/bjp.bp.115.165092
Mortenson, G., & Relin, D. O. (2006). Three cups of tea: one man’s mission to fight terrorism and build nations…one school at a time. New York: Penguin Press.
Mueser, K. T., Becker, D. R., & Wolfe, R. S. (2001). Supported employment, job preferences, job tenure and satisfaction. Journal of Mental Health, 10, 411-417.
New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final Report. DHHS Pub. No. SMA-03-3832. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Nuechterlein, K. H., Subotnik, K. L., Ventura, J., Turner, L. R., Gitlin, M. J., Gretchen-Doorly, D., … Liberman, R. P. (2020). Enhancing return to work or school after a first episode of schizophrenia: the UCLA RCT of Individual Placement and Support and Workplace Fundamentals Module training. Psychological Medicine, 50, 20–28.
Pogue, J. A., Bond, G, R., Drake, R. E., Becker, D. R., Logsdon, S. M. (2022). Growth of IPS Supported Employment Programs in the United States: An Update. Psychiatric Services 73(5):533-538. https://doi.org/10.1176/appi.ps.202100199
Provencher, H. L., Gregg, R., Mead, S., & Mueser, K. T. (2002). The role of work in the recovery of persons with psychiatric disabilities. Psychiatric Rehabilitation Journal, 26, 132–144.
Rapp, C. A., & Goscha, R. J. (2011). The strengths model: a recovery-oriented approach to mental health services (2nd ed.). New York: Oxford.
Riesen, T., Morgan, R. L., & Griffin, C. (2015). Customized employment: A review of the literature. Journal of Vocational Rehabilitation, 43, 183–193.
Ringelsen, H., Ellison, M. L., Ryder-Burge, A., Biebel, K., Alikhan, S., & Jones, E. (2017). Supported education for individuals with psychiatric disabilities: state of the practice and policy implications. Psychiatric Rehabilitation Journal, 40, 197–206.
Rogers, E. S., Anthony, W. A., Lyass, A., & Penk, W. E. (2006). A randomized clinical trial of vocational rehabilitation for people with psychiatric disabilities. Rehabilitation Counseling Bulletin, 49, 143–156.
Rosenheck, R. A., Mueser, K. T., Sint, K., Lin, H., Lynde, D. W., Glynn, S. M., … Kane, J. M. (2017). Supported employment and education in comprehensive, integrated care for first episode psychosis: Effects on work, school, and disability income. Schizophrenia Research, 182, 120–128. https://doi.org/10.1016/j.schres.2016.09.024
Salkever, D. S. (2013). Social costs of expanding access to evidence-based supported employment: concepts and interpretive review of evidence. Psychiatric Services, 64, 111–119.
Salyers, M. P., Becker, D. R., Drake, R. E., Torrey, W. C., & Wyzik, P. F. (2004). Ten-year follow-up of clients in a supported employment program. Psychiatric Services, 55, 302–308. https://doi.org/10.1176/appi.ps.55.3.302
Stein, L. I., & Test, M. A. (1980). An alternative to mental health treatment. I: Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37, 392–397.
Sveinsdottir, V., Lie, S. A., Bond, G. R., Eriksen, H. R., Tveito, T. H., Grasdal, A., & Reme, S. E. (2020). Individual placement and support for young adults at risk of early work disability (the SEED trial). A randomized controlled trial. Scandinavian Journal of Work, Environment and Health, 46, 50–59. https://doi.org/10.5271/sjweh.383
Swanson, S. J., Becker, D. R., Bond, G. R., & Drake, R. E. (2017). The IPS supported employment approach to help young people with work and school: a practitioner's guide. Rockville, MD: IPS Employment Center, Westat.
Tremblay, T., Smith, J., Xie, H., & Drake, R. E. (2006). Effect of benefits counseling services on employment outcomes for people with psychiatric disabilities. Psychiatric Services, 57, 816–821.
Wallace, C. J., Tauber, R., & Wilde, J. (1999). Teaching fundamental workplace skills to persons with serious mental illness. Psychiatric Services, 50, 1147–1149, 1153.
Wehman, P., & Moon, M. S. (Eds.). (1988). Vocational rehabilitation and supported employment. Baltimore: Paul Brookes.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Bond, G.R., Mueser, K.T. (2022). Supported Employment. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_37
Download citation
DOI: https://doi.org/10.1007/978-3-031-10239-4_37
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-10238-7
Online ISBN: 978-3-031-10239-4
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)