Community Mental Health Journal

, Volume 42, Issue 3, pp 303–313 | Cite as

What Predicts Supported Employment Program Outcomes?

  • Deborah R. Becker
  • Haiyi Xie
  • Gregory J. McHugo
  • John Halliday
  • Rick A. Martinez
Community Psychiatric Practice


Numerous state systems and local mental health and vocational rehabilitation programs are currently attempting to implement supported employment. This cross-sectional survey of 26 mental health agencies, partnering with federal-state vocational rehabilitation, identified differences in access to supported employment services and rates of competitive employment (efficiency) as well as predictors of access and efficiency. Access varied from 2 to 100% and was related to the percentage of supported employment specialists per consumers with serious mental illness served by the mental health agency (funding). Efficiency varied from 7 to 75% and was related to implementation of the critical components of evidence-based supported employment and to the local unemployment rate. To help mental health clients achieve their employment goals, state systems and local programs should address consolidation of resources in supported employment and the quality of implementation of supported employment.


severe mental illness supported employment vocational rehabilitation employment outcomes. 



This study was supported by a gift from the Johnson & Johnson Corporate Contributions Program.


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Deborah R. Becker
    • 1
    • 4
  • Haiyi Xie
    • 1
  • Gregory J. McHugo
    • 1
  • John Halliday
    • 2
  • Rick A. Martinez
    • 3
  1. 1.Dartmouth Medical SchoolHanoverUSA
  2. 2.Institute for Community InclusionUniversity of MassachusettsBostonUSA
  3. 3.Johnson & JohnsonNew BrunswickUSA
  4. 4.NH-Dartmouth Psychiatric Research CenterLebanonUSA

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