Adapting Supported Employment for Emerging Adults with Serious Mental Health Conditions

  • Marsha L. Ellison
  • Vanessa V. Klodnick
  • Gary R. Bond
  • Izabela M. Krzos
  • Susan M. Kaiser
  • Marc A. Fagan
  • Maryann Davis
Article

Abstract

Effective services are needed to assist young people with serious mental health conditions to successfully transition to employment or education, especially among those with intensive adolescent mental health service utilization. To meet these needs, the Individual Placement and Support (IPS) model of supported employment was adapted and its feasibility was tested in a psychiatric treatment program for early-emerging adults. Participants were 17–20 years old (mean age = 18.5 years). Most were African American, under the custody of the state, with a primary mood disorder diagnosis. Adaptations to IPS included adding the following: near age peer mentors, a supported education component, and a career development focus. This open trial feasibility study tracked the model’s development, recruitment, and retention and tracked vocational and educational outcomes for 12 months. Model refinement resulted in the development of a separate educational specialist position, greater integration of the peer mentor with the vocational team, and further specification of the role of peer mentor. There was an 80% retention rate in the feasibility evaluation. Of the 35 participants, 49% started a job and/or enrolled in an education program over the 12-month period.

Notes

Acknowledgments

This research was supported by funding from the United States Department of Education, National Institute on Disability and Rehabilitation Research, and the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, United States Department of Health and Human Services (NIDRR grant H133B090018). Additional funding was provided by UMass Medical School’s Commonwealth Medicine division. The content does not necessarily reflect the views or policies of the funding agencies and you should not assume endorsement by the Federal Government.

Conflict of Interest

The authors do not have any conflicts of interest to report.

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Copyright information

© National Council for Behavioral Health 2014

Authors and Affiliations

  • Marsha L. Ellison
    • 1
  • Vanessa V. Klodnick
    • 2
  • Gary R. Bond
    • 3
  • Izabela M. Krzos
    • 2
  • Susan M. Kaiser
    • 2
  • Marc A. Fagan
    • 4
  • Maryann Davis
    • 1
  1. 1.The Learning and Working During the Transition to Adulthood Rehabilitation Research and Training Center, Systems and Psychosocial Advances Research Center, Department of PsychiatryThe University of Massachusetts Medical SchoolShrewsburyUSA
  2. 2.Thresholds Research DepartmentChicagoUSA
  3. 3.Dartmouth Psychiatric Research Center, Department of PsychiatryGeisel School of Medicine at Dartmouth LebanonUSA
  4. 4.Thresholds Youth ProgramsChicagoUSA

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