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Career Services for Young Adults with Serious Mental Health Conditions: Innovations in the Field

  • Marsha Langer EllisonEmail author
  • Sloan Smith Huckabee
  • Rachel A. Stone
  • Kathryn Sabella
  • Michelle G. Mullen
Article

Abstract

This study examined careers services provided to young adults with serious mental health conditions. Based on an internet survey and key informant telephone interview of 31 programs nominated for delivering innovative practices for young adults, the state of the field for career services was described. Most programs offered supported education and supported employment along with mental health services. Detailed and written planning was a key feature. Programs emphasized working closely with families, inter-agency collaboration, and use of normative community resources. Programs provided direct skills training for school and work and other life skills. Largely, existing models are being applied. However, providers described unique adaptations including greater flexibility in service delivery, attending to the turbulence and developmental changes characteristic of this age group, use of social media, and a heightened willingness to meet young people where “they are at” both literally and figuratively.

Notes

Disclaimer

The contents of this booklet do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.

Funding Information

The contents of this publication were developed under grants with funding from the National Institute on Disability, Independent Living, and Rehabilitation Research (ACL grant number A-90DP0063 and ACL #90AR5018). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Ellison ML, Rogers ES, Costa A. Supporting the Education Goals of Young Adults with Psychiatric Disabilities. In M Davis (Ed). Tools for System Transformation for Young Adults with Psychiatric Disabilities: State of the Science Papers. Worcester, MA: University of Massachusetts Medical School, Department of Psychiatry, Center for Mental Health Services Research, Transitions RTC. 2013.Google Scholar
  2. 2.
    Davis M, Delman J, Duperoy T. Employment and Careers in Young Adults with Psychiatric Disabilities. In M Davis (Ed). Tools for System Transformation for Young Adults with Psychiatric Disabilities: State of the Science Papers. Worcetster, MA: University of Massachusetts Medical School, Department of Psychiatry, Center for Mental Health Services Research, Transitions RTC. 2013.Google Scholar
  3. 3.
    Cook J. Employment Barriers for Persons with Psychiatric Disabilities: Update of a Report for the President’s Commission. Psychiatric Services. 2006; 57(10): 1391–1405.CrossRefGoogle Scholar
  4. 4.
    Baron RC, Salzer MS. Accounting for Unemployment among People who have Mental Illness. Behavioral Sciences and the Law. 2002; 20(6): 585–599.CrossRefGoogle Scholar
  5. 5.
    Nemec PB, Mullen MG. The Long Road from Policy to Practice. Psychiatric Rehabilitation Journal. 2017; 40(2): 260–262.CrossRefGoogle Scholar
  6. 6.
    Davis M, Sabella K, Smith LM, et al. Becoming an Adult: Challenges for Those with Mental Health Conditions. Research Brief 3. Worcester, MA: University of Massachusetts Medical School, Department of Psychiatry, Center for Mental Health Services Research, Transitions RTC. 2011.Google Scholar
  7. 7.
    Davis M, Koroloff K, Ellison ML. Between Adolescence and Adulthood: Rehabilitation Research to Improve Services for Youth and Young adults. Psychiatric Rehabilation Journal. 2012; 35(3): 167–170.CrossRefGoogle Scholar
  8. 8.
    Becker DR, Drake RE. Individual Placement and Support: a Community Mental Health Center Approach to Vocational Rehabilitation. Community Mental Health Journal. 1994; 3: 193–205.CrossRefGoogle Scholar
  9. 9.
    Bond GR. Principles of the Individual Placement and Support Model: Empirical Support. Psychiatric Rehabilitation Journal. 1998: 22(1): 11–23.CrossRefGoogle Scholar
  10. 10.
    Killackey E, Jackson HJ, McGorry PD. Vocational Intervention in First-Episode Psychosis: Individual Placement and Support v. Treatment as Usual. The British Journal of Psychiatry. 2008; 193(2): 114–120.CrossRefGoogle Scholar
  11. 11.
    Major BS, Hinton MF, Flint A, et al. Evidence of the Effectiveness of a Specialist Vocational Intervention Following First Episode Psychosis: A Naturalistic Prospective Cohort Study. Social Psychiatry and Psychiatry Epidemiology. 2010; 45(1): 1–8.CrossRefGoogle Scholar
  12. 12.
    Porteous N, Waghorn G. Implementing Evidence-Based Employment Services in New Zealand for Young Adults with Psychosis: Progress During the First Five Years. British Journal of Occupational Therapy. 2007; 70(12).Google Scholar
  13. 13.
    Nuechterlein KH, Subotnik KL, Turner LR, et al. Individual Placement and Support for Individuals with Recent-onset Schizophrenia: Integrating Supported Education and Supported Employment. Psychiatric Rehabilitation Journal. 2008; 31(4): 340–349.CrossRefGoogle Scholar
  14. 14.
    Rinaldi M, McNeil K, Firn M, et al. What are the Benefits of Evidence-based Supported Employment for Patients with First-episode Psychosis? Psychiatric Bulletin. 2004; 28(8): 281–284.CrossRefGoogle Scholar
  15. 15.
    Ellison ML, Klodnick V, Bond GR, et al. Adapting Supported Employment for Emerging Adults with Serious Mental Health Conditions. Journal of Behavioral Health Services and Research. 2015; 42(2): 206–222.CrossRefGoogle Scholar
  16. 16.
    Ringeisen H, Ellison ML, Ryder-Burge A, et al. Supported Education for Individuals with Psychiatric Disabilities: State of the Practice and Policy Implications. Psychiatric Rehabilitation Journal. 2017; 40(2): 197–206.CrossRefGoogle Scholar
  17. 17.
    Millner UC, Rogers ES, Bloch P, et al. Exploring the Work Lives of Adults with Serious Mental Illness from a Vocational Psychology Perspective. Journal of Counseling Psychology. 2015; 62(4): 642–654.CrossRefGoogle Scholar
  18. 18.
    Rosenheck R, Mueser KT, Sint K, et al. Supported Employment and Education in Comprehensive, Integrated Care for First Episode Psychosis: Effects on Work, School, and Disability Income. Schizophrenia Research. 2017; 182: 120–128.CrossRefGoogle Scholar
  19. 19.
    “Transition to Independence Process (TIP) Model.” STARS Behavioral Health Group. Retrieved from http://www.tipstars.org/OverviewofTIPModel.aspx
  20. 20.
    Mullen M. A Manual and Training Program to Promote Careers among Transition Age Youth and Young Adults with Psychiatric Conditions Proposal. Scott Plains, NJ: Rutgers University, Department of Psychiatric Rehabilitation and Counseling Professions. 2012.Google Scholar
  21. 21.
    Glaser B, Strauss AL. The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago: Aldine, 1967.Google Scholar
  22. 22.
    Kohler PD. Taxonomy for Transition Programming: A Model for Planning, Organizing and Evaluating Transition Education, Services, and Programs. Champaign: University of Illinois. 1996.Google Scholar
  23. 23.
    Clark HB, Deschênes N, Jones J. A Framework for the Development and Operation of a Transition System. In HB Clark & M Davis (Eds). Transition to Adulthood: A Resource for Assisting Young People with Emotional or Behavioral Difficulties. Baltimore, MD: Paul H. Brookes, 2000, pp. 29–51.Google Scholar
  24. 24.
    Clark HB, Hart K. Navigating the obstacle course: An Evidence-supported Community Transition System. In HB Clark & DK Unruh (Eds). Transition of Youth and Young Adult with Emotional or Behavioral Difficulties: An Evidence-supported Handbook. Baltimore: Brookes Publishing, 2009.Google Scholar
  25. 25.
    Ringeisen H, Ryder-Burge A, Ellison ML, et al. Feasibility Study for Demonstration of Supported Education to Promote Educational Attainment and Employment among Individuals with Serious Mental Illness: Final Report. Systems and Psychosocial Advances Research Center Publications and Presentations. 2015. https://escholarship.umassmed.edu/psych_cmhsr/701
  26. 26.
    Dixon LB, Goldman HH, Bennett ME, et al. Implementing Cooridnated Specialty Care for Early Psychosis: The RAISE Connection Program. Psychiatric Services. 2015; 66(7): 691–698.CrossRefGoogle Scholar
  27. 27.
    “Person-Centered Planning.” PACER’s National Parent Center on Transition and Employment. Retrieved from http://www.pacer.org/transition/learningcenter/independent-community-living/person-centered.asp

Copyright information

© National Council for Behavioral Health 2018

Authors and Affiliations

  1. 1.Department of Psychiatry, SPARC, Transitions to Adulthood Center for ResearchUniversity of Massachusetts Medical SchoolShrewsburyUSA
  2. 2.Post-doctoral Fellow, Center for Psychiatric RehabilitationBoston UniversityBostonUSA

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