Adapting Supported Employment for Emerging Adults with Serious Mental Health Conditions
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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.
KeywordsSerious Mental Illness Supplemental Security Income Serious Emotional Disturbance Adult Mental Health Service Vocational Development
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.
- 1.Davis M, Sheidow A, Zajac K., et al. Prevalence and impact of substance use among emerging adults with serious mental health conditions. Psychiatric Rehabilitation Journal 2013; 35(3):235–243.Google Scholar
- 3.Substance Abuse and Mental Health Services Administration. Working Definition of Recovery. Available online at http://www.samhsa.gov/recovery/. Accessed July 16, 2014.
- 7.Souma A, Rickerson N, Burgstahler S. Academic Accommodations for Students with Psychiatric Disabilities: Achieving Equal Access through Accommodations and Universal Design. DO-IT. University of Washington, 2006.Google Scholar
- 9.Wagner M, Newman L, Cameto R, et al. An overview of findings from wave 2 of the National Longitudinal Transition Study-2 (NLTS2). (NCSER 2006–3004). Menlo Park, CA: SRI International, 2006.Google Scholar
- 10.Newman L, Wagner M, Cameto R, et al. The Post-High School Outcomes of Youth With Disabilities up to 4 Years After High School. A Report from the National Longitudinal Transition Study-2 (NLTS2) (NCSER 2009–3017). Menlo Park, CA: SRI International, 2009.Google Scholar
- 12.MacInnes, T, Tinson, A, Gaffney, D, et al. Disability, Long Term Conditions, and Poverty. London: New Policy Institute, 2014. Available online at http://npi.org.uk. Accessed July 16, 2014.
- 14.Swanson SJ, Becker DR. IPS Supported Employment: A Practical Guide. Lebanon, NH: Dartmouth Psychiatric Research Center, 2013.Google Scholar
- 19.Clark HB, Unruh DK. Transition of Youth and Young Adults with Emotional or Behavioral Difficulties: An Evidence-Supported Handbook. Baltimore: Paul H. Brooks Publishing, 2009.Google Scholar
- 20.Becker DR, Swanson S, Bond GR, et al. Evidence-Based Supported Employment Fidelity Review Manual, Second Edition. Lebanon, NH: Dartmouth Psychiatric Research Center, 2011.Google Scholar
- 22.Nuechterlein K, Subotnik K, Ventura J, et al. A randomized controlled trial of supported employment and education and workplace skills training in recent onset schizophrenia: notable improvements in work recovery. Schizophrenia Research 2008; 102/1–3(2):1– 279Google Scholar
- 25.Harris DN. How do school peers influence student educational outcomes? Theory and evidence from economics and other social sciences. Teachers College Record 2010; 112(4):1163–1197.Google Scholar
- 32.Karcher MJ, Nakkula MJ. Play, Talk, Learn: Promising Practices in Youth Mentoring. New York: Wiley Periodicals, 2010.Google Scholar
- 39.Substance Abuse and Mental Health Services Administration (SAMHSA). Supported Education: Building Your Program. HHS Pub. No. SMA-11-4654. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, 2011.Google Scholar
- 40.Wilkinson G. WRAT-3: Wide Range Achievement Test, Administration Manual. Wilmington, DE: Wide Range, Inc., 1993.Google Scholar
- 42.Kim SJ, Bond GR. (in preparation). Individual Placement and Support Fidelity Scale (IPS-25) validation study.Google Scholar
- 45.Fetzer P, Garner T, Shelpler R, et al. Paving the Way for a New Day for Transition-Age Youth and Young Adults in Ohio’s Mental Health System, 2007. Available at: http://mha.ohio.gov/Portals/0/assets/Supports/families/paving-the-way.pdf. Accessed on June 16, 2014.
- 46.Lee D. Mental Health Services Act Innovative Programs. California Mental Health Services Oversight and Accountability Commission, 2012. Available online at http://mhsoac.ca.gov/MHSOAC_Publications/docs/Publications/INN_Trends_2012_FINAL_wAppendices.pdf. Accessed June 16, 2014.
- 47.Munchel W. Some Tomato Soup for the TAY Provider’s Soul—Six Tips to Take Better Care of Ourselves. TAY Connection; 2012. Available online at http://tayconnection.com/uncategorized/some-tomato-soup-for-the-tay-providers-soul- six-tips-to-take-better-care-of-ourselves/. Accessed June 16, 2014.
- 48.Porteous N, Waghorn G. Developing evidence-based supported employment services for young adults receiving public mental health services. New Zealand Journal of Occupational Therapy 2009; 56(1):34–39.Google Scholar
- 50.Davis M. Pioneering Transition Programs: The Establishment of Programs that Span the Ages Served by Child and Adult Mental Health. Rockville, MD: Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, 2007.Google Scholar
- 51.Bond GR, Drake, RE, Luciano A. Employment and educational outcomes in early intervention programmes for early psychosis: a systematic review. Epidemiology and Psychiatric Sciences, 2014; First View Article:1–12.Google Scholar