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Adapting Supported Employment for Emerging Adults with Serious Mental Health Conditions

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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.

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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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Authors and Affiliations

  1. The Learning and Working During the Transition to Adulthood Rehabilitation Research and Training Center, Systems and Psychosocial Advances Research Center, Department of Psychiatry, The University of Massachusetts Medical School, 222 Maple Ave., Shrewsbury, MA, 01545, USA

    Marsha L. Ellison PhD & Maryann Davis PhD

  2. Thresholds Research Department, 4101 N. Ravenswood, Chicago, IL, 60613, USA

    Vanessa V. Klodnick LCSW, Izabela M. Krzos BA & Susan M. Kaiser MPH

  3. Dartmouth Psychiatric Research Center, Department of Psychiatry, Geisel School of Medicine at Dartmouth , Rivermill Commercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH, 03766, USA

    Gary R. Bond PhD

  4. Thresholds Youth Programs, 4101 N. Ravenswood, Chicago, IL, 60613, USA

    Marc A. Fagan PsyD

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  1. Marsha L. Ellison PhD
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  2. Vanessa V. Klodnick LCSW
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  3. Gary R. Bond PhD
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  4. Izabela M. Krzos BA
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  5. Susan M. Kaiser MPH
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  6. Marc A. Fagan PsyD
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  7. Maryann Davis PhD
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Correspondence to Marsha L. Ellison PhD.

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Ellison, M.L., Klodnick, V.V., Bond, G.R. et al. Adapting Supported Employment for Emerging Adults with Serious Mental Health Conditions. J Behav Health Serv Res 42, 206–222 (2015). https://doi.org/10.1007/s11414-014-9445-4

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