Community Mental Health Journal

, Volume 34, Issue 1, pp 71–82 | Cite as

Job Terminations Among Persons with Severe Mental Illness Participating in Supported Employment

  • Deborah R. Becker
  • Robert E. Drake
  • Gary R. Bond
  • Haiyi Xie
  • Bradley J. Dain
  • Katherine Harrison

Abstract

For persons with psychiatric disabilities, maintaining a job is often more difficult than acquiring a job. A large proportion of jobs end unsatisfactorily. This study explored job terminations among 63 persons with severe mental illness who participated in competitive jobs through supported employment programs. More than half of the job terminations were unsatisfactory, defined as the client quitting without having other job plans or being fired. Baseline ratings of demographic and clinical characteristics, preemployment skills training, and early ratings of job satisfaction and work environment did not predict unsatisfactory terminations. Clients with better work histories were less likely to experience unsatisfactory terminations. In addition, unsatisfactory terminations were associated retrospectively with multiple problems on the job that were related to interpersonal functioning, mental illness, dissatisfaction with jobs, quality of work, medical illnesses, dependability, and substance abuse. These results suggest that supported employment programs need to address job maintenance with interventions that identify and address different types of difficulties as they arise on the job.

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REFERENCES

  1. Alverson, M., Becker, D.R., & Drake, R.E. (1995). An ethnographic study of coping strategies used by persons with severe mental illness participating in supported employment. Psychosocial Rehabilitation Journal, 18(4), 115–128.Google Scholar
  2. Americans with Disabilities Act of 1990, Public Law No. 101-336. (1990).Google Scholar
  3. Anthony, W A., & Blanch, A. (1987). Supported employment for persons who are psychiatrically disabled: An historical and conceptual perspective. Psychosocial Rehabilitation Journal, 11(2), 5–23.Google Scholar
  4. Anthony, W.A., & Jansen, M.A. (1984). Predicting the vocational capacity of the chronically mentally ill: Research and implications. American Psychologist, 39, 537–544.CrossRefPubMedGoogle Scholar
  5. Becker, D.R., & Drake, R.E. (1994). Individual Placement and Support: A community mental health center approach to vocational rehabilitation. Community Mental Health Journal, 30, 193–206.PubMedGoogle Scholar
  6. Black, B.J. (1988). Work and mental illness: Transitions to employment. Baltimore: Johns Hopkins Press.Google Scholar
  7. Bond, G.R. (1994). Applying psychiatric principles to employment: Recent findings. In R.J. Ancill, S. Holliday, and J. Higenbottam (Eds.), Schizophrenia: Exploring the spectrum of psychosis(pp. 49–65). West Sussex, England: John Wiley & Sons.Google Scholar
  8. Bond, G.R., & Dietzen, L. (1993). Predictive validity and vocational assessment: Reframing the question. In R.L. Glueckauf, L.B. Sechrest, G.R. Bond, & E.C. McDonel (Eds.), Improving assessment in rehabilitation and health(pp. 61–86). Newbury Park, CA: Sage.Google Scholar
  9. Bond, G.R., & McDonel, E.C. (1991). Vocational rehabilitation outcomes for persons with psychiatric disabilities: An update. Journal of Vocational Rehabilitation, 1(3), 9–20.Google Scholar
  10. Center for Psychiatric Rehabilitation (1989). Improved rehabilitation of psychiatrically disabled individuals(Final Report, NIDRR G0087C0223-88). Boston, MA.Google Scholar
  11. Cook, J. A. (1992). Job ending among youth and adults with severe mental illness. The Journal of Mental Health Administration, 19, 158–169.Google Scholar
  12. Dawis, R.V. (1976). The Minnesota theory of work adjustment. In B. Bolton (Ed.), Handbook of Measurement and Evaluation(pp. 227–248). Baltimore: University Park Press.Google Scholar
  13. Drake, R.E., Becker, D.R., & Anthony, W.A. (1994). A research induction group for clients entering a mental health research project. Hospital and Community Psychiatry, 45, 487–489.PubMedGoogle Scholar
  14. Drake, R.E., McHugo, G.J., Becker, D.R., Anthony, W.A., & Clark, R.E. (1996). The New Hampshire supported employment study. Journal of Consulting and Clinical Psychology, 64, 390–398.Google Scholar
  15. Fabian, E.S. (1992). Longitudinal outcomes in supported employment: A survival analysis. Rehabilitation Psychology, 37, 23–36.CrossRefGoogle Scholar
  16. Fabian, E.S., Waterworth, A., & Ripke, B. (1993). Reasonable accommodation for workers with serious mental illness: Type, frequency, and associated outcomes. Psychosocial Rehabilitation Journal, 17(2), 163–172.Google Scholar
  17. Fabian, E., & Wiedefeld, M.F. (1989). Supported employment for severely psychiatrically disabled persons: A descriptive study. Psychosocial Rehabilitation Journal, 2(13), 53–60.Google Scholar
  18. Furlong-Norman, K. (Ed.). (1993). Rehabilitation Act Amendments of 1992. Community Support News, 9, 1–3.Google Scholar
  19. General Accounting Office (GAO). (1993). Vocational rehabilitation: Evidence for federal program’s effectiveness is mixed. PEMD-93-19. Washington, DC: U.S. General Accounting Office.Google Scholar
  20. Lagomarcino, T. R. (1990). Job separation issues in supported employment. In F. R. Rusch (Ed.), Supported Employment: Models, Methods, and Stress(301–316). Sycamore, IL: Sycamore Publishing.Google Scholar
  21. Lukoff, D., Nuechterlein, K.H., & Ventura, J. (1986). Appendix A. Manual for Expanded Brief Psychiatric Rating Scale (BPRS). Schizophrenia Bulletin, 12, 594–602.Google Scholar
  22. MacDonald-Wilson, K. L., Revell, W. G., Nguyen, N., & Peterson, M. E. (1991). Supported employment outcomes for people with psychiatric disability: A comparative analysis. Journal of Vocational Rehabilitation, 1(3), 30–44.Google Scholar
  23. Mancuso, L.L. (1993). Case Studies on reasonable accommodations for workers with psychiatric disabilities. California Department of Mental Health: Sacramento.Google Scholar
  24. Moos, R.H. (1986). Work Environment Scale Manual. Palo Alto: Consulting Psychologists Press, Inc.Google Scholar
  25. National Institute of Mental Health. Caring for people with severe mental disorders: A national plan of research to improve services(DHHS Pub. No. ADM 91-1762). Washington, U.S. Government Printing Office, 1991.Google Scholar
  26. National Institute on Disability and Rehabilitation Research. NIDRR consensus validation conference: Strategies to secure and maintain employment for persons with long-term mental illness. Washington, Department of Education, 1992.Google Scholar
  27. Shafer, M.S., & Huang, H.W. (1995). The utilization of survival analysis to evaluate supported employment services. Journal of Vocational Rehabilitation, 5, 103–113.CrossRefGoogle Scholar
  28. Spitzer, R.L., Williams, J.B.W., Gibbon, M., & First, M.B. (1988). Structured Clinical Interview for DSM-III-R-Patient Version (SCID-P). New York: Biometrics Research Department, New York State Psychiatric Institute.Google Scholar
  29. Torrey, W.C., Bebout, R., Kline, J., Becker, D.R., Alverson, M., & Drake, R.E. (in press). Practice guidelines for clinicians working in programs providing integrated vocational services for persons with severe mental disorders. Psychiatric Rehabilitation Journal.Google Scholar
  30. Trotter, S., Minkoff, K., Harrison, K., & Hoops, J. (1988). Supported work: An innovative approach to the vocational rehabilitation of persons who are psychiatrically disabled. Rehabilitation Psychology, 33, 27–36.CrossRefGoogle Scholar
  31. Wehman, P., & Moon, M.S. (Eds.). (1988). Vocational Rehabilitation and Supported Employment. Baltimore: Paul Brookes.Google Scholar
  32. Weiss, D.J., Dawis, R.V., England, G.W., & Lofquist, L.H. (1977). Manual for the Minnesota Satisfaction Questionnaire. Minneapolis: University of Minnesota, Vocational Psychology Department.Google Scholar

Copyright information

© Human Sciences Press, Inc. 1998

Authors and Affiliations

  • Deborah R. Becker
  • Robert E. Drake
  • Gary R. Bond
  • Haiyi Xie
  • Bradley J. Dain
  • Katherine Harrison

There are no affiliations available

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