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The effectiveness of supported employment in people with dual disorders
- Authors:
- MUESER Kim T., CAMPBELL Kikuko, DRAKE Robert E.
- Journal article citation:
- Journal of Dual Diagnosis, 7(1-2), January 2011, pp.90-102.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study investigated the success of the Individual Placement and Support (IPS) model of supported employment to aid vocational rehabilitation programmes designed to improve the employment outcomes of people with a severe mental illness and co-occurring substance misuse. Analysis was conducted on four randomised controlled trials comparing IPS-supported employment to conventional vocational rehabilitation programmes for 106 clients with a recent substance use disorder. Employment outcomes were tracked across an 18-month follow-up period, and included: attainment of work; hours and weeks worked; job tenure; wages earned; and days to first job. Findings revealed that clients who participated in IPS had better outcomes than those who participated in a comparison programme, with cumulative employment rates of 60% vs. 24%, respectively, and those receiving IPS obtained their first job significantly more quickly and were more likely to work 20 or more hours per week. The authors concluded that the IPS model was more effective than other vocational rehabilitation models at improving the employment outcomes of clients presenting dual disorders.
Psychosocial intervention research on co-occurring disorders
- Author:
- DRAKE Robert E.
- Journal article citation:
- Journal of Dual Diagnosis, 3(2), 2007, pp.85-93.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This update on the literature of psychosocial interventions for co-occurring disorders shows significant progress since the late 1980s when there were very few relevant intervention studies. By 2006 more than 40 controlled trials of psychosocial interventions had been reported, and there has been a rapid increase in the number of pharmacological trials. A brief summary is presented of evidence on integrated mental health/addiction treatment approaches, and specific psychosocial interventions. The evidence base is currently limited by a lack of methodological standardisation and rigour, and lack of replication. Future research and practice needs, some of which are already being addressed, include the development of methodological standards; longitudinal studies; effectiveness studies of interventions for different stages of recovery, subgroups and treatment settings; the development of practice guidelines; and the development of electronic decision support systems. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).