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2020 | OriginalPaper | Chapter

16. Policy Issues Regarding Employment for People with Serious Mental Illness

Authors : Robert E. Drake, Ellen R. Meara, Gary R. Bond

Published in: The Palgrave Handbook of American Mental Health Policy

Publisher: Springer International Publishing

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Abstract

This chapter addresses three critical policy questions related to employment for the ten million working-age adults with severe mental illness (SMI): First, do disability policies influence the low rate of employment among people with SMI? Second, could policy changes improve employment of people with SMI? Third, could policy changes enhance access to supported employment? Current disability policies clearly influence employment of people with SMI. Most people in this population want to work and could work, but disincentives in the disability system and lack of access to effective supports limit their success. Given that disability policies limit employment, new policy could potentially improve employment outcomes. No consensus exists yet on what the changes should be. The field needs controlled research, especially involving early interventions. Although disability policy changes are uncertain, evidence-based supported employment is an effective strategy that could help people with SMI acquire and maintain employment. Yet the current funding process obstructs implementation and access. The United States needs a simple funding mechanism for evidence-based supported employment.

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Literature
1.
3.
5.
8.
go back to reference Salkever, D. S., Karakus, M. C., Slade, E. P., Harding, C. M., Hough, R. L., Rosenheck, R. A., … Yamada, A. M. (2007). Measures and predictors of community-based employment and earnings of persons with schizophrenia in a multisite study. Psychiatric Services, 58, 315–324. https://doi.org/10.1176/ps.2007.58.3.315. Salkever, D. S., Karakus, M. C., Slade, E. P., Harding, C. M., Hough, R. L., Rosenheck, R. A., … Yamada, A. M. (2007). Measures and predictors of community-based employment and earnings of persons with schizophrenia in a multisite study. Psychiatric Services, 58, 315–324. https://​doi.​org/​10.​1176/​ps.​2007.​58.​3.​315.
9.
go back to reference Bedell, J. R., Draving, D., Parrish, A., Gervey, R., & Guastadisegni, P. (1998). A description and comparison of experiences of people with mental disorders in supported employment and paid prevocational training. Psychiatric Rehabilitation Journal, 21(3), 279–283. https://doi.org/10.1037/h0095301.CrossRef Bedell, J. R., Draving, D., Parrish, A., Gervey, R., & Guastadisegni, P. (1998). A description and comparison of experiences of people with mental disorders in supported employment and paid prevocational training. Psychiatric Rehabilitation Journal, 21(3), 279–283. https://​doi.​org/​10.​1037/​h0095301.CrossRef
10.
go back to reference Drebing, C. E., Van Ormer, E. A., Schutt, R. K., Krebs, C., Losardo, M., Boyd, C., … Rosenheck, R. (2004). Client goals for participating in VHA vocational rehabilitation: Distribution and relationship to outcome. Rehabilitation Counseling Bulletin, 47, 162–172. https://doi.org/10.1177/00343552040470030501. Drebing, C. E., Van Ormer, E. A., Schutt, R. K., Krebs, C., Losardo, M., Boyd, C., … Rosenheck, R. (2004). Client goals for participating in VHA vocational rehabilitation: Distribution and relationship to outcome. Rehabilitation Counseling Bulletin, 47, 162–172. https://​doi.​org/​10.​1177/​0034355204047003​0501.
14.
go back to reference McQuilken, M., Zahniser, J. H., Novak, J., Starks, R. D., Olmos, A., & Bond, G. R. (2003). The work project survey: Consumer perspectives on work. Journal of Vocational Rehabilitation, 18, 59–68. McQuilken, M., Zahniser, J. H., Novak, J., Starks, R. D., Olmos, A., & Bond, G. R. (2003). The work project survey: Consumer perspectives on work. Journal of Vocational Rehabilitation, 18, 59–68.
17.
go back to reference Rogers, E. S., Walsh, D., Masotta, L., & Danley, K. (1991). Massachusetts survey of client preferences for community support services: Final report. Boston, MA: Boston University Center for Psychiatric Rehabilitation. Rogers, E. S., Walsh, D., Masotta, L., & Danley, K. (1991). Massachusetts survey of client preferences for community support services: Final report. Boston, MA: Boston University Center for Psychiatric Rehabilitation.
19.
go back to reference Woltmann, E. (2009). Development and evaluation of a consumer-directed decision support system to support shared decision making in community mental health (dissertation, Dartmouth Institute for Health Policy and Clinical Research). Dartmouth, Hanover, NH: Dartmouth College. Woltmann, E. (2009). Development and evaluation of a consumer-directed decision support system to support shared decision making in community mental health (dissertation, Dartmouth Institute for Health Policy and Clinical Research). Dartmouth, Hanover, NH: Dartmouth College.
20.
go back to reference Kilian, R., Lauber, C., Kalkan, R., Dorn, W., Rössler, W., Wiersma, D., … Becker, T. (2012). The relationships between employment, clinical status, and psychiatric hospitalisation in patients with schizophrenia receiving either IPS or a conventional vocational rehabilitation programme. Social Psychiatry and Psychiatric Epidemiology, 47, 1381–1389. https://doi.org/10.1007/s00127-011-0451-z. Kilian, R., Lauber, C., Kalkan, R., Dorn, W., Rössler, W., Wiersma, D., … Becker, T. (2012). The relationships between employment, clinical status, and psychiatric hospitalisation in patients with schizophrenia receiving either IPS or a conventional vocational rehabilitation programme. Social Psychiatry and Psychiatric Epidemiology, 47, 1381–1389. https://​doi.​org/​10.​1007/​s00127-011-0451-z.
22.
go back to reference Becker, D. R., & Drake, R. E. (1993). A working life: The Individual Placement and Support (IPS) Program. Concord, NH: New Hampshire-Dartmouth Psychiatric Research Center. Becker, D. R., & Drake, R. E. (1993). A working life: The Individual Placement and Support (IPS) Program. Concord, NH: New Hampshire-Dartmouth Psychiatric Research Center.
26.
go back to reference Brown, J. D., Barrett, A., Ireys, H., Caffery, E., & Hourihan, K. (2012). Evidence-based practices for Medicaid beneficiaries with schizophrenia and bipolar disorder. Washington, DC: Office of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. Brown, J. D., Barrett, A., Ireys, H., Caffery, E., & Hourihan, K. (2012). Evidence-based practices for Medicaid beneficiaries with schizophrenia and bipolar disorder. Washington, DC: Office of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.
30.
go back to reference Bleuler, E. (1911). Dementia praecox or the group of schizophrenias [J. Zinkin, Trans., 1950]. New York: International Universities Press. Bleuler, E. (1911). Dementia praecox or the group of schizophrenias [J. Zinkin, Trans., 1950]. New York: International Universities Press.
35.
go back to reference Drake, R. E., Bond, G. R., & Becker, D. R. (2012). Individual Placement and Support: An evidence-based approach to supported employment. New York: Oxford University Press.CrossRef Drake, R. E., Bond, G. R., & Becker, D. R. (2012). Individual Placement and Support: An evidence-based approach to supported employment. New York: Oxford University Press.CrossRef
36.
go back to reference Black, B. J. (1988). Work and mental illness: Transitions to employment. Baltimore: Johns Hopkins Press. Black, B. J. (1988). Work and mental illness: Transitions to employment. Baltimore: Johns Hopkins Press.
37.
go back to reference Bond, G. R. (1992). Vocational rehabilitation. In R. P. Liberman (Ed.), Handbook of psychiatric rehabilitation (pp. 244–275). New York: Macmillan. Bond, G. R. (1992). Vocational rehabilitation. In R. P. Liberman (Ed.), Handbook of psychiatric rehabilitation (pp. 244–275). New York: Macmillan.
38.
go back to reference Stobo, J. D., McGeary, M., & Barnes, D. K. (Eds.). (2006). Improving the Social Security disability decision process: Final report. Washington, DC: National Academies Press. Stobo, J. D., McGeary, M., & Barnes, D. K. (Eds.). (2006). Improving the Social Security disability decision process: Final report. Washington, DC: National Academies Press.
43.
go back to reference Campbell, A. L. (2014). Trapped in America’s safety net: One family’s struggle. Chicago: University of Chicago Press.CrossRef Campbell, A. L. (2014). Trapped in America’s safety net: One family’s struggle. Chicago: University of Chicago Press.CrossRef
57.
go back to reference Drake, R. E., Frey, W. D., Bond, G. R., Goldman, H. H., Salkever, D. S., Miller, A. L., … Milfort, R. (2013). Assisting Social Security Disability Insurance beneficiaries with schizophrenia, bipolar disorder, or major depression in returning to work. American Journal of Psychiatry, 170, 1433–1441. https://doi.org/10.1176/appi.ajp.2013.13020214. Drake, R. E., Frey, W. D., Bond, G. R., Goldman, H. H., Salkever, D. S., Miller, A. L., … Milfort, R. (2013). Assisting Social Security Disability Insurance beneficiaries with schizophrenia, bipolar disorder, or major depression in returning to work. American Journal of Psychiatry, 170, 1433–1441. https://​doi.​org/​10.​1176/​appi.​ajp.​2013.​13020214.
60.
go back to reference Baller, J., Blyler, C., Bronnikov, S., Xie, H., Bond, G. R., Filion, K., & Hale, T. (2017). Long-term follow-up of the Mental Health Treatment Study. Paper presented at the 5th Annual Meeting of the Disability Research Consortium, Washington, DC. Baller, J., Blyler, C., Bronnikov, S., Xie, H., Bond, G. R., Filion, K., & Hale, T. (2017). Long-term follow-up of the Mental Health Treatment Study. Paper presented at the 5th Annual Meeting of the Disability Research Consortium, Washington, DC.
67.
go back to reference O’Day, B. L., Kleinman, R., Fischer, B., Morris, E., & Blyler, C. (2017). Preventing unemployment and disability benefit receipt among people with mental illness: Evidence review and policy significance. Psychiatric Rehabilitation Journal, 40, 123–152. https://doi.org/10.1037/prj0000253.CrossRef O’Day, B. L., Kleinman, R., Fischer, B., Morris, E., & Blyler, C. (2017). Preventing unemployment and disability benefit receipt among people with mental illness: Evidence review and policy significance. Psychiatric Rehabilitation Journal, 40, 123–152. https://​doi.​org/​10.​1037/​prj0000253.CrossRef
68.
go back to reference Wittenburg, D., Mann, D. R., Stapleton, D., Gubits, D., Judkins, D., & McGuirk, A. (2015). BOND implementation and evaluation: Third-year snapshot of earnings and benefit impacts for Stage 1. Bethesda, MD: Abt Associates. Wittenburg, D., Mann, D. R., Stapleton, D., Gubits, D., Judkins, D., & McGuirk, A. (2015). BOND implementation and evaluation: Third-year snapshot of earnings and benefit impacts for Stage 1. Bethesda, MD: Abt Associates.
69.
go back to reference Michalopoulos, C., Wittenburg, D., Israel, D. A., & Warren, A. (2012). The effects of health care benefits on health care use and health: A randomized trial for disability insurance beneficiaries. Medical Care, 50, 764–771. www.jstor.org/stable/41714557. Michalopoulos, C., Wittenburg, D., Israel, D. A., & Warren, A. (2012). The effects of health care benefits on health care use and health: A randomized trial for disability insurance beneficiaries. Medical Care, 50, 764–771. www.​jstor.​org/​stable/​41714557.
70.
go back to reference Fraker, T. M., Luecking, R. G., Mamun, A. A., Martinez, J. M., Reed, D. S., & Wittenburg, D. C. (2016). An analysis of 1-year impacts of Youth Transition Demonstration projects. Career Development and Transition for Exceptional Individuals, 39, 34–46. https://doi.org/10.1177/2165143414549956. Fraker, T. M., Luecking, R. G., Mamun, A. A., Martinez, J. M., Reed, D. S., & Wittenburg, D. C. (2016). An analysis of 1-year impacts of Youth Transition Demonstration projects. Career Development and Transition for Exceptional Individuals, 39, 34–46. https://​doi.​org/​10.​1177/​2165143414549956​.
73.
go back to reference Whalen, D., Gimm, G., Ireys, H., Gilman, B., & Croake, S. (2012). Demonstration to Maintain Independence and Employment (DMIE). Princeton, NJ: Mathematica Policy Research. Whalen, D., Gimm, G., Ireys, H., Gilman, B., & Croake, S. (2012). Demonstration to Maintain Independence and Employment (DMIE). Princeton, NJ: Mathematica Policy Research.
76.
go back to reference Johnson-Kwochka, A. V., Bond, G. R., Drake, R. E., Becker, D. R., & Greene, M. A. (2017). Prevalence and quality of Individual Placement and Support (IPS) supported employment in the United States. Administration and Policy in Mental Health and Mental Health Services Research, 44, 311–319. https://doi.org/10.1007/s10488-016-0787-5.CrossRef Johnson-Kwochka, A. V., Bond, G. R., Drake, R. E., Becker, D. R., & Greene, M. A. (2017). Prevalence and quality of Individual Placement and Support (IPS) supported employment in the United States. Administration and Policy in Mental Health and Mental Health Services Research, 44, 311–319. https://​doi.​org/​10.​1007/​s10488-016-0787-5.CrossRef
83.
go back to reference Karakus, M., Frey, W., Goldman, H., Fields, S., & Drake, R. (2011). Federal financing of supported employment and customized employment for people with mental illnesses: Final report. Rockville, MD: Westat. Karakus, M., Frey, W., Goldman, H., Fields, S., & Drake, R. (2011). Federal financing of supported employment and customized employment for people with mental illnesses: Final report. Rockville, MD: Westat.
84.
go back to reference Bradley, E., & Taylor, L. (2013). The American health care paradox: Why spending more is getting us less. New York: Public Affairs. Bradley, E., & Taylor, L. (2013). The American health care paradox: Why spending more is getting us less. New York: Public Affairs.
Metadata
Title
Policy Issues Regarding Employment for People with Serious Mental Illness
Authors
Robert E. Drake
Ellen R. Meara
Gary R. Bond
Copyright Year
2020
DOI
https://doi.org/10.1007/978-3-030-11908-9_16