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Implementing supported employment as an evidence-based practice
G R Bond1, D R Becker, R E Drake
1Department of Psychology at Indiana University-Perdue University Indiapolis, Indianapolis 46202, USA. gbond@iupui.edu
Abstract:
Supported employment for people with severe mental illness is an evidence-based practice, based on converging findings from eight randomized controlled trials and three quasi-experimental studies. The critical ingredients of supported employment have been well described, and a fidelity scale differentiates supported employment programs from other types of vocational services. The effectiveness of supported employment appears to be generalizable across a broad range of client characteristics and community settings. More research is needed on long-term outcomes and on cost-effectiveness. Access to supported employment programs remains a problem, despite their increasing use throughout the United States. The authors discuss barriers to implementation and strategies for overcoming them based on successful experiences in several states.
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