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Key factors for implementing supported employment.

Tina Marshall1, Charles A Rapp, Deborah R Becker

  • 1Westat, 1650 Research Blvd., Rockville, MD 20850, USA. tina.marshall@comcast.net

Psychiatric Services (Washington, D.C.)
|August 6, 2008
PubMed
Summary
This summary is machine-generated.

Implementing supported employment in mental health services requires strong leadership and staff buy-in. Key factors like leadership, mastery, and positive attitudes are crucial for successful, high-fidelity program adoption.

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Area of Science:

  • Mental Health Services Research
  • Implementation Science
  • Vocational Rehabilitation

Background:

  • Supported employment is an evidence-based practice for individuals with mental illness.
  • Barriers and facilitators to implementing supported employment in routine mental health settings are not fully understood.

Purpose of the Study:

  • To examine strategies and barriers for implementing high-fidelity supported employment.
  • To identify factors influencing the successful adoption of supported employment programs.

Main Methods:

  • Qualitative and fidelity data were collected over two years (2002-2004).
  • Nine sites participating in the National Evidence-Based Practices Project were analyzed.

Main Results:

  • None of the nine sites provided high-fidelity supported employment at baseline.
  • Eight of nine sites achieved high-fidelity implementation by the two-year follow-up.
  • Leadership, staff mastery, and attitudes significantly influenced implementation.

Conclusions:

  • Strong administrative and program leadership are essential for successful implementation.
  • Adequate training and consultation for leaders and specialists are critical.
  • Hiring staff who embrace recovery and supported employment principles accelerates adoption.