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Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review
Bonnie Kirsh1,2
1Department of Occupational Science and Occupational Therapy, University of Toronto, 500 University Avenue, Toronto, Canada. Bonnie.kirsh@utoronto.ca.
Supported employment (SE) is effective, but its long-term success depends on labor market trends, client characteristics, and program elements beyond the core model. Further research can enhance SE services.
Area of Science:
- Rehabilitation Medicine
- Psychiatry
- Health Services Research
Background:
- Supported Employment (SE) is an evidence-based practice for individuals with disabilities.
- Existing research primarily focuses on employment rates and wages, with limited exploration of influencing factors.
- The Individual Placement and Support (IPS) model is a key component of SE.
Purpose of the Study:
- To review literature on factors impacting SE effectiveness, longevity, and implementation.
- To identify characteristics of individuals who benefit most from SE.
- To explore the role of peer support and barriers to effective SE.
Main Methods:
- Systematic literature review of existing research on Supported Employment.
- Synthesis of findings related to labor market trends, employment outcomes, and client characteristics.
- Analysis of program elements and implementation barriers.
Main Results:
- Labor market dynamics significantly influence SE effectiveness and the longevity of its effects.
- Client characteristics and specific program elements beyond the core IPS model are crucial for success.
- Peer support plays a role, and various barriers hinder effective SE implementation.
Conclusions:
- SE outcomes are influenced by a complex interplay of external factors and program specifics.
- Further research and service enhancements are needed to optimize SE for diverse populations.
- Addressing implementation barriers and leveraging peer support can improve SE efficacy.
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