A process analysis of integrated and non-integrated approaches to supported employment.
Objective: For many years, vocational and clinical services for persons with severe mental illness have been separated (i.e., non-integrated) in the United States. Recent research on supported employment shows, however, that combined vocational and clinical services within the same team (i.e., integ...
| Publicado en: | Journal of Vocational Rehabilitation Vol. 18; no. 1; pp. 51 - 59 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Sage Publications Inc.
2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106853972&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106853972 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10522263 3O2 jtl: Journal of Vocational Rehabilitation issn: 10522263 maglogo: N pubinfo: dt: 2003 vid: 18 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106853972 2003100789 106853972 ppf: 51 ppct: 8 formats: fmt: @attributes: type: P tig: atl: A process analysis of integrated and non-integrated approaches to supported employment. aug: au: Drake RE Becker DR Bond GR Mueser KT affil: Dartmouth Medical School, New Hampshire-Dartmouth Psychiatric Research Center, 2 Whipple Place, Suite 202, Lebanon, NH 03766; Robert.E.Drake@Dartmouth.edu sug: subj: Employment of Persons with Disabilities Psychiatric Patients Rehabilitation, Vocational Rehabilitation, Psychosocial Methods Program Evaluation Collaboration ab: Objective: For many years, vocational and clinical services for persons with severe mental illness have been separated (i.e., non-integrated) in the United States. Recent research on supported employment shows, however, that combined vocational and clinical services within the same team (i.e., integrated services) produce higher rates of competitive employment than non-integrated services.Design: To understand the advantages of integrating vocational and clinical services, the authors examined quantitative process data, ethnographic findings, and qualitative interview data from practitioners in three independent studies of supported employment.Results: Integrated services offer four consistent advantages over non-integrated services: (1) more effective engagement and retention, (2) better communication, (3) opportunities for clinicians to understand and focus on employment, and (4) incorporation of clinical information into vocational plans and services.Conclusions: Combining clinical and vocational services within multidisciplinary teams is consistent with the general movement toward developing integrated systems of care. Integrated services are more effective than parallel services because clinicians rather than clients assume the burden of coordination, consistency, and coherence. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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