Online Technical Assistance to Enhance Employment Outcomes for Adults with Serious Mental Health Conditions in Public Behavioral Health Systems: What Works in a Virtual Setting?

Background: Technical Assistance (TA) can be an effective implementation science tool to address barriers to incorporating evidence-based practices in behavioral health. The growth in virtual training and communication provides potential to expand access to TA. Given this potential, there is a need...

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Publicado en:Journal of Vocational Rehabilitation Vol. 64; no. 3; pp. 216 - 227
Autores principales: Marrone, Joseph, Burke-Miller, Jane K, Farkas, Marianne
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. May2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
      vid: 64
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      pub: Sage Publications Inc.
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        atl: Online Technical Assistance to Enhance Employment Outcomes for Adults with Serious Mental Health Conditions in Public Behavioral Health Systems: What Works in a Virtual Setting?
      aug:
        au:
          Marrone, Joseph
          Burke-Miller, Jane K
          Farkas, Marianne
        affil: Center for Psychiatric Rehabilitation, College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA
      sug:
        subj:
          Mental Disorders Rehabilitation
          Telehealth
          Mental Health Services
          Rehabilitation, Vocational Methods
          Employment
          Program Evaluation
          Human
          United States
          Funding Source
          Persons with Mental Disorders
          Implementation Science
          Medical Practice, Evidence-Based
          Technology, Medical
          Digital Technology
          Organizational Change
          Collaboration
          Male
          Female
          Adult
          Quantitative Studies
          Interviews
          Adult: 19-44 years
          Male
          Female
      ab: Background: Technical Assistance (TA) can be an effective implementation science tool to address barriers to incorporating evidence-based practices in behavioral health. The growth in virtual training and communication provides potential to expand access to TA. Given this potential, there is a need to evaluate the feasibility, acceptability, and potential impact of remote TA. Objective: The purpose of this project was to develop and evaluate an Enhanced-Online TA Response (E-OTAR) model intended to build system capacity for enhancing employment outcomes for adults with serious mental health conditions. Method: E-OTAR consisted of 40–80 hours of tailored virtual sessions over 12–24 months across 15 sites nationwide using web-based technologies. Qualitative and quantitative measures were used to assess facilitators, barriers, and outcomes. Results: TA utility was rated highly in areas of shared information/resources, goal development and refinement, and amount of virtual contact. Sites reported enhanced capacity through increased knowledge and improvements in agency coordination, referrals, and expectations. Acceptability of the virtual nature of the TA and other model facilitators and barriers are presented. Conclusion: The project developed an online TA model, offering a relatively low-cost method for assisting organizations to develop capacity for enhancing services. The E-OTAR model is a feasible option and works effectively when sites have an active local team, clear goals, and a continued system-wide commitment to employment outcomes. As virtual TA is likely to burgeon, there is a need to incorporate structured needs analysis and evaluation tools.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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