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Published Online: September 2011

Service Intensity as a Predictor of Competitive Employment in an Individual Placement and Support Model

Alan B. McGuire, Ph.D. [email protected], Gary R. Bond, Ph.D., Daniel R. Clendenning, M.S., and Marina Kukla, Ph.D. [email protected]Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 9
https://doi.org/10.1176/ps.62.9.pss6209_1066
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Abstract

Objectives:

Previous research on the individual placement and support (IPS) model of supported employment has focused on the model's effectiveness and on fidelity to the program model. Little is known about service intensity, or the number of service contacts received. This study examined several aspects of service intensity: average level, association with weeks worked, predictors, and modulators of its effect on weeks worked.

Methods:

The study used data that were collected over two years from 91 persons with severe mental illness who participated in one arm of a randomized controlled trial conducted at Thresholds, a psychosocial rehabilitation center in Chicago.

Results:

Services were more intense during the initial phase of services, service intensity predicted later weeks worked, and few individual demographic and clinical characteristics were related to service intensity. Finally, high levels of cognitive symptoms weakened the relationship between service intensity and weeks worked.

Conclusions:

This study suggests increased IPS service intensity may lead to better employment outcomes and has implications for service provision and fidelity measurement. (Psychiatric Services 62:1066–1072, 2011)

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Figures and Tables

Table 1 Individual placement and support (IPS) contacts, by individual characteristic
Table 2 Service data and number of weeks worked among 91 persons with severe mental illness who participated in a two-year study on individual placement and support (IPS) supported employment
Table 3 Interaction between individual characteristics and individual placement and support contacts on weeks worked
Table 4 Hierarchical regressions testing moderation of the relationship between individual placement and support (IPS) contacts and weeks worked

Information & Authors

Information

Published In

Go to Psychiatric Services
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Cover: Approaching Thunder Storm, by Martin Johnson Heade, 1859. Oil on canvas, 28 × 44 inches. Gift of Erving Wolf Foundation and Mr. and Mrs. Erving Wolf, 1975. The Metropolitan Museum of Art, New York. Image © The Metropolitan Museum of Art/Art Resource, New York.
Psychiatric Services
Volume 62 • Number 9 • September 2011
Pages: 1066 - 1072
PubMed: 21885586

History

Published in print: September 2011
Published online: 14 January 2015

Authors

Affiliations

Alan B. McGuire, Ph.D. [email protected]
Dr. McGuire and Dr. Kukla are affiliated with Health Services Research and Development, Richard L. Roudebush Department of Veterans Affairs Medical Center, 1481 W. 10th St. (11H), Room D6014, Indianapolis, IN 46202 (e-mail: [email protected]).
Dr. McGuire is also with the Department of Psychology, Indiana University-Purdue University Indianapolis (IUPUI).
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Gary R. Bond, Ph.D.
Dr. Bond is with the Dartmouth Psychiatric Research Center, Dartmouth Medical School, Lebanon, New Hampshire.
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Daniel R. Clendenning, M.S.
Mr. Clendenning was with the Center for Health Policy, IUPUI, at the time the study was completed.
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Marina Kukla, Ph.D. [email protected]
Dr. McGuire and Dr. Kukla are affiliated with Health Services Research and Development, Richard L. Roudebush Department of Veterans Affairs Medical Center, 1481 W. 10th St. (11H), Room D6014, Indianapolis, IN 46202 (e-mail: [email protected]).
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