ABSTRACT
OBJECTIVE: Some researchers have argued for using standardized discharge rules in individual placement and support (IPS) based on time of unemployment. To evaluate potential adverse outcomes of these rules, the authors examined time to first job over 24 months in a large randomized controlled study. METHODS: This secondary analysis of 2,055 participants in the Mental Health Treatment Study, using bootstrapping and survival analysis, estimated and compared the likelihood of finding a first job in the IPS and control groups during each quarter over 24 months. RESULTS: Although the likelihood of obtaining a first job declined over time, IPS recipients were more likely than participants in a control group to find first jobs for at least 18 months. CONCLUSIONS: Use of standardized discharge rules in IPS, based on initial periods of unemployment, may be cost-effective but would penalize recipients who respond more slowly. Natural attrition may be a more sensitive and ethical way to create capacity.
Subject(s)
Employment, Supported , Mental Disorders/rehabilitation , Patient Discharge , Rehabilitation, Vocational , Adult , Employment, Supported/ethics , Employment, Supported/standards , Employment, Supported/statistics & numerical data , Humans , Patient Discharge/standards , Patient Discharge/statistics & numerical data , Rehabilitation, Vocational/ethics , Rehabilitation, Vocational/standards , Rehabilitation, Vocational/statistics & numerical data , Time FactorsABSTRACT
Los Criterios Éticos, Principios y el Desarrollo de la Calidad son elementos fundamentales en el desarrollo y evaluación de programas y servicios. La European Union of Supported Employment ha desarrollado unos Principios Éticos y un Modelo de Calidad y Estándares para Empleo con Apoyo. El INICO ha configurado un instrumento de evaluación con estos estándares para permitir la evaluación interna y externa de programas de empleo con apoyo
Ethics, Principles, and Quality development are key elements for developing programs and services. The European Union of Supported Employment has developed Ethical Guidelines and a Quality Model and Standards for Supported Employment. INICO has configured an evaluation tool with these standards to allow internal and external evaluation for supported employment programs
