One of the more notable SE programs was developed at Thresholds, the site for the present study, which created a new staff position called the mobile job support worker (MJSW) and removed the common six month time limit for many placements.
MJSWs provide ongoing, mobile support and intervention at or near the work site, even for jobs with high degrees of independence (Cook & Hoffschmidt, 1993).
Instead of functioning better and having more self esteem, persons in SE had lower functioning levels and lower self esteem.
The most likely explanation is that people who work in low-paying service jobs in real world settings generally do not like them and experience significant job stress, whether they have severe mental illness or not.
Original models of vocational rehabilitation were based on the idea of sheltered workshop employment.
Clients were paid a piece rate and worked only with other individuals who were disabled.
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