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A central issue is the ability of a person to hold a regular full-time job for a sustained period of time.There have been several attempts to develop novel and radical models for program interventions designed to assist persons with SMI to sustain full-time employment while living in the community.Over the past several decades, the theory of vocational rehabilitation has experienced two major stages of evolution.
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Significant treatment effects were found on all four measures, but they were in the opposite direction from what was hypothesized.
Instead of functioning better and having more self esteem, persons in SE had lower functioning levels and lower self esteem.
Most of the early attempts to evaluate such programs have naturally focused almost exclusively on employment outcomes.
However, theory suggests that sustained employment and living in the community may have important therapeutic benefits in addition to the obvious economic ones.
To date, there have been no formal studies of the effects of psychiatric rehabilitation programs on key illness-related outcomes.
To address this issue, this study seeks to examine the effects of a new program of supported employment on psychosocial outcomes for persons with SMI.
The SE program involves extended individualized supported employment for clients through a Mobile Job Support Worker (MJSW) who maintains contact with the client after job placement and supports the client in a variety of ways.
A 50% simple random sample was taken of all persons who entered the Thresholds Agency between 3/1/93 and 2/28/95 and who met study criteria.