Objectives: Recognizing the limitations of conventional frameworks for identifying evidence-based interventions, we sought to develop a comprehensive set of criteria that would have practical and policy relevance. Methods: We identify nine ideal attributes of a mental health practice (well defined, reflecting client goals, consistent with societal…

Examined job tenure among 85 individuals with psychiatric disabilities. Surveyed clients' demographic, clinical, and vocational histories, their initial reactions to specific jobs, and aspects of the work environment. The average job lasted 70 days. Longer tenure was predicted by previous work history, early satisfaction with the job, lower…

Developed a 15-item fidelity scale to assess the extent to which vocational programs for people with severe mental illness followed the Individual Placement and Support model of supported employment. Results indicate that interrater reliability and internal consistency were adequate. Should help differentiate programs following a specific model…

The authors compared 3 approaches to vocational rehabilitation for severe mental illness (SMI): the individual placement and support (IPS) model of supported employment, a psychosocial rehabilitation (PSR) program, and standard services. Two hundred four unemployed clients (46% African American, 30% Latino) with SMI were randomly assigned to IPS,…

Compared supported employment services in two programs: (1) Group Skills Training, a professional rehabilitation agency outside of the mental health center providing pre-employment skills training and support in obtaining and maintaining jobs; and (2) the Individual Placement and Support model, integrating clinical and vocational services within…