Does Competitive Employment Improve Nonvocational Outcomes for People With Severe Mental Illness?

The authors examined the cumulative effects of work on symptoms, quality of life, and self-esteem for 149 unemployed clients with severe mental illness receiving vocational rehabilitation. Nonvocational measures were assessed at 6-month intervals throughout the 18-month study period, and vocational...

Full description

Saved in:
Bibliographic Details
Published in:Journal of consulting and clinical psychology 2001-06, Vol.69 (3), p.489-501
Main Authors: Bond, Gary R, Resnick, Sandra G, Drake, Robert E, Xie, Haiyi, McHugo, Gregory J, Bebout, Richard R
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Bipolar Disorder - rehabilitation
Clinical outcomes
Competition
Competitiveness
Employment
Female
Follow-Up Studies
Human
Humans
Male
Medical sciences
Mental Disorders
Middle Aged
Psychiatric disorders
Psychiatric Symptoms
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life
Reeducation. Readaptation. Sociotherapy
Rehabilitation, Vocational - psychology
Schizophrenia - rehabilitation
Schizophrenic Psychology
Self Concept
Self image
Self-Esteem
Serious Mental Illness
Sheltered Workshops
Social Adjustment
Treatment Outcomes
Treatments
Unemployment
Unemployment - psychology
Vocational Rehabilitation
Working Conditions
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The authors examined the cumulative effects of work on symptoms, quality of life, and self-esteem for 149 unemployed clients with severe mental illness receiving vocational rehabilitation. Nonvocational measures were assessed at 6-month intervals throughout the 18-month study period, and vocational activity was tracked continuously. On the basis of their predominant work activity over the study period, participants were classified into 4 groups: competitive work, sheltered work, minimal work, and no work. The groups did not differ at baseline on any of the nonvocational measures. Using mixed effects regression analysis to examine rates of change over time, the authors found that the competitive work group showed higher rates of improvement in symptoms; in satisfaction with vocational services, leisure, and finances; and in self-esteem than did participants in a combined minimal work-no work group. The sheltered work group showed no such advantage.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.69.3.489