Adapting Evidence-Based Interventions to Fit Usual Practice: Staff Roles and Consumer Choice in Psychiatric Rehabilitation

This proof-of-concept study tested the viability of adapting a specialized practice to fit multi-service programs by switching from specialist to generalist staff roles. The intervention under study was supported employment, an evidence-based practice for adults with severe mental illness. Program d...

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Bibliographic Details
Published in:Psychiatric quarterly 2010-06, Vol.81 (2), p.139-155
Main Authors: Barreira, Paul J., Tepper, Miriam Cohen, Gold, Paul B., Holley, Dana, Macias, Cathaleene
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Collaboration
Community Mental Health Services - methods
Community Mental Health Services - organization & administration
Community support
Counseling
Employment
Employment agencies
Employment, Supported - methods
Employment, Supported - statistics & numerical data
Evidence-Based Medicine - methods
Evidence-based practice
Female
Humans
Hypotheses
Interventions
Male
Medical sciences
Medicine
Medicine & Public Health
Mental disorders
Mental Disorders - rehabilitation
Mentally ill people
Middle Aged
Original Paper
Patient Acceptance of Health Care
Patient Participation
Professional-Patient Relations
Program Evaluation
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public Health
Reeducation. Readaptation. Sociotherapy
Rehabilitation
Rehabilitation - methods
Sociology
Supported employment
Treatments
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Description
Summary:This proof-of-concept study tested the viability of adapting a specialized practice to fit multi-service programs by switching from specialist to generalist staff roles. The intervention under study was supported employment, an evidence-based practice for adults with severe mental illness. Program data on participant characteristics, attendance, staff contact, and employment were retrieved for the 2007 calendar year ( N  = 99). Two hierarchical regression analyses compared (1) participants with any versus no mainstream employment, and (2) participants who started a new job in 2007 versus all other participants. In both analyses, individual participant counts of days on which employment services were provided and count of different employment service providers independently predicted mainstream employment over and above program attendance and background factors. The study program’s employment rate approximated rates published for specialized supported employment programs, suggesting that it is feasible to adapt specialized evidence-based practices to fit multi-service settings without compromising service quality.
ISSN:0033-2720
1573-6709
DOI:10.1007/s11126-010-9124-4