 |
|
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
Articles1995Below is a list of articles, abstracts, book chapters, or handbooks authored by Center for Psychiatric Rehabilitation staff. Due to copyright laws some articles are not available for full-text download. In most cases, these articles are available for purchase after searching the publisher's web site. Anthony, W. A., Rogers, E. S., et al. (1995). Relationship between psychiatric symptomatology, work skills, and future vocational performance. Psychiatric Services, 46(4), 353-358. Objective: Experts do not agree on what, if any, relationships exist between diagnosis, symptomatology, work skills, and the future vocational performance of persons with severe mental illness. The objective of this study was to longitudinally examine such relationships, using a sample of clients who were attending psychosocial rehabilitation programs. Methods: Subjects were 275 clients of three psychosocial rehabilitation programs who had expressed a vocational goal. They were assessed at intake into the study and then quarterly until they left the rehabilitation program. The variables examined included symptoms, measured by the Brief Psychiatric Rating Scale; diagnosis; work skills, measured by the Griffiths Work Behavior Scale; and vocational status at end-point. Results: Among subjects remaining in the study for one year, both symptomatology and work skills improved significantly. Moderately significant negative correlations were found between symptoms and work skills; subjects who became employed had lower symptom scores and higher work skills than persons who never became employed. Conclusions: Although a moderate relationship was found between symptomatology and work skills, symptoms should not be considered a proxy measure for vocational functioning among persons with severe mental illness. Participation in psychosocial rehabilitation programs appeared to have a salutary effect on symptoms and work skills.
Copyright permission granted from DeSisto, M. J., Harding, C. M., et al. (1995). The Maine and Vermont Three-Decade Studies of Serious Mental Illness: I. Matched Comparison of Cross-Sectional Outcome. British Journal of Psychiatry, 167(3), 331-342 BACKGROUND. This study compared long-term outcome of serious mental illness in two states using a matched design to assess psychiatric rehabilitation programmes; Vermont subjects participated in a model psychiatric rehabilitation programme, while the Maine group received more traditional care. METHOD. Maine and Vermont subjects (n = 269) were matched by age, sex, diagnosis, and chronicity. Demographic, illness, and life history information were abstracted from hospital records by clinicians blind to outcome. DSM-III criteria were applied retrospectively. Outcome was assessed by clinicians blind to history. RESULTS. Vermont subjects alive at follow-up (n = 180) were more productive (P < 0.0009), had fewer symptoms (P < 0.002), better community adjustment (P < 0.001) and global functioning (P < 0.001) than Maine subjects (n = 119). CONCLUSIONS. Outcome differences may be due to Vermont's model programme and a policy of allowing an earlier opportunity for community life.
DeSisto, M., Harding, C. M., et al. (1995). The Maine and Vermont Three-Decade studies of Serious Mental Illness: II. Longitudinal course comparisons. British Journal of Psychiatry, 167(3), 338-342. BACKGROUND. This paper supplements the cross-sectional outcome comparisons of the companion paper by providing a brief account of the longitudinal courses of the Maine and Vermont samples across several outcome domains. METHOD. A Life Chart method was used to document changes in individual lives over the domains of residence, work, income source, and use of community resources over a 20-year period. Reliability studies between states were conducted. RESULTS. Throughout much of the period, more Vermont subjects lived independently, were working, and were less likely to use community resources compared to Maine subjects. CONCLUSIONS. Differences in both policies and programmes contributed to course differences between the groups. System characteristics that may lead to better outcomes are discussed.
Ellison, M. L., Rogers, E. S., et al. (1995). Characteristics of mental health case management: Results of a national survey. Journal of Mental Health Administration, 22(2), 101-112. Reports the results of a national survey of 323 case management (CM) programs to determine the state of CM practice today and describes the programs, the case managers and their activities and supervisors, the clients they serve, and the systems within which the programs operate. Results show that most CM programs were part of a larger governmental agency. Case managers tended to be young, White, female social workers. The primary mission of CM programs was to prevent hospitalization; other values were to improve the quality of life and functioning of the client and to promote independence and empowerment. CM activities included performing assessments, providing support, intervening, and developing service plans.
Rogers, E. S., Sciarappa, K., et al. (1995). A benefit-cost analysis of a supported employment model for persons with psychiatric disabilities. Evaluation and Program Planning, 18(2), 105-115. After a review of the relevant literature, a methodology for conducting a benefit-cost analysis of an innovative supported employment intervention was developed. Several hypotheses were formulated and tested. The results indicated that, though the program did not quite achieve, it did approach cost efficiency with a ratio of almost .90 of benefits to costs. Program participants experienced significant monetary and nonmonetary benefits including a reduction in the use of several mental health services, increased wages and time in integrated employment settings. Reasons for not achieving cost benefit included the small number of subjects, system costs incurred due to increased advocacy efforts by staff, inability to quantify the intangible benefits that accrued to subjects, and the limited time frame of program operation. This analysis needs to be replicated with larger programs over a longer period of time before any definitive conclusions about the benefits of the supported employment model can be determined. The methodology presented has value for program evaluators, policymakers, and planners of supported employment services for persons with psychiatric disabilities.
|
|
 |
 |
 |
 |
| Contact Us | © Center for Psychiatric Rehabilitation, Trustees of Boston University| Updated May 17, 2011 |