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||Metcalfe, J. D., Drake, R. E., & Bond, G. R. (2018). Economic, labor, and regulatory moderators of the effect of individual placement and support among people with severe mental illness: A systematic review and meta-analysis. Schizophrenia Bulletin, 44(1), 22-31.
||Competitive employment, economics, employment legislation, international rehabilitation, literature reviews, outcomes, psychiatric disabilities, regulations, supported employment, vocational rehabilitation, workers with disabilities
||Study examined the influences of economic, labor, and regulatory moderators of individual placement and support (IPS) employment outcomes for people with serious mental illness. As IPS has become the international standard for vocational rehabilitation of adults with serious mental illness, researchers must consider the relationship between IPS and local environments. The authors identified 21 studies for inclusion in this meta-analysis, which used mixed-effects meta-regressions to assess the impact of site-level moderators on the likelihood that IPS recipients, compared with recipients of alternative vocational services, achieved competitive employment. Potential moderators included change in gross domestic product, local unemployment and unionization rates, and indices describing employment protection regulations, level of disability benefits compensation, and efforts to integrate people with disabilities into the workforce. Regulatory moderators represent facilitators and barriers to employment that may reinforce or detract from the effectiveness of IPS. Across 30 sites drawn from 21 randomized controlled trials in 12 countries (33 percent in the United States), IPS recipients were 2.31 times more likely to find competitive employment than recipients of alternative vocational rehabilitation services. The significant competitive-employment rate advantage of IPS over control services increased in the presence of weaker employment protection legislation and integration efforts, and less generous disability benefits. Policy makers should recognize and account for the fact that labor and disability regulations can create an arrangement of incentives that reduces the relative efficacy of supported employment.
|Full-Text Availability Options:||https://www.ncbi.nlm.nih.gov/pubmed/29036727|
Rehabilitation Research and Training Center on Improving Employment Outcomes for Individuals with Psychiatric Disabilities