Converting Day Treatment Centers to Supported Employment Programs in Rhode Island
>OBJECTIVE: The purpose of the study was to compare vocational and nonvocational outcomes of clients of two community mental health centers that underwent conversion from day treatment programs to supported employment programs with outcomes of clients of a center that delayed conversion until aft...
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| Veröffentlicht in: | Psychiatric services (Washington, D.C.) D.C.), 2001-03, Vol.52 (3), p.351-357 |
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| container_issue | 3 |
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| container_title | Psychiatric services (Washington, D.C.) |
| container_volume | 52 |
| creator | Becker, Deborah R. Bond, Gary R. McCarthy, Daniel Thompson, Daniel Xie, Haiyi McHugo, Gregory J. Drake, Robert E. |
| description | >OBJECTIVE: The purpose of the study was to compare vocational and nonvocational outcomes of clients of two community mental health centers that underwent conversion from day treatment programs to supported employment programs with outcomes of clients of a center that delayed conversion until after the study was completed. METHODS: As part of a statewide effort in Rhode Island to convert day treatment programs to supported employment programs, the authors assessed 127 day treatment clients with severe mental illness in three community mental health centers. Two of the centers converted to supported employment, and one continued its rehabilitative day program. Participants were assessed prospectively for 30 to 36 months, with special attention to vocational and social outcomes. RESULTS: Former day treatment clients in the converted centers attained higher rates of competitive employment than those in the comparison group (44.2 percent and 56.7 percent versus 19.5 percent). Other employment outcomes also improved, and hospitalization rates and overall social functioning were unchanged. CONCLUSIONS: This study supports findings of previous studies suggesting that replacing rehabilitative day treatment programs with supported employment programs yields improvements in employment outcomes without adverse effects. |
| doi_str_mv | 10.1176/appi.ps.52.3.351 |
| format | Article |
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METHODS: As part of a statewide effort in Rhode Island to convert day treatment programs to supported employment programs, the authors assessed 127 day treatment clients with severe mental illness in three community mental health centers. Two of the centers converted to supported employment, and one continued its rehabilitative day program. Participants were assessed prospectively for 30 to 36 months, with special attention to vocational and social outcomes. RESULTS: Former day treatment clients in the converted centers attained higher rates of competitive employment than those in the comparison group (44.2 percent and 56.7 percent versus 19.5 percent). Other employment outcomes also improved, and hospitalization rates and overall social functioning were unchanged. CONCLUSIONS: This study supports findings of previous studies suggesting that replacing rehabilitative day treatment programs with supported employment programs yields improvements in employment outcomes without adverse effects.</description><identifier>ISSN: 1075-2730</identifier><identifier>EISSN: 1557-9700</identifier><identifier>DOI: 10.1176/appi.ps.52.3.351</identifier><identifier>PMID: 11239104</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; Community Mental Health Centers - organization & administration ; Day Care, Medical - organization & administration ; Employment, Supported - organization & administration ; Female ; Health Facility Planning ; Hospitalization ; Humans ; Interpersonal Relations ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Outcome Assessment (Health Care) ; Program Evaluation ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotic Disorders - rehabilitation ; Rhode Island ; Self Concept</subject><ispartof>Psychiatric services (Washington, D.C.), 2001-03, Vol.52 (3), p.351-357</ispartof><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a361t-e4525cd3eec6cc44b129040e5b595f9a5f6fd2707951cfdaaebbc2ee49c30e8d3</citedby><cites>FETCH-LOGICAL-a361t-e4525cd3eec6cc44b129040e5b595f9a5f6fd2707951cfdaaebbc2ee49c30e8d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ps.52.3.351$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ps.52.3.351$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,776,780,2842,2846,21605,21606,21607,21608,27901,27902,77533,77534,77536,77541</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=906310$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11239104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Becker, Deborah R.</creatorcontrib><creatorcontrib>Bond, Gary R.</creatorcontrib><creatorcontrib>McCarthy, Daniel</creatorcontrib><creatorcontrib>Thompson, Daniel</creatorcontrib><creatorcontrib>Xie, Haiyi</creatorcontrib><creatorcontrib>McHugo, Gregory J.</creatorcontrib><creatorcontrib>Drake, Robert E.</creatorcontrib><title>Converting Day Treatment Centers to Supported Employment Programs in Rhode Island</title><title>Psychiatric services (Washington, D.C.)</title><addtitle>Psychiatr Serv</addtitle><description>>OBJECTIVE: The purpose of the study was to compare vocational and nonvocational outcomes of clients of two community mental health centers that underwent conversion from day treatment programs to supported employment programs with outcomes of clients of a center that delayed conversion until after the study was completed. METHODS: As part of a statewide effort in Rhode Island to convert day treatment programs to supported employment programs, the authors assessed 127 day treatment clients with severe mental illness in three community mental health centers. Two of the centers converted to supported employment, and one continued its rehabilitative day program. Participants were assessed prospectively for 30 to 36 months, with special attention to vocational and social outcomes. RESULTS: Former day treatment clients in the converted centers attained higher rates of competitive employment than those in the comparison group (44.2 percent and 56.7 percent versus 19.5 percent). Other employment outcomes also improved, and hospitalization rates and overall social functioning were unchanged. CONCLUSIONS: This study supports findings of previous studies suggesting that replacing rehabilitative day treatment programs with supported employment programs yields improvements in employment outcomes without adverse effects.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Community Mental Health Centers - organization & administration</subject><subject>Day Care, Medical - organization & administration</subject><subject>Employment, Supported - organization & administration</subject><subject>Female</subject><subject>Health Facility Planning</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Outcome Assessment (Health Care)</subject><subject>Program Evaluation</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotic Disorders - rehabilitation</subject><subject>Rhode Island</subject><subject>Self Concept</subject><issn>1075-2730</issn><issn>1557-9700</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1L5TAQwIO4-LXePUlA8NbupGkac5TnJwi7q2_PIU2nWmmbmLTC--83vvfQk5eZgfnNBz9CThjkjMnql_G-y33MRZHznAu2Qw6YEDJTEmA31SBFVkgO--QwxlcAYJJVe2SfsYIrBuUB-btw4zuGqRuf6ZVZ0WVAMw04TnSRAoZIJ0efZu9dmLCh14Pv3Wrd_xPcczBDpN1IH19cg_Q-9mZsfpIfrekjHm_zEfl3c71c3GUPv2_vF5cPmeEVmzIsRSFswxFtZW1Z1qxQUAKKWijRKiPaqm0KCVIJZtvGGKxrWyCWynLAi4YfkfPNXh_c24xx0kMXLfbpB3Rz1LJSFYDkCYQNaIOLMWCrfegGE1aagf7QqD80ah-1KDTXSWMaOd3unusBm6-BrbcEnG0BE63p22BG28VPTkHFGSQq21DrA69uDmMy8v3Z_yenjFw</recordid><startdate>20010301</startdate><enddate>20010301</enddate><creator>Becker, Deborah R.</creator><creator>Bond, Gary R.</creator><creator>McCarthy, Daniel</creator><creator>Thompson, Daniel</creator><creator>Xie, Haiyi</creator><creator>McHugo, Gregory J.</creator><creator>Drake, Robert E.</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010301</creationdate><title>Converting Day Treatment Centers to Supported Employment Programs in Rhode Island</title><author>Becker, Deborah R. ; Bond, Gary R. ; McCarthy, Daniel ; Thompson, Daniel ; Xie, Haiyi ; McHugo, Gregory J. ; Drake, Robert E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a361t-e4525cd3eec6cc44b129040e5b595f9a5f6fd2707951cfdaaebbc2ee49c30e8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Community Mental Health Centers - organization & administration</topic><topic>Day Care, Medical - organization & administration</topic><topic>Employment, Supported - organization & administration</topic><topic>Female</topic><topic>Health Facility Planning</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Outcome Assessment (Health Care)</topic><topic>Program Evaluation</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotic Disorders - rehabilitation</topic><topic>Rhode Island</topic><topic>Self Concept</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Becker, Deborah R.</creatorcontrib><creatorcontrib>Bond, Gary R.</creatorcontrib><creatorcontrib>McCarthy, Daniel</creatorcontrib><creatorcontrib>Thompson, Daniel</creatorcontrib><creatorcontrib>Xie, Haiyi</creatorcontrib><creatorcontrib>McHugo, Gregory J.</creatorcontrib><creatorcontrib>Drake, Robert E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatric services (Washington, D.C.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Becker, Deborah R.</au><au>Bond, Gary R.</au><au>McCarthy, Daniel</au><au>Thompson, Daniel</au><au>Xie, Haiyi</au><au>McHugo, Gregory J.</au><au>Drake, Robert E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Converting Day Treatment Centers to Supported Employment Programs in Rhode Island</atitle><jtitle>Psychiatric services (Washington, D.C.)</jtitle><addtitle>Psychiatr Serv</addtitle><date>2001-03-01</date><risdate>2001</risdate><volume>52</volume><issue>3</issue><spage>351</spage><epage>357</epage><pages>351-357</pages><issn>1075-2730</issn><eissn>1557-9700</eissn><abstract>>OBJECTIVE: The purpose of the study was to compare vocational and nonvocational outcomes of clients of two community mental health centers that underwent conversion from day treatment programs to supported employment programs with outcomes of clients of a center that delayed conversion until after the study was completed. METHODS: As part of a statewide effort in Rhode Island to convert day treatment programs to supported employment programs, the authors assessed 127 day treatment clients with severe mental illness in three community mental health centers. Two of the centers converted to supported employment, and one continued its rehabilitative day program. Participants were assessed prospectively for 30 to 36 months, with special attention to vocational and social outcomes. RESULTS: Former day treatment clients in the converted centers attained higher rates of competitive employment than those in the comparison group (44.2 percent and 56.7 percent versus 19.5 percent). Other employment outcomes also improved, and hospitalization rates and overall social functioning were unchanged. CONCLUSIONS: This study supports findings of previous studies suggesting that replacing rehabilitative day treatment programs with supported employment programs yields improvements in employment outcomes without adverse effects.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>11239104</pmid><doi>10.1176/appi.ps.52.3.351</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; American Psychiatric Publishing Journals (1997-Present); EZB-FREE-00999 freely available EZB journals; Psychiatry Legacy Collection Online Journals 1844-1996 |
| subjects | Adolescent Adult Adult and adolescent clinical studies Biological and medical sciences Community Mental Health Centers - organization & administration Day Care, Medical - organization & administration Employment, Supported - organization & administration Female Health Facility Planning Hospitalization Humans Interpersonal Relations Male Medical sciences Middle Aged Miscellaneous Outcome Assessment (Health Care) Program Evaluation Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotic Disorders - rehabilitation Rhode Island Self Concept |
| title | Converting Day Treatment Centers to Supported Employment Programs in Rhode Island |
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