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Douglas Hospital Research Centre and McGill University
University of British Columbia, Canada
New Hampshire-Dartmouth Psychiatric Research Center, USA
Douglas Hospital Research Centre
Douglas Hospital Research Centre and McGill University
Douglas Hospital, Canada
New Hampshire-Dartmouth Psychiatric Research Centre, USA
Correspondence: Eric A. Latimer, PhD, Director, Services, Policy and Population Health Research Theme, Douglas Hospital Research Centre, Assistant Professor, Department of Psychiatry, McGill University, 6875 LaSalle Blvd, Verdun, Québec, Canada H4H1R3. Tel: +1 514 761 6131 x2351; Fax: +1 514 762 3049; email: eric.latimer{at}douglas.mcgill.can
Funding detailed in Acknowledgements.
Background Studies conducted in the USA have found the individual placement and support model of supported employment to be more effective than traditional vocational rehabilitation at helping people with severe mental illness to find and maintain competitive employment.
Aims To determine the effectiveness of the individual placement and support (supported employment) model in a Canadian setting.
Method A total of 150 adults with severe mental illness, who were not currently employed and who desired competitive employment, were randomly assigned to receive either supported employment (n=75) or traditional vocational services (n=75).
Results Over the 12 months of followup, 47% of clients in the supported employment group obtained at least some competitive employment, v. 18% of the control group (P < 0.001). They averaged 126 h of competitive work, v. 72 in the control group (P < 0.001).
Conclusions Supported employment proved more effective than traditional vocational servicesin a setting significantly different from settings in the USA, and may therefore be generalised to settings in other countries.
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