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This article examines the outcomes of supported employment ten years after an initial demonstration project. The authors analyzed a study group consisting of thirty-six clients who had participated in a supported employment program at one of two mental health centers in 1990 or 1992, and interviewed the clients ten years after program completion about their employment history, facilitators to their employment, and their perceptions of how working affected areas of their lives. According to the authors, seventy-five percent of the participants worked beyond the initial study period, with 33 percent who worked at least five years during the ten-year period. The authors also state that current and recent jobs tended to be competitive and long term; the average job tenure was thirty-two months; however few clients made the transition to full-time employment with health benefits. The article states that clients reported that employment led to substantial benefits in diverse areas, such as improvements in self-esteem, hope, relationships, and control of substance abuse. The authors conclude that supported employment seems to be more effective over the long term, with benefits lasting beyond the first one to two years. (Authors)
Psychiatric Services
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A program of the U.S. Department of Health and Human Services Substance Abuse & Mental Health Services Administration, Center for Mental Health Services