Second Look at Reported Racial-Ethnic Employment Differences in the Supported Employment Demonstration.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2024-10-02 DOI:10.1176/appi.ps.20230612

Justin D Metcalfe, Robert E Drake

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引用次数: 0

Abstract

Objective: The Supported Employment Demonstration (SED) trial, which studied the effects of individual placement and support (IPS) among individuals initially denied Social Security Administration disability benefits for mental illness, reported racial-ethnic differences in IPS' effect on employment. Because of high rates of attrition in the SED, this finding warranted further study. The current reanalysis used a subsample with a directly observed measure of competitive employment and less attrition to try to corroborate the reported racial-ethnic differences.

Methods: The authors compared self-reported employment (collected via telephone interviews) with observed employment (reported monthly by multidisciplinary teams) among a representative subsample (N=614) of the SED, stratified by race and ethnicity.

Results: The observed competitive employment outcomes showed no significant racial-ethnic differences among those assigned to participate in IPS.

Conclusions: Congruent with previous research, reanalysis based on more complete data and more rigorous outcome measurements implied an absence of racial-ethnic differences in IPS' effect on observed employment outcomes.

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辅助就业示范项目中种族-民族就业差异报告的第二次观察。

目的：支持性就业示范（SED）试验研究了个人安置和支持（IPS）对最初因精神疾病而被社会保障局拒绝发放残疾津贴的个人的影响，该试验报告了 IPS 对就业影响的种族和民族差异。由于 SED 的自然减员率很高，这一发现值得进一步研究。目前的重新分析使用了一个子样本，该子样本具有直接观察到的竞争性就业衡量标准和较低的流失率，试图证实所报告的种族-民族差异：作者比较了具有代表性的 SED 子样本（N=614）中的自我报告就业情况（通过电话访谈收集）和观察就业情况（由多学科小组每月报告），并按种族和民族进行了分层：结果：观察到的竞争性就业结果显示，被分配参加 IPS 的人中没有明显的种族和族裔差异：与之前的研究一致，根据更完整的数据和更严格的结果测量进行的重新分析表明，IPS 对观察到的就业结果的影响不存在种族-族裔差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.