Predictors of employment for transition-aged youth with co-occurring substance use disorder and psychiatric disorder in the state vocational rehabilitation service-delivery system.
{"title":"Predictors of employment for transition-aged youth with co-occurring substance use disorder and psychiatric disorder in the state vocational rehabilitation service-delivery system.","authors":"Sonia Peterson, Ghadah S Alkhadim","doi":"10.1037/prj0000556","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To identify state vocational rehabilitation (VR) services that were associated with employment for transition-aged youth with co-occurring disabilities (TAYWCD).</p><p><strong>Method: </strong>Hierarchical logistic regression analyses were utilized. Participants were 830 youth aged 24 and younger who had a co-occurring substance use disorder and another mental illness.</p><p><strong>Results: </strong>After controlling for the effect of demographic covariates, assessment services (<i>OR</i> = .53, 95% CI [.35, .80], <i>p</i> < .01), job placement services (<i>OR</i> = 2.56, 95% CI [1.73, 3.78], <i>p</i> < .001), and supported employment services (<i>OR</i> = 3.7, 95% CI [2.33, 5.89], <i>p</i> < .001) were found to significantly impact employment outcomes.</p><p><strong>Conclusions and implications for practice: </strong>State VR services that aligned with the individual placement and support model of supported employment principles were correlated with successful employment outcomes for TAYWCD who received these services. Recommendations include the following: (a) prepare VR counselors to effectively work with individuals with psychiatric disabilities; (b) provide TAYWCD with high-quality assessment and the individual placement and support model of supported employment services; (c) require VR counselors who serve TAYWCD to collaborate with community partner agencies that provide coordinated specialty care model services; (d) require VR counselors to collaborate with community partner agencies that provide recovery-oriented and evidence-based services; (e) encourage clients to formulate a Wellness Recovery Action Plan (WRAP) as a state VR assessment and Individualized Plan for Employment planning service; (f) include the state VR on-the-job training service in the Individualized Plan for Employment; (g) make use of benefits counseling services; and (h) institute in-service learning opportunities in state VR agencies. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":"46 2","pages":"137-147"},"PeriodicalIF":1.8000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatric Rehabilitation Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/prj0000556","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To identify state vocational rehabilitation (VR) services that were associated with employment for transition-aged youth with co-occurring disabilities (TAYWCD).
Method: Hierarchical logistic regression analyses were utilized. Participants were 830 youth aged 24 and younger who had a co-occurring substance use disorder and another mental illness.
Results: After controlling for the effect of demographic covariates, assessment services (OR = .53, 95% CI [.35, .80], p < .01), job placement services (OR = 2.56, 95% CI [1.73, 3.78], p < .001), and supported employment services (OR = 3.7, 95% CI [2.33, 5.89], p < .001) were found to significantly impact employment outcomes.
Conclusions and implications for practice: State VR services that aligned with the individual placement and support model of supported employment principles were correlated with successful employment outcomes for TAYWCD who received these services. Recommendations include the following: (a) prepare VR counselors to effectively work with individuals with psychiatric disabilities; (b) provide TAYWCD with high-quality assessment and the individual placement and support model of supported employment services; (c) require VR counselors who serve TAYWCD to collaborate with community partner agencies that provide coordinated specialty care model services; (d) require VR counselors to collaborate with community partner agencies that provide recovery-oriented and evidence-based services; (e) encourage clients to formulate a Wellness Recovery Action Plan (WRAP) as a state VR assessment and Individualized Plan for Employment planning service; (f) include the state VR on-the-job training service in the Individualized Plan for Employment; (g) make use of benefits counseling services; and (h) institute in-service learning opportunities in state VR agencies. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
期刊介绍：
The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
