Earnings

Earnings

Working toward Wellness had the largest effects on long-term annual earnings (an average of $732 per year). Through intensive telephonic outreach from care managers, Working toward Wellness aimed to increase the use of mental health services and to improve employment outcomes for parents with low income who suffered from depression.

Enhanced Vocational Rehabilitation [EVR] (as compared to Community Connections Individual Placement and Support (IPS))

EVR provided a vocational counselor who helped place participants with rehabilitation agencies. The vocational counselor regularly monitored participants to ensure a good fit between the participant and rehabilitation agency. All rehabilitation agencies involved with EVR had the goal of gradually preparing individuals for competitive employment through a stepped approach of prevocational experiences that primarily consisted of paid work adjustment training in a sheltered workshop.

Community Connections Individual Placement and Support (IPS) (as compared to Enhanced Vocational Rehabilitation [EVR])

IPS gave people ongoing support to find work based on their own preferences, a vocational assessment, and job development. Employment specialists gave individualized support to participants as well as counseling and help with transportation. There was no time limit on IPS services; employment support was given as needed. IPS was provided to unemployed individuals who were living in an urban neighborhood that was low income and who had severe mental disorders that kept them from finding employment for at least two years.

Work-Related Cognitive Behavioral Therapy (WCBT)

WCBT was delivered in two-hour group sessions, held twice weekly. Each group had two to seven participants. Sessions focused on psychoeducational topics related to work, cognitive restructuring, social skills education, and navigating work with a social anxiety disorder. Vocational services employees who had been trained in cognitive behavioral therapy for anxiety disorders led the sessions, with two leaders per session. WCBT participants were eligible to receive 16 hours of WCBT over the course of four weeks.

Thresholds Individual Placement and Support (IPS)

Thresholds IPS involved an integrated treatment approach in which an employment specialist worked with a team of clinicians and support staff to combine treatment of clients’ underlying mental and physical health issues with employment services. The employment specialist created individualized job searches with clients that reflected their employment preferences and conducted an initial vocational assessment to guide an accelerated job search process.

Vocational Coaches to Enhance Multisystemic Therapy for Emerging Adults (MST-EA)

The Vocational Coaches to Enhance MST-EA program provided two one-hour sessions of individualized vocational coaching each week to young adults receiving MST-EA programming in areas of employment, education, health, housing, parenting, and financial literacy. The coaches provided vocational support with a focus on each of these specific support areas for three to seven sessions. Participants typically received the intervention over an average of seven to eight months.