The IPS model provides customized and long-term vocational, case management, and mental health services to youth experiencing homelessness to help them get a job and maintain their employment. The model follows eight supported-employment principles, all of which relate to theories of psychiatric recovery. IPS participants were assigned to an employment specialist, case manager, and clinician at study enrollment. All study staff were co-located to integrate mental health services with job search supports.

TWE, part of the VA’s Compensated Work Therapy Program, helped participants develop work restoration plans and provided a rehabilitative work setting within the VA, other federal agencies, or private businesses in the community. After their participation in TWE, participants moved into CE, during which they could receive standard VA services (including VA health care, education benefits, home loan assistance, disability compensation, and vocational rehabilitation and employment assistance).

Breaking Barriers followed the IPS model by assigning employment specialists to help participants set career goals and search for a job. Employment specialists maintained relationships with local employers, which they used to connect participants to potential job opportunities. After participants found employment, specialists provided as-needed, customized support (such as counseling or transportation assistance). This follow-along support did not have a time limit. Participants were involved in the program for an average of 10 months.

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.

AF was a small-group, one-week program in which participants (veterans with felony histories) described their work aspirations, drafted resumes, and discussed employment challenges. After AF, participants moved into IPS, a program founded on a set of core principles—including small caseloads and rapid job searches—with the intention of helping people find and keep jobs. During IPS, supported employment specialists (SESs) provided individual job search services and worked with local employers to find positions for participants.