1989 — 1993 |
Bond, Gary R. |
K02Activity Code Description: Undocumented code - click on the grant title for more information. |
Research Scientist Development Award (Level Ii) @ Indiana Univ-Purdue Univ At Indianapolis
This proposed program of research examines two important developments in the field of mental health services--assertive community treatment (ACT) and supported employment (SE) and using controlled experimentation, multiple sites, and collaboration between a university, several state mental health departments, and community programs providing mental health services. Additionally, the research is linked to a program to train rehabilitation professionals to work with this population. The goals for the ACT research are as follows: (1) Synthesize the results of various controlled studies of ACT, using meta-analysis and other methodologies; (2) Identify characteristics of how ACT programs work; (3) Examine how ACT approach works with special populations; and (4) Refine methodology for studying ACT programs. The goals for the SE research are as follows: (1) Examine the "Place-Train" paradigm, using Gradual-Accelerated research designs; (2) Evaluate predictive validity of situational assessment; (3) Describe vocational rehabilitation programs more precisely in terms of intensity of service, job coach activity, client choice, etc.; and (4) Conduct cost-benefit analyses.
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0.928 |
1999 — 2003 |
Bond, Gary R. |
R01Activity Code Description: To support a discrete, specified, circumscribed project to be performed by the named investigator(s) in an area representing his or her specific interest and competencies. |
Comparison of Two Employment Models For Clients With Smi @ Indiana Univ-Purdue Univ At Indianapolis
This study compares the effectiveness of two important, popular employment models for persons with SMI. One is called the Diversified Placement Approach (DPA), which has evolved over 30 years at Thresholds, a psychiatric rehabilitation agency in Chicago. DPA offers stepwise preparation for competitive employment, including prevocational training, agency-run businesses, group placements, and individual placements, and ultimately movement into independent employment, all available on a flexible, individualized basis without fixed time limits. The second model is a supported employment model developed in New Hampshire, known as Individual Placement and Support (IPS). Key features include: individualized planning with attention to client job preferences, close coordination between rehabilitation and treatment, and rapid job search. Over a two-year period, 180 new admissions will enter the study. Half of the sample will be African American. Participants must express an interest in competitive employment and attend 2 informational group sessions. Participants will be randomly assigned, evaluated thoroughly at baseline, and followed for 2 years. We predict that: (1) IPS clients will obtain more jobs matching their initial preferences, based on the model's primary emphasis. (2) IPS clients will obtain competitive employment more rapidly, will have longer job tenure, and have greater job satisfaction than will DPA clients. (3) Considering all forms of paid employment, DPA will achieve higher rates than IPS clients. (4) Clients who initially have less supportive social networks or who have less work experience will benefit more from DPA than IPS. (5) Clients receiving group placements will feel less isolated in their work environments. Social networks and other nonvocational outcomes also will be examined. The study will also include a cost-effectiveness component that will examine rehabilitation program and treatment costs from a societal perspective.
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0.928 |