Implementing evidence-based practices in supported employment on the Gold Coast for people with severe mental illness

Williams, Philip Lee, Lloyd, Chris, Waghorn, Geoffrey and Machingura, Tawanda (2015) Implementing evidence-based practices in supported employment on the Gold Coast for people with severe mental illness. Australian Occupational Therapy Journal, 62 5: 316-325. doi:10.1111/1440-1630.12202


Author Williams, Philip Lee
Lloyd, Chris
Waghorn, Geoffrey
Machingura, Tawanda
Title Implementing evidence-based practices in supported employment on the Gold Coast for people with severe mental illness
Journal name Australian Occupational Therapy Journal   Check publisher's open access policy
ISSN 1440-1630
0045-0766
Publication date 2015-10-01
Year available 2015
Sub-type Article (original research)
DOI 10.1111/1440-1630.12202
Open Access Status Not Open Access
Volume 62
Issue 5
Start page 316
End page 325
Total pages 10
Place of publication Richmond, Victoria, Australia
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
AimThe aim of this project was to evaluate program outcomes following the implementation of an evidence-based approach to supported employment on the Gold Coast, Queensland, Australia.

Method
A prospective observational design was used to evaluate employment outcomes and fidelity to the evidence-based principles and practices of a specialised form of supported employment. The cohort was defined as all those (n = 114) that entered the program at each of three sites within a 21-month period. Each participant was followed up for a minimum of six months. All three sites implemented the employment program by establishing a partnership between a non-government organisation and the Gold Coast community mental health service.

ResultsThe primary outcome variable was the proportion commencing competitive employment during the follow-up period from among those that commenced receiving assistance (the denominator). This ranged from 12% at Site C to 33.3% at Site A, and 37% at Site B. Fidelity to evidence-based principles was fair at Sites A and C and good at Site B. These results were below expectations based on international-controlled trials. The variation in site effectiveness appeared related to both fidelity to evidence-based principles and to other factors at each site, which could not be clearly identified.

ConclusionsDelivering an effective supported employment program using an inter-agency partnership method is challenging. There are several roles in which occupational therapists can be involved that facilitate improving both the implementation and the effectiveness of supported employment for people with severe mental illness in Australia.
Keyword Competitive employment
Mental health services
Psychosis
Severe mental illness
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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Created: Thu, 15 Oct 2015, 22:31:25 EST by Ms Kate Rowe on behalf of Learning and Research Services (UQ Library)