Implementing evidence-based supported employment in Sussex for people with severe mental illness / Rhonda Van Veggel in The British Journal of Occupational Therapy, Volume 78 numéro 5 (Mai 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 286-294 Titre : Implementing evidence-based supported employment in Sussex for people with severe mental illness Type de document : texte imprimé Auteurs : Rhonda Van Veggel, Auteur ; Geoff Waghorn, Auteur ; Shannon Dias, Auteur Année de publication : 2015 Article en page(s) : p. 286-294 Langues : Anglais (eng) Mots-clés : Severe mental illness  Employment  Vocational rehabilitation  Evidence-based practice Résumé : Introduction The aim of this research was to evaluate a large-scale implementation of evidence-based supported employment for people with severe mental illness, at 17 locations throughout Sussex, England. Method A parallel group observational design was used to evaluate an implementation of the individual placement and support approach to supported employment. Three sites provided both a comparison pre-individual placement and support cohort (n = 140), and a new post-individual placement and support cohort (n = 107) as part of the individual placement and support implementation (n = 446). All individual placement and support sites involved community mental health teams forming partnerships with Southdown Supported Employment to co-locate an employment specialist into each mental health team. The primary outcome was the proportion of participants commencing competitive employment during the follow-up period. Results The new individual placement and support sites attained higher fidelity with respect to individual placement and support principles and practices (mean 97 of 125) than the pre-individual placement and support sites (mean 77 of 125). Significantly more individual placement and support participants commenced competitive employment than pre-individual placement and support participants (24.9% vs 14.3%). Individual placement and support participants experienced less delay before commencing their first job (153 vs 371 days), and when employed, worked more hours per week (24.3 vs 15.4 hours). Conclusion This implementation of individual placement and support in Sussex improved on the previous vocational services. Although progress is encouraging there is much room for improvement. More resources appear needed to support programme development, specifically to strengthen site-level management, training, technical support, fidelity assessment, programme monitoring, and outcome evaluation. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35948 [article] Implementing evidence-based supported employment in Sussex for people with severe mental illness [texte imprimé] / Rhonda Van Veggel, Auteur ; Geoff Waghorn, Auteur ; Shannon Dias, Auteur . - 2015 . - p. 286-294. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 5 (Mai 2015) . - p. 286-294 Mots-clés : Severe mental illness  Employment  Vocational rehabilitation  Evidence-based practice Résumé : Introduction The aim of this research was to evaluate a large-scale implementation of evidence-based supported employment for people with severe mental illness, at 17 locations throughout Sussex, England. Method A parallel group observational design was used to evaluate an implementation of the individual placement and support approach to supported employment. Three sites provided both a comparison pre-individual placement and support cohort (n = 140), and a new post-individual placement and support cohort (n = 107) as part of the individual placement and support implementation (n = 446). All individual placement and support sites involved community mental health teams forming partnerships with Southdown Supported Employment to co-locate an employment specialist into each mental health team. The primary outcome was the proportion of participants commencing competitive employment during the follow-up period. Results The new individual placement and support sites attained higher fidelity with respect to individual placement and support principles and practices (mean 97 of 125) than the pre-individual placement and support sites (mean 77 of 125). Significantly more individual placement and support participants commenced competitive employment than pre-individual placement and support participants (24.9% vs 14.3%). Individual placement and support participants experienced less delay before commencing their first job (153 vs 371 days), and when employed, worked more hours per week (24.3 vs 15.4 hours). Conclusion This implementation of individual placement and support in Sussex improved on the previous vocational services. Although progress is encouraging there is much room for improvement. More resources appear needed to support programme development, specifically to strengthen site-level management, training, technical support, fidelity assessment, programme monitoring, and outcome evaluation. En ligne : http://bjo.sagepub.com/content/78/5.toc Permalink : ./index.php?lvl=notice_display&id=35948

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Role functioning among adults with schizophrenia / Cassandra Westcott in The British Journal of Occupational Therapy, Volume 78 numéro 3 (Mars 2015)  

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 158-165 Titre : Role functioning among adults with schizophrenia Type de document : texte imprimé Auteurs : Cassandra Westcott, Auteur ; Geoff Waghorn, Auteur ; Duncan McLean, Auteur Année de publication : 2015 Article en page(s) : p. 158-165 Langues : Anglais (eng) Mots-clés : Schizophrenia  Role functioning  Employment Résumé : Introduction The extent that adults with schizophrenia and schizoaffective disorders participate in socially valued roles within their community is an important aspect of recovery and rehabilitation. Although previous research has explored functioning in specific roles (for example, education, employment and independent living) less is known about combined participation in different types of socially valued roles. The purpose of this investigation was to describe the role functioning of a community sample of 255 adults with schizophrenia or schizoaffective disorder. Method The diagnostic interview for genetics study 2.0 was administered by trained clinicians and provided the background clinical information for this report. A subsample from the genetics study was interviewed by telephone using the socially valued role classification scale. Participants were specifically asked about their participation in employment, education and training, rehabilitation, caring for others, and home duties and self-care. Results Overall role participation was high, with 80% participating in socially valued roles other than independent living. Role functioning in each role category was relatively independent of functioning in other role domains. Conclusion Occupational therapists can best facilitate the rehabilitation and recovery of community residents with severe mental illness by adopting a role-specific approach based on individual preferences for particular role domains. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35934 [article] Role functioning among adults with schizophrenia [texte imprimé] / Cassandra Westcott, Auteur ; Geoff Waghorn, Auteur ; Duncan McLean, Auteur . - 2015 . - p. 158-165. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 78 numéro 3 (Mars 2015) . - p. 158-165 Mots-clés : Schizophrenia  Role functioning  Employment Résumé : Introduction The extent that adults with schizophrenia and schizoaffective disorders participate in socially valued roles within their community is an important aspect of recovery and rehabilitation. Although previous research has explored functioning in specific roles (for example, education, employment and independent living) less is known about combined participation in different types of socially valued roles. The purpose of this investigation was to describe the role functioning of a community sample of 255 adults with schizophrenia or schizoaffective disorder. Method The diagnostic interview for genetics study 2.0 was administered by trained clinicians and provided the background clinical information for this report. A subsample from the genetics study was interviewed by telephone using the socially valued role classification scale. Participants were specifically asked about their participation in employment, education and training, rehabilitation, caring for others, and home duties and self-care. Results Overall role participation was high, with 80% participating in socially valued roles other than independent living. Role functioning in each role category was relatively independent of functioning in other role domains. Conclusion Occupational therapists can best facilitate the rehabilitation and recovery of community residents with severe mental illness by adopting a role-specific approach based on individual preferences for particular role domains. En ligne : http://bjo.sagepub.com/content/78/3.toc Permalink : ./index.php?lvl=notice_display&id=35934

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Self-stigma and fears of employment among adults with psychiatric disabilities / Emily Hielscher in The British Journal of Occupational Therapy, Vol.80 Issue 12 (December 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 12 (December 2017) . - p. 699-706 Titre : Self-stigma and fears of employment among adults with psychiatric disabilities Type de document : texte imprimé Auteurs : Emily Hielscher ; Geoff Waghorn Année de publication : 2017 Article en page(s) : p. 699-706 Langues : Anglais (eng) Mots-clés : emploi  psychiatrie Résumé : Introduction Although mental illness stigma has been extensively investigated, it is not known whether stigma experiences increase general fears of employment and impact on employment goals and on attaining employment. The aims of this study were to develop and trial brief measures of employment values and employment fears that could be used to further investigate any impacts of community stigma on personal employment goals. Method The psychometric properties of a new Employment Fears Scale and an Employment Values Scale were examined over a 2–4-week period, following repeated administration to 25 adult community residents with severe mental illness. Concurrent validity with respect to experiences of stigma, self-stigma, and current and previous employment were also examined. Results Employment fears and employment values can be reliably measured. Employment fears were more closely related to self-stigma than either current employment or employment over the previous year. Conclusion The Employment Fears Scale in particular appears to be useful for investigating stigma-related barriers to employment among people with psychiatric disabilities. Occupational therapists can use these tools to explore how those fears might be reduced through tailored interventions aiming to improve an individual’s employment prospects in vocational rehabilitation. Permalink : ./index.php?lvl=notice_display&id=57819 [article] Self-stigma and fears of employment among adults with psychiatric disabilities [texte imprimé] / Emily Hielscher ; Geoff Waghorn . - 2017 . - p. 699-706. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 12 (December 2017) . - p. 699-706 Mots-clés : emploi  psychiatrie Résumé : Introduction Although mental illness stigma has been extensively investigated, it is not known whether stigma experiences increase general fears of employment and impact on employment goals and on attaining employment. The aims of this study were to develop and trial brief measures of employment values and employment fears that could be used to further investigate any impacts of community stigma on personal employment goals. Method The psychometric properties of a new Employment Fears Scale and an Employment Values Scale were examined over a 2–4-week period, following repeated administration to 25 adult community residents with severe mental illness. Concurrent validity with respect to experiences of stigma, self-stigma, and current and previous employment were also examined. Results Employment fears and employment values can be reliably measured. Employment fears were more closely related to self-stigma than either current employment or employment over the previous year. Conclusion The Employment Fears Scale in particular appears to be useful for investigating stigma-related barriers to employment among people with psychiatric disabilities. Occupational therapists can use these tools to explore how those fears might be reduced through tailored interventions aiming to improve an individual’s employment prospects in vocational rehabilitation. Permalink : ./index.php?lvl=notice_display&id=57819

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Special issue: Vocational rehabilitation (II) / Geoff Waghorn in The British Journal of Occupational Therapy, Vol.79 Issue 11 (Novembre 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 Issue 11 (Novembre 2016) . - p. 641-642 Titre : Special issue: Vocational rehabilitation (II) Type de document : texte imprimé Auteurs : Geoff Waghorn Année de publication : 2016 Article en page(s) : p. 641-642 Langues : Anglais (eng) Résumé : This second special issue showcases the remaining peer-reviewed submissions received in response to the very successful call for papers on vocational rehabilitation. Although diverse in approaches, methods and domains of vocational rehabilitation research, the articles in this issue share an ardent search for new knowledge and more effective practices. This collection, even though coincidental, enables readers to view and compare research approaches within different disability groups, across different methods and domains of practice. Permalink : ./index.php?lvl=notice_display&id=47314 [article] Special issue: Vocational rehabilitation (II) [texte imprimé] / Geoff Waghorn . - 2016 . - p. 641-642. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 Issue 11 (Novembre 2016) . - p. 641-642 Résumé : This second special issue showcases the remaining peer-reviewed submissions received in response to the very successful call for papers on vocational rehabilitation. Although diverse in approaches, methods and domains of vocational rehabilitation research, the articles in this issue share an ardent search for new knowledge and more effective practices. This collection, even though coincidental, enables readers to view and compare research approaches within different disability groups, across different methods and domains of practice. Permalink : ./index.php?lvl=notice_display&id=47314

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The impact of psychotic disorders and co-morbid substance abuse on vocational rehabilitation: results from an Australian national survey of psychosis / Geoff Waghorn in The British Journal of Occupational Therapy, Vol.79 N°5 (May 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°5 (May 2016) . - p. 290-298 Titre : The impact of psychotic disorders and co-morbid substance abuse on vocational rehabilitation: results from an Australian national survey of psychosis Type de document : texte imprimé Auteurs : Geoff Waghorn ; Emily Hielscher ; James Atyeo ; Saha Sukanta Année de publication : 2016 Article en page(s) : p. 290-298 Langues : Anglais (eng) Mots-clés : addiction  santé mentale  psychose  emploi Résumé : Introduction It is unclear from prior research whether or not substance abuse co-morbid with psychosis is an added barrier to success in vocational rehabilitation. The aim of this study was to examine the relationships among three types of co-morbid substance abuse or dependence, by type of employment assistance received (disability employment services, mainstream unemployment services, other government programmes, and own resources), and by type of employment attained (competitive and non-competitive). Method Data were drawn from the Australian National Survey of High Impact Psychosis (N = 1825). The survey was conducted in seven Australian catchment areas March to December 2010. Descriptive statistics and logistic regression methods were used. Results There were no added effects of lifetime substance abuse or dependence on any employment. However, there were some minor substance-specific effects. Past year cannabis use was negatively associated, while alcohol use was positively associated with being employed. All categories of lifetime substance abuse or dependence were associated with reduced utilisation of intensive forms of employment assistance. Conclusion At a population level, lifetime substance abuse or dependence had no added impact on current employment status. Those with psychosis co-morbid with lifetime substance abuse or dependence could benefit from greater utilisation of evidence-based supported employment. Permalink : ./index.php?lvl=notice_display&id=45766 [article] The impact of psychotic disorders and co-morbid substance abuse on vocational rehabilitation: results from an Australian national survey of psychosis [texte imprimé] / Geoff Waghorn ; Emily Hielscher ; James Atyeo ; Saha Sukanta . - 2016 . - p. 290-298. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°5 (May 2016) . - p. 290-298 Mots-clés : addiction  santé mentale  psychose  emploi Résumé : Introduction It is unclear from prior research whether or not substance abuse co-morbid with psychosis is an added barrier to success in vocational rehabilitation. The aim of this study was to examine the relationships among three types of co-morbid substance abuse or dependence, by type of employment assistance received (disability employment services, mainstream unemployment services, other government programmes, and own resources), and by type of employment attained (competitive and non-competitive). Method Data were drawn from the Australian National Survey of High Impact Psychosis (N = 1825). The survey was conducted in seven Australian catchment areas March to December 2010. Descriptive statistics and logistic regression methods were used. Results There were no added effects of lifetime substance abuse or dependence on any employment. However, there were some minor substance-specific effects. Past year cannabis use was negatively associated, while alcohol use was positively associated with being employed. All categories of lifetime substance abuse or dependence were associated with reduced utilisation of intensive forms of employment assistance. Conclusion At a population level, lifetime substance abuse or dependence had no added impact on current employment status. Those with psychosis co-morbid with lifetime substance abuse or dependence could benefit from greater utilisation of evidence-based supported employment. Permalink : ./index.php?lvl=notice_display&id=45766

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