TY - JOUR
T1 - Helping People Denied Disability Benefits for a Mental Health Impairment
T2 - The Supported Employment Demonstration
AU - Riley, Jarnee
AU - Drake, Robert E.
AU - Frey, William
AU - Goldman, Howard H.
AU - Becker, Deborah R.
AU - Salkever, David
AU - Marrow, Jocelyn
AU - Borger, Christine
AU - Taylor, Jeffrey
AU - Bond, Gary R.
AU - Karakus, Mustafa
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Social Security Administration demonstration projects that are intended to help people receiving disability benefits have increased employment but not the number of exits from disability programs. The Supported Employment Demonstration (SED) is a randomized controlled trial (RCT) of services for individuals with mental health problems before they enter disability programs. The SED aims to provide health, employment, and other support services that help them become self-sufficient and avoid entering disability programs. The target population is people who have been denied Social Security disability benefits for a presumed psychiatric impairment. Thirty community-based programs across the United States serve as treatment sites; inclusion in the SED was based on the existence of high-fidelity employment programs that use the individual placement and support model, the ability to implement team-based care, and the willingness to participate in a three-armed RCT. In the SED trial, one-third of 2,960 participants receive services as usual, one-third receive services from a multidisciplinary team that includes integrated supported employment, and one-third receive services from a similar team that also includes a nurse care coordinator for medication management support and medical care. The goals of the study are to help people find employment, attain better health, and delay or avoid disability program entry. This article introduces the SED.
AB - Social Security Administration demonstration projects that are intended to help people receiving disability benefits have increased employment but not the number of exits from disability programs. The Supported Employment Demonstration (SED) is a randomized controlled trial (RCT) of services for individuals with mental health problems before they enter disability programs. The SED aims to provide health, employment, and other support services that help them become self-sufficient and avoid entering disability programs. The target population is people who have been denied Social Security disability benefits for a presumed psychiatric impairment. Thirty community-based programs across the United States serve as treatment sites; inclusion in the SED was based on the existence of high-fidelity employment programs that use the individual placement and support model, the ability to implement team-based care, and the willingness to participate in a three-armed RCT. In the SED trial, one-third of 2,960 participants receive services as usual, one-third receive services from a multidisciplinary team that includes integrated supported employment, and one-third receive services from a similar team that also includes a nurse care coordinator for medication management support and medical care. The goals of the study are to help people find employment, attain better health, and delay or avoid disability program entry. This article introduces the SED.
KW - Disability
KW - Disability denial
KW - IPS supported employment
KW - Psychosocial rehabilitation
KW - Social Security disability benefits
KW - Supported Employment Demonstration
UR - http://www.scopus.com/inward/record.url?scp=85122488201&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85122488201&partnerID=8YFLogxK
U2 - 10.1176/appi.ps.202000671
DO - 10.1176/appi.ps.202000671
M3 - Article
C2 - 33971731
AN - SCOPUS:85122488201
SN - 1075-2730
VL - 72
SP - 1434
EP - 1440
JO - Psychiatric services (Washington, D.C.)
JF - Psychiatric services (Washington, D.C.)
IS - 12
ER -