Supported Employment Demonstration
- Conditions
- Mental Impairment
- Interventions
- Behavioral: Full ServiceBehavioral: Basic Service
- Registration Number
- NCT03682263
- Lead Sponsor
- Westat
- Brief Summary
The purpose of this study is to determine whether offering an evidence-based package of employment supports integrated with mental health services has a positive impact on employment and clinical recovery, and delays or diminishes the need for disability benefits.
- Detailed Description
SSA contracted with Westat to implement and evaluate the Supported Employment Demonstration (SED). The SED provides integrated mental health and vocational services to people with mental illness who were recently denied Social Security disability benefits. The evaluation will determine the impact of the SED on employment, clinical recovery, and receipt of disability payments. The evaluation is using a randomized controlled trial design to compare the outcomes of two treatment groups and a control group. In the full-service arm (n = 1,000), participants receive services from an Individual Placement and Support employment specialist, a care manager, and a nurse care coordinator (NCC) who provides medication management support, as well as modest funding for out-of-pocket prescriptions, essential work-related expenses, and other services in the participant's treatment plan. The basic-service arm (n=1,000), which is expected to cost about 50 percent less than the full-service arm, provides all services and funds except the NCC. Participants in the usual services (control) group (n = 1,000) seek services as they normally would but receive a comprehensive guide to local, state, and national resources.
Data collection includes computer-assisted baseline (in-person) and blinded quarterly (telephone) interviews with participants, collection of SSA administrative and site-level program data, site visits (including fidelity assessments), qualitative interviews with site administrators and service providers, focus groups with study participants, and person-centered ethnographic interviews with participants and nonparticipants.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 3000
- Individuals denied Social Security disability benefits (SSDI or SSI)
- Individuals alleging a mental impairment
- Live in Community Mental Health Agency (CMHA) catchment area
- Legally competent
- Express desire to improve work situation
- Intellectual disability
- Reside in a nursing home or custodial institution
- Already receiving supported employment services from CMHA site
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Full Service Treatment Full Service The Full Service Arm receives the Individual Placement and Support (IPS) model of employment services integrated with behavioral health services and care management services, as well as Medication Management Support (MMS) from a Nurse Care Coordinator (NCC). Basic Service Treatment Basic Service The Basic Service Arm receives the Individual Placement and Support (IPS) model of employment services integrated with behavioral health services and care management services.
- Primary Outcome Measures
Name Time Method Employment 36 months Whether participant is employed in a paying job at any time during the 36 month study period.
Assessed via quarterly computer-assisted telephone interviews.
- Secondary Outcome Measures
Name Time Method Employment (Competitive) 36 months Whether a participant is employed in a community job that pays at least minimum wage (as defined by the resident state) and is "owned" by the employer rather than a mental health center or rehabilitation agency at any time during the 36 month study period.
Assessed via quarterly computer-assisted telephone interviews.Short-Form 12 Health Survey (SF-12) Mental Component Score (MCS) 36 months The difference between the Short-Form 12 Health Survey (SF-12) Mental Component Score (MCS) measured at baseline (Baseline Survey) and at study exit (final quarterly follow-up survey).
Higher values of the SF-12 MCS indicate better outcomes. A higher SF-12 MCS at study exit than at baseline indicates a positive change.
Assessed via computer-assisted telephone interviews.Job Tenure 36 months The longest number of consecutive months employed for any single job during the 36-month study period.
Assessed via quarterly computer-assisted telephone interviews.Time Until Award 36 months The number of study days to disability award.
Assessed using Social Security Administration administrative data.Months Employed 36 months The number of months employed during the 36-month study period.
Assessed via quarterly computer-assisted telephone interviews.Months above SGA 36 months The number of months the participant reported earnings above Substantial Gainful Activity (SGA) levels over the 36-month study period.
Assessed via quarterly computer-assisted telephone interviews.Total Earnings 36 months Total amount of reported earnings over the 36-month study period.
Assessed via quarterly computer-assisted telephone interviews.Total Hours Worked 36 months The reported total number of hours worked for pay during the 36-month study period.
Assessed via quarterly computer-assisted telephone interviews.Days to First Job 36 months The number of days from enrollment date to first job during the 36-month study period, for those not employed at enrollment.
Assessed via quarterly computer-assisted telephone interviews.
Trial Locations
- Locations (20)
Boley Centers
🇺🇸Saint Petersburg, Florida, United States
Mental Health Center of Denver
🇺🇸Denver, Colorado, United States
Penny Lane Centers
🇺🇸Lancaster, California, United States
Bridgeway
🇺🇸Pekin, Illinois, United States
Mental Health Association of South Central Kansas
🇺🇸Wichita, Kansas, United States
Cornerstone Montgomery
🇺🇸Silver Spring, Maryland, United States
Communicare
🇺🇸Radcliff, Kentucky, United States
Pathways
🇺🇸Waldorf, Maryland, United States
RISE
🇺🇸Minneapolis, Minnesota, United States
Family Service League The Olsten Family Center
🇺🇸Mattituck, New York, United States
Greater Cincinnati Behavioral Health Services
🇺🇸Cincinnati, Ohio, United States
The Nord Center
🇺🇸Sheffield, Ohio, United States
Mental Health Association Oklahoma
🇺🇸Tulsa, Oklahoma, United States
Cascadia
🇺🇸Portland, Oregon, United States
Anderson-Oconee-Pickens Mental Health Center
🇺🇸Anderson, South Carolina, United States
Frontier Health
🇺🇸Kingsport, Tennessee, United States
Helen Ross McNabb Center
🇺🇸Knoxville, Tennessee, United States
Sunrise Services
🇺🇸Mount Vernon, Washington, United States
Trilogy
🇺🇸Chicago, Illinois, United States
Vinfen
🇺🇸Boston, Massachusetts, United States