Impacting Entry into Evidence-Based Supported Employment: A Population-Based Empirical Analysis of a Statewide Public Mental Health Program in Maryland

• Published in: Administration and policy in mental health and mental health services research Vol. 45; no. 2; pp. 328 - 341
• Main Authors: Salkever, David, Abrams, Michael, Baier, Kevin, Gibbons, Brent
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.03.2018; Springer Nature B.V
• Subjects: Access; Adolescent; Adult; Clinical Psychology; Community support; Demographics; Demography; Employment; Employment, Supported - standards; Employment, Supported - statistics & numerical data; Evidence-Based Practice - standards; Evidence-Based Practice - statistics & numerical data; Female; Funding; Government programs; Health Administration; Health education; Health Informatics; Humans; Initiatives; Male; Maryland; Medicaid; Medicaid - statistics & numerical data; Medicine; Medicine & Public Health; Mental disorders; Mental Disorders - rehabilitation; Mental health; Mental health care; Mental Health Services - standards; Mental Health Services - statistics & numerical data; Middle Aged; Occupational health; Original Article; Population; Psychiatry; Public Health; Rehabilitation; Rehabilitation, Vocational - standards; Rehabilitation, Vocational - statistics & numerical data; Supported employment; United States; Young Adult; United States; Maryland; United States > US; Medicaid; State mental health; Supported employment
• ISSN: 0894-587X; 1573-3289
• DOI: 10.1007/s10488-017-0827-9

We use discrete-time survival regression to study two empirical issues relating to take-up of individual placement and support (IPS) supported employment (SE) services for persons with serious mental illness: (1) the influence of client characteristics on take-up probability, and (2) the possible impacts of a major recent initiative in one state (Maryland) to overcome barriers to IPS-SE expansion. Our longitudinal analysis of population-based Medicaid cohorts, during 2002–2010, provides tentative evidence of positive state initiative impacts on SE take-up rates, and evidence of effects on take-up for clients’ diagnoses, prior work-history, health and demographic characteristics, and geographic accessibility to SE providers.