The Experts below are selected from a list of 116517 Experts worldwide ranked by ideXlab platform
Cliff Leong - One of the best experts on this subject based on the ideXlab platform.
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Enhancing Employment Services for People with Severe Mental Illness: The Challenge of the Australian Service Environment
The Australian and New Zealand journal of psychiatry, 2006Co-Authors: Robert King, Geoffrey Waghorn, Chris Lloyd, Pat Mcleod, Terene Mcmah, Cliff LeongAbstract:Objectives: Comparatively few people with severe mental illness are employed despite evidence that many people within this group wish to obtain, can obtain and sustain Employment, and that Employment can contribute to recovery. This investigation aimed to: (i) describe the current policy and service environment within which people with severe mental illness receive Employment Services; (ii) identify evidence-based practices that improve Employment outcomes for people with severe mental illness; (iii) determine the extent to which the current Australian policy environment is consistent with the implementation of evidence-based Employment Services for people with severe mental illness; and (iv) identify methods and priorities for enhancing Employment Services for Australians with severe mental illness through implementation of evidence-based practices.Method: Current Australian practices were identified, having reference to policy and legal documents, funding body requirements and anecdotal reports. Evidenc...
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Enhancing Employment Services for people with severe mental illness: the challenge of the Australian service environment
2006Co-Authors: Robert King, Geoffrey Waghorn, Chris Lloyd, Pat Mcleod, Terene Mcmah, Cliff LeongAbstract:Objectives: Comparatively few people with severe mental illness are employed despite evidence that many people within this group wish to obtain, can obtain and sustain Employment, and that Employment can contribute to recovery. This investigation aimed to: (i) describe the current policy and service environment within which people with severe mental illness receive Employment Services; (ii) identify evidence-based practices that improve Employment outcomes for people with severe mental illness; (iii) determine the extent to which the current Australian policy environment is consistent with the implementation of evidence-based Employment Services for people with severe mental illness; and (iv) identify methods and priorities for enhancing Employment Services for Australians with severe mental illness through implementation of evidence-based practices. Method: Current Australian practices were identified, having reference to policy and legal documents, funding body requirements and anecdotal reports. Evidence-based Employment Services for people with severe mental illness were identified through examination of published reviews and the results of recent controlled trials. Results: Current policy settings support the provision of Employment Services for people with severe mental illness separate from clinical Services. Recent studies have identified integration of clinical and Employment Services as a major factor in the effectiveness of Employment Services. This is usually achieved through co-location of Employment and mental health Services. Conclusions: Optimal evidence-based Employment Services are needed by Australians with severe mental illness. Providing optimal Services is a challenge in the current policy environment. Service integration may be achieved through enhanced intersectoral links between Employment and mental health service providers as well as by co-locating Employment specialists within a mental health care setting.
Robert King - One of the best experts on this subject based on the ideXlab platform.
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Enhancing Employment Services for People with Severe Mental Illness: The Challenge of the Australian Service Environment
The Australian and New Zealand journal of psychiatry, 2006Co-Authors: Robert King, Geoffrey Waghorn, Chris Lloyd, Pat Mcleod, Terene Mcmah, Cliff LeongAbstract:Objectives: Comparatively few people with severe mental illness are employed despite evidence that many people within this group wish to obtain, can obtain and sustain Employment, and that Employment can contribute to recovery. This investigation aimed to: (i) describe the current policy and service environment within which people with severe mental illness receive Employment Services; (ii) identify evidence-based practices that improve Employment outcomes for people with severe mental illness; (iii) determine the extent to which the current Australian policy environment is consistent with the implementation of evidence-based Employment Services for people with severe mental illness; and (iv) identify methods and priorities for enhancing Employment Services for Australians with severe mental illness through implementation of evidence-based practices.Method: Current Australian practices were identified, having reference to policy and legal documents, funding body requirements and anecdotal reports. Evidenc...
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Enhancing Employment Services for people with severe mental illness: the challenge of the Australian service environment
2006Co-Authors: Robert King, Geoffrey Waghorn, Chris Lloyd, Pat Mcleod, Terene Mcmah, Cliff LeongAbstract:Objectives: Comparatively few people with severe mental illness are employed despite evidence that many people within this group wish to obtain, can obtain and sustain Employment, and that Employment can contribute to recovery. This investigation aimed to: (i) describe the current policy and service environment within which people with severe mental illness receive Employment Services; (ii) identify evidence-based practices that improve Employment outcomes for people with severe mental illness; (iii) determine the extent to which the current Australian policy environment is consistent with the implementation of evidence-based Employment Services for people with severe mental illness; and (iv) identify methods and priorities for enhancing Employment Services for Australians with severe mental illness through implementation of evidence-based practices. Method: Current Australian practices were identified, having reference to policy and legal documents, funding body requirements and anecdotal reports. Evidence-based Employment Services for people with severe mental illness were identified through examination of published reviews and the results of recent controlled trials. Results: Current policy settings support the provision of Employment Services for people with severe mental illness separate from clinical Services. Recent studies have identified integration of clinical and Employment Services as a major factor in the effectiveness of Employment Services. This is usually achieved through co-location of Employment and mental health Services. Conclusions: Optimal evidence-based Employment Services are needed by Australians with severe mental illness. Providing optimal Services is a challenge in the current policy environment. Service integration may be achieved through enhanced intersectoral links between Employment and mental health service providers as well as by co-locating Employment specialists within a mental health care setting.
Kara Zivin - One of the best experts on this subject based on the ideXlab platform.
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competitive Employment outcomes among veterans in vha therapeutic and supported Employment Services programs
Psychiatric Services, 2017Co-Authors: Kristen M. Abraham, Matheos Yosef, Sandra G. Resnick, Kara ZivinAbstract:Objective:The study assessed whether receiving specific types of Veterans Health Administration (VHA) Therapeutic and Supported Employment Services (TSES) between fiscal years (FYs) 2006 and 2010 (a time frame that encompasses the Great Recession) was associated with obtaining competitive Employment among veterans with mental illnesses.Methods:The sample included 38,199 veterans discharged from the VHA’s TSES program in FY 2006 through FY 2010. On the basis of program monitoring forms completed by TSES clinicians and workload data, veterans were classified as having received one main type of Employment service: supported Employment (SE), transitional work in the community (TW-community), transitional work in a Department of Veterans Affairs medical center (TW-VA), incentive therapy or sheltered workshop (IT/SW), and no main type of Employment service.Results:Compared with veterans who received TW-VA, those who received SE (odds ratio [OR]=1.25) or TW-community (OR=1.24) were more likely to be competitivel...
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occupational functioning and Employment Services use among va primary care patients with posttraumatic stress disorder
Psychological Trauma: Theory Research Practice and Policy, 2016Co-Authors: Rebecca K Sripada, Matheos Yosef, Jennifer Henry, Debra Siegel Levine, Kipling M Bohnert, Erin M Miller, Kara ZivinAbstract:OBJECTIVE Veterans with posttraumatic stress disorder (PTSD) exhibit high levels of unEmployment. The Department of Veterans Affairs' Veterans Health Administration (VHA) offers a variety of Employment Services; however, few veterans with PTSD use these Services. Because many veterans with mental health conditions are seen in primary care clinics, Employment service needs may be best addressed in this setting. The current study was designed to assess Employment status and support needs in VHA primary care patients who screen positive for PTSD. METHOD In the study, 287 working-age VHA patients with recent primary care use completed web-based surveys that assessed Employment status, PTSD symptoms, Employment support preferences, and barriers to service usage. RESULTS Individuals who screened positive for PTSD were less likely to be employed than were those without PTSD (55% vs. 69%; p = .03). After adjusting for sociodemographic characteristics, individuals with PTSD had higher barriers to Employment (β = 3.52, p < .001) and higher barriers to Employment service use (β = 0.57, p = .02). Only 14% of those with PTSD had used VHA Employment Services, but 86% said they would use those Services. CONCLUSIONS Although the single site included in the study may not be representative of all VHA primary care clinics, our results suggest that there is high need for and substantial interest in VHA Employment Services among VHA patients with PTSD. Future work should focus on implementing Employment support Services for individuals with PTSD in primary care settings. (PsycINFO Database Record
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Receipt of Employment Services among Veterans Health Administration users with psychiatric diagnoses.
Journal of rehabilitation research and development, 2014Co-Authors: Kristen M. Abraham, Dara Ganoczy, Matheos Yosef, Sandra G. Resnick, Kara ZivinAbstract:This study examined the population-based reach of Veterans Health Administration (VHA) Employment Services to VHA patients with psychiatric diagnoses. Reach of Services includes the percentage and characteristics of people who accessed Services compared with those who did not. Using clinical administrative data, we identified patients with a psychiatric diagnosis among a random sample of all patients who received VHA Services in 1 yr. Among VHA patients with psychiatric diagnoses, we examined their likelihood of receiving any VHA Employment Services and specific types of Employment Services, including supported Employment, transitional work, incentive therapy, and vocational assistance. We identified clinical and demographic characteristics associated with receiving Employment Services. Results indicated that 4.2% of VHA patients with a psychiatric diagnosis received Employment Services. After adjusting for clinical and demographic characteristics, VHA patients with schizophrenia and bipolar disorder were more likely to receive any Employment Services and to receive supported Employment than were patients with depression, PTSD, or other anxiety disorders. VHA patients with depression and PTSD were more likely to receive transitional work and vocational assistance than patients with schizophrenia. Future studies should examine system-level barriers to receiving Employment Services and identify types of Employment Services most appropriate for Veterans with different psychiatric diagnoses.
Geoffrey Waghorn - One of the best experts on this subject based on the ideXlab platform.
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Developing high performing Employment Services for people with mental illness
International Journal of Therapy and Rehabilitation, 2009Co-Authors: Deborah J. Browne, Adel Stephenson, Jules Wright, Geoffrey WaghornAbstract:Aims This analysis examined Employment outcomes achieved by a supported Employment service in Hawke's Bay, New Zealand. The evaluation aimed to identify opportunities and challenges for ongoing service development, and to demonstrate how other Employment Services can use these methods and benchmarks in service development. Methods Service performance over 4 years was examined on multiple levels, and compared with outcomes recently reported by published international controlled trials with high fidelity to evidence-based practice in supported Employment. Findings As a segregated supported Employment service, there were no formal arrangements to coordinate Employment Services with local mental health Services. Despite this limitation, the service was high performing on a range of Employment outcome variables. Conclusions With challenging economic times ahead, this analysis provides a timely framework for allied health professionals, supported Employment and vocational rehabilitation service providers, to re...
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implementing evidence based Employment Services in new zealand for young adults with psychosis progress during the first five years
British Journal of Occupational Therapy, 2007Co-Authors: Nikki Porteous, Geoffrey WaghornAbstract:This practice evaluation demonstrates how occupational therapists can play a key role in providing vocational Services for young people experiencing a first episode of psychosis. By implementing the evidence-based Individual Placement and Support model, occupational therapists can expand their traditional roles to provide Services that integrate functional recovery with clinical recovery. This New Zealand programme achieved vocational outcomes of between 49% and 59% over a 4-year period. The lessons learned from these experiences add to the body of international knowledge on how best to implement evidence-based Employment Services for young people with mental health problems.
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Enhancing Employment Services for People with Severe Mental Illness: The Challenge of the Australian Service Environment
The Australian and New Zealand journal of psychiatry, 2006Co-Authors: Robert King, Geoffrey Waghorn, Chris Lloyd, Pat Mcleod, Terene Mcmah, Cliff LeongAbstract:Objectives: Comparatively few people with severe mental illness are employed despite evidence that many people within this group wish to obtain, can obtain and sustain Employment, and that Employment can contribute to recovery. This investigation aimed to: (i) describe the current policy and service environment within which people with severe mental illness receive Employment Services; (ii) identify evidence-based practices that improve Employment outcomes for people with severe mental illness; (iii) determine the extent to which the current Australian policy environment is consistent with the implementation of evidence-based Employment Services for people with severe mental illness; and (iv) identify methods and priorities for enhancing Employment Services for Australians with severe mental illness through implementation of evidence-based practices.Method: Current Australian practices were identified, having reference to policy and legal documents, funding body requirements and anecdotal reports. Evidenc...
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Enhancing Employment Services for people with severe mental illness: the challenge of the Australian service environment
2006Co-Authors: Robert King, Geoffrey Waghorn, Chris Lloyd, Pat Mcleod, Terene Mcmah, Cliff LeongAbstract:Objectives: Comparatively few people with severe mental illness are employed despite evidence that many people within this group wish to obtain, can obtain and sustain Employment, and that Employment can contribute to recovery. This investigation aimed to: (i) describe the current policy and service environment within which people with severe mental illness receive Employment Services; (ii) identify evidence-based practices that improve Employment outcomes for people with severe mental illness; (iii) determine the extent to which the current Australian policy environment is consistent with the implementation of evidence-based Employment Services for people with severe mental illness; and (iv) identify methods and priorities for enhancing Employment Services for Australians with severe mental illness through implementation of evidence-based practices. Method: Current Australian practices were identified, having reference to policy and legal documents, funding body requirements and anecdotal reports. Evidence-based Employment Services for people with severe mental illness were identified through examination of published reviews and the results of recent controlled trials. Results: Current policy settings support the provision of Employment Services for people with severe mental illness separate from clinical Services. Recent studies have identified integration of clinical and Employment Services as a major factor in the effectiveness of Employment Services. This is usually achieved through co-location of Employment and mental health Services. Conclusions: Optimal evidence-based Employment Services are needed by Australians with severe mental illness. Providing optimal Services is a challenge in the current policy environment. Service integration may be achieved through enhanced intersectoral links between Employment and mental health service providers as well as by co-locating Employment specialists within a mental health care setting.
Terry Carney - One of the best experts on this subject based on the ideXlab platform.
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the rudd government s Employment Services agenda is it post npm and why is that important
2010Co-Authors: Gaby Ramia, Terry CarneyAbstract:Perhaps the most potent symbol of the Howard Government’s faith in NPM was the Job Network. Interrogating the Rudd Government’s replacement package, this article assesses whether the recent restructuring of Employment Services constitutes a post-NPM environment. It is argued that there are major post-NPM elements, seen most clearly in: the softening of jobseeker sanctions; greater deliberation on policy direction and results; a more inclusive Employment super-ministry and reliance on other ‘horizontal’ governance reforms; and enhanced government resources for multiple-disadvantage clients. However, categorising these changes as post-NPM is problematic because the steering mechanism remains the market-based contract, a central NPM characteristic. Theoretical difficulties in applying paradigmatic concepts to Services provide additional barriers to conclusive assessments, though the Rudd Government’s Employment Services regime provides a basis for taking stock in the post-NPM debate.
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the rudd government s Employment Services agenda is it post npm and why is that important
Australian Journal of Public Administration, 2010Co-Authors: Gaby Ramia, Terry CarneyAbstract:Perhaps the most potent symbol of the Howard government's faith in New Public Management (NPM) was the Job Network. Interrogating the Rudd government's replacement package, this article assesses whether the recent restructuring of Employment Services constitutes a post-NPM environment. It is argued that there are major post-NPM elements, seen most clearly in: the softening of jobseeker sanctions; greater deliberation on policy direction and results; a more inclusive Employment super-ministry and reliance on other ‘horizontal’ governance reforms; and enhanced government resources for multiple-disadvantage clients. However, categorising these changes as post-NPM is problematic because the steering mechanism remains the market-based contract, a central NPM characteristic. Theoretical difficulties in applying paradigmatic concepts to Services provide additional barriers to conclusive assessments, though the Rudd government's Employment Services regime provides a basis for taking stock in the post-NPM debate.