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published_or_final_version / Criminology / Master / Master of Social Sciences

This study was designed to identify correlates of success in Supported Employment (SE) programs for persons with psychiatric disabilities. Indiana policy-makers are seriously considering a managed care, or "capitated," system of payment to make SE provider programs more efficient economically. However, many agencies are concerned about providing services to more severely impaired individuals because of the potentially higher costs of serving these individuals. Two studies are included in this project. The goals of the first study were to identify SE consumer (clinical) characteristics that predict (1) successful outcomes, defined as whether the consumer achieves gainful work, and (2) program costs, defined as the amounts of SE service hours utilized by consumers who obtain work. In two large samples of SE consumers with serious mental illness, no clinical characteristics (e.g., diagnosis, rated functioning, hospitalization history) were associated with vocational outcome or service costs. The goal of the second study was to describe the types and amounts of services utilized by SE consumers who obtain work. Specific service categories associated with obtaining work were travel, training, and advocacy that was unrelated to the consumer's job. The implications of these findings are discussed in the framework of the debate over clinical versus empirical prediction. The need for a theoretical model of SE services that allows the use of predictive clinical and consumer driven services is also discussed. / Department of Psychological Science

There is growing evidence of the important role that family members play in the support and recovery of individuals diagnosed with a serious mental illness. The National Alliance for the Mentally Ill (NAMI) Provider Education Program (PEP) trains providers of mental health services to work collaboratively with families in the treatment of individuals with a mental illness. This study examines the effect of the NAMI-PEP on Assertive Community Treatment (ACT) provider representations of and services provided to families at Frontenac Community Mental Health Services. Qualitative and quantitative methods of research are combined to explore ACT provider beliefs about, feelings toward and services provided to families before and after participating the NAMI-PEP. Findings suggest that the NAMI-PEP is effective in initiating changes in provider representations of family at a cognitive level. Changes in provider views are detected indicating movement toward a strengths-based orientation and an improved understanding of the components of collaborative practice with families. Analysis of changes to ACT practice patterns illuminates the challenges of implementing cultural change at an organizational level and identifies a fertile area for further research.

Thesis (Ph.D.)--Purdue University, 2010. / Title from screen (viewed on April 1, 2010). Department of Psychology, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Gary R. Bond. Includes vitae. Includes bibliographical references (leaves 68-77).

Thesis (M.P.A.)--University of Hong Kong, 1994. / Includes bibliographical references.