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A central issue is the ability of a person to hold a regular full-time job for a sustained period of time.
Over the past quarter century a shift has occurred from traditional institution-based models of care for persons with severe mental illness (SMI) to more individualized community-based treatments.
Along with this, there has been a significant shift in thought about the potential for persons with SMI to be "rehabilitated" toward lifestyles that more closely approximate those of persons without such illness.
The idea that this model could be generalized to persons with all types of severe disabilities, including severe mental illness, became commonly accepted (Chadsey-Rusch & Rusch, 1986).
One of the more notable SE programs was developed at Thresholds, the site for the present study, which created a new staff position called the mobile job support worker (MJSW) and removed the common six month time limit for many placements.
To date, there have been no formal studies of the effects of psychiatric rehabilitation programs on key illness-related outcomes.
To address this issue, this study seeks to examine the effects of a new program of supported employment on psychosocial outcomes for persons with SMI.The suspension of time limits on job placements, along with MJSW support, became the basis of SE services delivered at Thresholds.There are two key psychosocial outcome constructs of interest in this study. This would include the specification of severity of cognitive and affective symptomotology as well as the overall level of psychological functioning. The population that is accessible to this study consists of all persons who were clients of the Thresholds Agency in Chicago, Illinois between the dates of March 1, 1993 and February 28, 1995 who met the following criteria: 1) a history of severe mental illness (e.g., either schizophrenia, severe depression or manic-depression); 2) a willingness to achieve paid employment; 3) their primary diagnosis must not include chronic alcoholism or hard drug use; and 4) they must be 18 years of age or older.First, except for the title page, the running header should appear in the upper right corner of every page with the page number below it.Second, paragraphs and text should be double spaced and the start of each paragraph should be indented.The SE program involves extended individualized supported employment for clients through a Mobile Job Support Worker (MJSW) who maintains contact with the client after job placement and supports the client in a variety of ways.A 50% simple random sample was taken of all persons who entered the Thresholds Agency between 3/1/93 and 2/28/95 and who met study criteria.This paper should be used only as an example of a research paper write-up.Horizontal rules signify the top and bottom edges of pages.The resulting 484 cases were randomly assigned to either the SE condition (treatment group) or the usual protocol (control group) which consisted of life skills training and employment in an in-house sheltered workshop setting.All participants were measured at intake and at 3 months after beginning employment, on two measures of psychological functioning (the BPRS and GAS) and two measures of self esteem (RSE and ESE).