Disparities in Access to and Effectiveness of Evidence-based Supported employment for Persons with Co-occurring Serious Mental Illness (SMI) and Substance Use Disorder (SUD): Evidence from a State-wide Policy Intervention
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Type of Work10 pages
presentations (communicative events)
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Subjectsevidence-based practice supported employment
persons with co-occuring serious mental illness and substance use disorder
New results generated by a team of UMBC researchers (from The Hilltop Institute, the Department of Public Policy, and MIPAR) recently revealed that persons with serious mental illness (SMI) who also have co-occurring substance use disorders (SUD) appear less likely to use or benefit from programs designed to help them find work and stay employed. Based on careful Maryland Medicaid and public mental health system data exploration from the mid-2000s when “place and train” supported employment (SE) programming efforts were expanded in the state, researchers found that SE uptake rates were on the order of 1.6 to 2.8 percent among those with SMI and SUD, whereas the analogous range was significantly higher at 4.1 to 4.7 percent for those with SMI only. Moreover, among persons receiving SE at some point, follow-up data into the years 2007-2010 indicated that rates of employment for the co-occurring group was only 19 percent compared to 29 percent for the SMI group without SUD. Future work will consider apparent antecedents to these disparities toward the development of strategies to increase SE uptake among persons with SMI and SUD. Additional work will look at uptake correlates and strategies more broadly.