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A Working Life for People with Severe Mental Illness.



A Working Life for People with Severe Mental Illness. Becker, D. R., & Drake, R. E. New York City New York City: see New York, city.
New York City

City (pop., 2000: 8,008,278), southeastern New York, at the mouth of the Hudson River. The largest city in the U.S.
, New York New York, state, United States
New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of
: Oxford University Press 2003, 214 pages, $50 Hardcover

Deborah Becker and Robert Drake are clinical rehabilitation rehabilitation: see physical therapy.  specialists at the Dartmouth School of Medicine in New Hampshire New Hampshire, one of the New England states of the NE United States. It is bordered by Massachusetts (S), Vermont, with the Connecticut R. forming the boundary (W), the Canadian province of Quebec (NW), and Maine and a short strip of the Atlantic Ocean (E). . Their latest book, A Working Life for People with Severe Mental Illness, represents a milestone in the understanding of what constitutes effective vocational planning and outcomes for people with severe mental illness. The book challenges much of the conventional wisdom that pervades the field of psychiatric rehabilitation Psychiatric rehabilitation, also known as Psychosocial rehabilitation, is the process of restoration of community functioning and wellbeing of an individual who has a psychiatric disability (been diagnosed with a mental disorder).  by attempting to dispel many of the myths that society has about what people with mental illness are capable of accomplishing vocationally. The authors divide the book into three major parts. Chapters one to four of part one give professionals a comprehensive overview of the historical, conceptual, and theoretical foundations that underlie the individual placement and support approach to supported employment for individuals with severe mental illness. Becker and Drake argue that unlike most vocational rehabilitation programs Noun 1. vocational rehabilitation program - a program of rehabilitation through job training with an eye to gainful employment
rehabilitation program - a program for restoring someone to good health
 in the field of psychiatric rehabilitation that stress various types of pre-employment and social skills training before an individual with severe mental illness can be placed in a suitable job, the Individual Placement and Support (IPS (1) (Inches Per Second) The measurement of the speed of tape passing by a read/write head or paper passing through a pen plotter.

(2) (IPS) (Intrusion Prevention S
) intervention model is a consumer driven approach that allows employment specialists to place individuals with mental illness into competitive jobs of their choice in the community more quickly and effectively by giving them the individualized in·di·vid·u·al·ize  
tr.v. in·di·vid·u·al·ized, in·di·vid·u·al·iz·ing, in·di·vid·u·al·iz·es
1. To give individuality to.

2. To consider or treat individually; particularize.

3.
 supportive services they need to maintain employment once they are on the job. Becker and Drake continually stress throughout the book that individualized vocational services that are customized to the particular needs of each client are central to helping people with severe mental illness to achieve their vocational goals.

In chapter five, Becker and Drake review research findings that support the implementation of the IPS service model. They argue that studies have found that the IPS approach to vocational services has many practical organizational advantages over more traditional vocational rehabilitation programs that provide services to people with mental illness. IPS provides consumers with a more integrated, better coordinated service delivery system that allows vocational rehabilitation Noun 1. vocational rehabilitation - providing training in a specific trade with the aim of gaining employment
rehabilitation - the restoration of someone to a useful place in society
 specialists to work collaboratively with other members of the clinical team to find appropriate job matches for every client who wants to work. The authors point out that findings from scientific studies conducted in major cities around the country indicate that clients who participate in IPS driven vocational service programs have more successful vocational outcomes and are able to maintain employment longer. The studies also found that IPS clients tend to earn higher wages and are generally more satisfied with their jobs than those participating in traditional day treatment programs or sheltered workshop shel·tered workshop
n.
A workplace that provides a supportive environment where physically or mentally challenged persons can acquire job skills and vocational experience.

Noun 1.
 settings. The remainder of the chapter focuses on a review of studies that have examined non-vocational outcomes associated with IPS intervention as well as the economic cost and impact of these programs on clients with mental illness and service providers.

Chapters six to eleven of part two of the book provide a detailed description of the various stepwise stepwise

incremental; additional information is added at each step.


stepwise multiple regression
used when a large number of possible explanatory variables are available and there is difficulty interpreting the partial regression
 strategies that mental health agencies can utilize to implement IPS vocational service programs in their particular organization. The authors discuss some practical guidelines that agencies can use to integrate IPS into the range of clinical services they offer clients. Topics discussed include team building and planning, staff attitudes and training, commitment of resources, setting up eligibility requirements for IPS programs, client referral, record keeping, outcome measurement techniques, vocational assessment methods, the role of workplace and family supports in the rehabilitation process, and job search and follow up techniques that help clients find and maintain employment. Detailed case histories are used throughout to illustrate how employment specialists can apply the philosophical principles of IPS intervention to real life client oriented vocational situations.

Chapters twelve to fifteen of part three of the book provide rehabilitation professionals with a detailed understanding of some of the special issues that employment specialists must deal with when they attempt to implement IPS intervention services with their clients. Topics addressed in these chapters include employment and the dually diagnosed individual with a history of drug and alcohol use, special problems associated with finding suitable job placements for individuals with severe mental illness with high levels of skill and education, utilizing supported education as a way of helping clients develop job skills that will increase their employability, and the need for employment specialists and other team members to develop cultural sensitivity that will allow them to deliver culturally competent employment and other clinical services to diverse client populations. Once again, as in part two, the authors draw upon the use of illustrative il·lus·tra·tive  
adj.
Acting or serving as an illustration.



il·lustra·tive·ly adv.

Adj. 1.
 case vignettes in each chapter to highlight the special issues discussed along with a set of practical recommendations for service providers.

From the perspective of this reviewer, A Working Life for People with Severe Mental Illness is an excellent book that should be on the reading list of university faculty teaching courses that train rehabilitation counselors and other mental health professionals to provide employment and other clinical rehabilitation services to individuals with severe mental illness. The book would also make an extremely useful educational resource for clinicians who work in community mental health agencies that provide treatment services to clients with mental illness and their families.

Mitchell A. Kaplan PhD, CPSP CPSP Comprehensive Perinatal Services Program
CPSP Canadian Paediatric Surveillance Program
CPSP College of Physicians and Surgeons Pakistan
CPSP Consumer Product Safety Commission
CPSP Continuity Preserving Signal Processing
CPSP Colorado Public Safety Partnership
 

Research Project Manager

Institute for Education and Research on Pain and

Palliative Care palliative care (paˑ·lē·ā·tiv kerˑ),
n an approach to health care that is concerned primarily with attending to physical and emotional comfort rather
 

Beth Israel Medical Center Beth Israel Medical Center is a hospital in New York City. It has four major locations providing health services. It acts as University Hospital and Manhattan Campus for the Albert Einstein College of Medicine of Yeshiva University. , New York City
COPYRIGHT 2006 National Rehabilitation Association
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2006, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Author:Drake, R. E.
Publication:The Journal of Rehabilitation
Article Type:Book review
Date:Jan 1, 2006
Words:902
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