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Toward a Social Cost-Effectiveness Analysis of Programs to Expand Supported Employment Services: An Interpretive Review of the Literature

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Unlike traditional vocational rehabilitation programs that provide extensive training prior to job placement, Individual Placement and Support (IPS) supported employment (SE) focuses on placing individuals in jobs then tailoring post-placement training and support to the needs of the job. A large volume of compelling evidence has accumulated from random controlled trials demonstrating that IPS SE programs achieve higher rates of employment--and, in particular, competitive employment--compared traditional vocational rehabilitation services. Although evidence of the IPS SE model’s cost-effectiveness has been harder to document, it is promising, especially when substituting for services that have little or no rehabilitative potential. [50 PDF pages]