Work-Focused Interventions for Depression: Final Report
Gary R. Bond, Debra Lerner, Robert E. Drake, Cheryl Reidy, and Jacky Choi
Westat
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Work-Focused Interventions for Depression: Final Report
Among employed adults, major depression is a leading cause of work absences (absenteeism) and impaired work performance (presenteeism) as well as short-term and long-term work disability. Depression is one of the largest and fastest growing categories of work disability claims filings in the public and private disability insurance sectors. Despite
DeprInterv.pdf
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Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. APPENDIX C: Data and Methodology for the SIPP Analysis
For this analysis, we pooled the 1996, 2001, and 2004 panels of the SIPP, a nationally representative sample of the non-institutionalized civilian population who are 15 years old and older. SIPP respondents are interviewed once every four months for the duration of the survey panel. During each interview, they provide information about the precedi
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. APPENDIX D: Supplemental Tables for Pre-Application Work Activity and Program Participation of SSDI Applicants and At-Risk Group Members
TABLE D.1 . Employment and Income Characteristics of SSDI Applicants
37-42 Months
Before SSDI
Application
31-36 Months
Before SSDI
Application
25-30 Months
Before SSDI
Application
19-24 Months
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. APPENDIX B: Methodology for the Literature Searches
In this appendix, we detail the methodology we employed to conduct two targeted literature searches: one on employment programs and outcomes for people with psychiatric disorders and one on employment programs and outcomes for people with other disabilities. The literature search and review process for both searches consisted of five stages: (1) s
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. APPENDIX A: Evidence Tables
TABLE A.1 . Evidence for Improving Employment Outcomes Through SE: Studies Included in Systematic Reviews
Systematic
Review
Source(s)
Study
Author,
Country a
Study
Design a
Intervention
(sample size) b
Exploratory Study of Health Care Coverage and Employment of People with Disabilities: Final Report
U.S. Department of Health and Human Services
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities
Bonnie O'Day, Crystal Blyler, Anna Collins, Benjamin Fischer, Claire Gill, Todd Honeycutt, Rebecca Kleinman, Frank Martin, Joseph Mastrianni, Eric Morris, Lisa Schottenfeld, Allison Thompkins, Allison Wishon-Siegwarth, and Michelle Bailey
Mathematica Policy Research
Abstract
Pre-Application Activities of Social Security Disability Insurance Applicants
Recent interest among policymakers in helping Social Security Disability Insurance (SSDI)
beneficiaries return to work has increased the desire for knowledge about the employment activities of
people with disabilities before they apply for benefits. Learning about the participation of applicants
in programs designed to support employment and pr
SSDIpaaIB.pdf
Completing the Picture: Key Features of the Social Security Disability Insurance Program
Social Security Disability Insurance (SSDI), a program operated by the Social Security
Administration, insures workers and their families against the inability to work because of a disability.
As such, it provides a vital safety net for millions of Americans. However, conflicting statistics and
differing perspectives on the program have given r
SSDIfeaIB.pdf
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities
To answer questions on what services and barriers people with psychiatric disorders face, the authors
conducted two targeted literature reviews: (1) employment programs and outcomes for people with
psychiatric disorders; and (2) employment programs for people with other disabilities. Also analyzed
was data from the Survey of Income and Program
EmpOut.pdf
ASPE Technical Expert Panel on Earlier Intervention for Serious Mental Illness: Summary of Major Themes
Current disability policy provides support for people with a mental illness once they are no longer able to work and thus qualify for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). The concept of earlier intervention involves providing services and supports for people before they are disabled enough to qualify f
TEPonEI.pdf
Exploratory Study of Health Care Coverage and Employment of People with Disabilities: Final Report
Most policymakers agree that the current structure of the Social Security Administration's disability programs creates substantial work disincentives for people with disabilities. One set of policy options concerns changing the links both between Medicare and the Social Security Disability Insurance (SSDI) program, and between Medicaid and the Sup
eshccrpt.pdf
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. Notes
IPS programs have been formally assessed regarding adherence, or fidelity, to these evidence-based principles. We use "evidence-based SE" rather than "IPS" in this report because programs we examined may not necessarily have been assessed for fidelity, although they are built upon the evidence-based principles (Bond et al. 2012).
See
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. References
Adler, D., T. McLaughlin, W. Rogers, H. Chang, L. Lapitsky, & D. Lerner. "Job Deficits Due to Depression." American Journal of Psychiatry , 2006, pp.1569-1576.
Altarum Institute. "Analysis of Affordable Care Act in Relation to the Employment of Persons with Disabilities."Ann Arbor, MI: Altarum Institute, 2010a.
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. VII. Conclusion
Our literature review found that evidence-based SE provides the strongest evidence for helping people with SMI to find work, but there is little strong evidence for positive long-term outcomes. The absence of improved long-term outcomes may result from work disincentives built into Social Security disability and Medicaid programs that discourage m
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. C. Conclusion
The ACA contains many important provisions that will improve access to health insurance coverage and health care for individuals with disabilities, including those with SMI and other psychiatric disorders. Because some provisions have the potential to expand access to coverage, the ACA is a significant step toward breaking the link between eligibi
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. B. Elements of the Affordable Care Act That Might Affect Individuals with Psychiatric Disorders and Other Disabilities
Individuals with psychiatric disorders and other disabilities frequently require ongoing medical treatment, mental health services, in-home assistance, and other support to secure and maintain employment. Health insurance is, therefore, a critical factor regarding their ability to work. Some aspects of the ACA might help this population gain insur
Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities. A. Introduction
In this chapter, we describe provisions of the ACA that extend health insurance coverage and increase access to appropriate services to individuals with disabilities, including psychiatric disorders. The ACA contains a number of provisions that have the potential to impact individuals with disabilities and their ability to seek or maintain employm
