Traditional approaches to vocational rehabilitation, such as skills training classes, job clubs, and sheltered employment, have not been successful in helping people with severe mental illness gain competitive employment. Supported employment, in which clients are placed in jobs and then trained by on-site coaches, is a radically new conceptual approach to vocational rehabilitation designed for people with developmental disabilities. The Individual Placement and Support (IPS) method utilizes the supported employment concept, but modifies it for use with the severely mentally ill. It is the only approach that has a strong empirical research base: rates of competitive employment are 40% or more in IPS programs, compared to 15% in traditional mental health programs. The third volume in the Innovations in Practice and Service Delivery with Vulnerable Populations series, this will be extremely useful to students in psychiatric rehabilitation programs and social work classes dealing with the severely mentally ill, as well as to practitioners in the field.

Employment is the highest priority for many people with severe mental illness and it is a central aspect of recovery. Over the past two decades, the Individual Placement and Support (IPS) model of supported employment has emerged as the prominent evidence-based approach to vocational rehabilitation. This comprehensive monograph synthesizes the research and experience on IPS supported employment: historical context, core principles, effectiveness, long-term outcomes, non-vocational outcomes, cost-effectiveness, generalizability, fidelity, implementation, policy, and future research. A collaboration of the top researchers in the area, this book will have broad appeal to professionals and researchers working with populations with psychiatric disabilities and in community mental health and social service settings. In tracing the evolution of IPS, readers are equipped with an elegant example of the transition from needs assessment, to model development, to testing, and to dissemination.

Co-occurring mental illness and addiction are brain diseases that affect individuals, families, and communities regardless of socioeconomic status, ethnicity, or upbringing. There is no magic bullet for these chronic illnesses, but there are effective treatments through which recovery is achieved. When the Door Opened tells the authentic stories of twelve men who have experienced treatment and recovery from co-occurring mental illness and substance use disorders. Mary Ryan Woods, RNC, and Katherine Armstrong interviewed current and past participants from WestBridge, a dual diagnosis treatment program. Based on their dialogue, each chapter shares the raw memories and candid reflections of one man regarding his journey. Every individual who experiences treatment for co-occurring disorders defines recovery uniquely. By giving voice to these experiences, we can decrease the misconceptions and stigma faced by individuals in recovery from mental illness and substance use disorders.

This comprehensive clinical handbook provides virtually everything needed to plan, deliver, and evaluate effective treatment for persons with substance abuse problems and persistent mental illness. From authors at the forefront of the dual disorders field, the book is grounded in decades of influential research. Presented are clear guidelines for developing integrated treatment programs, performing state-of-the-art assessments, and implementing a wide range of individual, group, and family interventions. Also addressed are residential and other housing services, involuntary interventions, vocational rehabilitation, and psychopharmacology for dual disorders. Throughout, the emphasis is on workable ways to combine psychiatric and substance abuse services into a cohesive, unitary system of care. Designed in a convenient 8 " x 11" format, the volume contains all needed assessment forms, treatment planning materials, and client handouts, most of which include permission to photocopy. Photocopy Rights: The Publisher grants individual book purchasers nonassignable permission to reproduce selected materials in this book for professional use. For details and limitations, see copyright page. Key Features: * The first book to present an evidence-based integrated treatment framework for dual disorders. * Authors have national reputation; Mueser speaks often. * Tons of reproducibles, handouts, assessments for real clinical practice. * Comprehensive: every aspect of treatment addressed. * For both psychiatric and addictions professionals.

As the philosophy, major tenets, and techniques of the movement have evolved, evidence-based medicine has strongly influenced individual health care decision-making, the practices offered in health care programs, and the structure of medical and public health systems. Evidence-based medicine has also begun to influence the field of mental health. As support for evidence-based medicine grows in mental health, the need to clarify its fundamental principles also increases. In dealing with the new era of evidence-based practice, mental health practitioners are now confronted with a sense of obligation to understand these practices and to implement them in order to provide the best available services to consumers. This book explores some of the complex challenges in implementing EBPs, and highlights the meaningful opportunities that are inherent in this paradigm shift. This comprehensive textbook will become an essential primer for all practitioners and students who are grappling with the new age of evidence-based practice.