Supported Employment Demonstration



Status:Active, not recruiting
Healthy:No
Age Range:18 - 49
Updated:4/4/2019
Start Date:December 2, 2017
End Date:December 2021

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The purpose of this study is to determine whether offering an evidence-based package of
employment supports integrated with mental health services has a positive impact on
employment and clinical recovery, and delays or diminishes the need for disability benefits.

SSA contracted with Westat to implement and evaluate the Supported Employment Demonstration
(SED). The SED provides integrated mental health and vocational services to people with
mental illness who were recently denied Social Security disability benefits. The evaluation
will determine the impact of the SED on employment, clinical recovery, and receipt of
disability payments. The evaluation is using a randomized controlled trial design to compare
the outcomes of two treatment groups and a control group. In the full-service arm (n =
1,000), participants receive services from an Individual Placement and Support employment
specialist, a care manager, and a nurse care coordinator (NCC) who provides medication
management support, as well as modest funding for out-of-pocket prescriptions, essential
work-related expenses, and other services in the participant's treatment plan. The
basic-service arm (n=1,000), which is expected to cost about 50 percent less than the
full-service arm, provides all services and funds except the NCC. Participants in the usual
services (control) group (n = 1,000) seek services as they normally would but receive a
comprehensive guide to local, state, and national resources.

Data collection includes computer-assisted baseline (in-person) and blinded quarterly
(telephone) interviews with participants, collection of SSA administrative and site-level
program data, site visits (including fidelity assessments), qualitative interviews with site
administrators and service providers, focus groups with study participants, and
person-centered ethnographic interviews with participants and nonparticipants.

Inclusion Criteria:

- Individuals denied Social Security disability benefits (SSDI or SSI)

- Individuals alleging a mental impairment

- Live in Community Mental Health Agency (CMHA) catchment area

- Legally competent

- Express desire to improve work situation

Exclusion Criteria:

- Intellectual disability

- Reside in a nursing home or custodial institution

- Already receiving supported employment services from CMHA site
We found this trial at
46
sites
Denver, Colorado 80220
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Denver, CO
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Anderson, South Carolina 29625
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Anderson, SC
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Bardstown, Kentucky 40004
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Bardstown, KY
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Bay Shore, NY
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Bethesda, Maryland 20814
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Bethesda, MD
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Boston, Massachusetts 02118
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Boston, MA
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Brandenburg, Kentucky 40108
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Brandenburg, KY
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Bristol, Tennessee 37620
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Bristol, TN
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Chicago, Illinois 60623
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Chicago, IL
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Cincinnati, OH
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East Hampton, New York 11937
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East Hampton, NY
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Elizabethtown, Kentucky 42701
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Elizabethtown, KY
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Everett, Washington 98204
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Everett, WA
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Galesburg, Illinois 61401
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Galesburg, IL
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Greeneville, Tennessee 37743
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Greeneville, TN
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Hardinsburg, Kentucky 40143
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Hardinsburg, KY
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Hodgenville, Kentucky 42748
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Hodgenville, KY
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Hollywood, Maryland 20636
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Hollywood, MD
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Huntington, NY
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Johnson City, Tennessee 37601
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Johnson City, TN
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Kewanee, Illinois 61443
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Kewanee, IL
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Kingsport, Tennessee 37660
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Kingsport, TN
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Knoxville, Tennessee 37917
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Knoxville, TN
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Lancaster, California 93535
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Lancaster, CA
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Lebanon, Kentucky 40033
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Lebanon, KY
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Leitchfield, Kentucky 42754
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Lorain, Ohio 44055
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Lorain, OH
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Loves Park, Illinois 61111
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Loves Park, IL
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Macomb, Illinois 61455
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Macomb, IL
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Mastic, NY
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Mattituck, NY
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Milwaukie, Oregon 97267
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Milwaukie, OR
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Minneapolis, Minnesota 55418
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Minneapolis, MN
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Mount Vernon, Washington 98273
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Mount Vernon, WA
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Normal, Illinois 61761
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Normal, IL
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Pekin, Illinois 61554
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Pekin, IL
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Portland, Oregon 97206
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Portland, OR
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Radcliff, Kentucky 40160
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Radcliff, KY
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Rockville, Maryland 20850
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Rockville, MD
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Saint Petersburg, Florida 33713
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Saint Petersburg, FL
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Sheffield, Ohio 44035
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Sheffield, OH
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Silver Spring, Maryland 20902
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Silver Spring, MD
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Tulsa, Oklahoma 74114
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Tulsa, OK
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Upper Marlboro, Maryland 20775
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Upper Marlboro, MD
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Waldorf, Maryland 20601
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Waldorf, MD
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Wichita, KS
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