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Published in: Community Mental Health Journal 4/2008

01-08-2008 | Original Paper

Physical Wellness and Employment Status Among Adults with Serious Mental Illness

Authors: Richard W. Goldberg, Ann Hackman, Deborah R. Medoff, Clayton Brown, Li Juan Fang, Faith Dickerson, Julie Kreyenbuhl, Lisa Dixon

Published in: Community Mental Health Journal | Issue 4/2008

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Abstract

This study examined whether concurrent medical status contributes to employment outcomes among those with psychiatric disabilities. Thirty-five percent (n = 70) of the 200 participants reported being currently employed. Sixty-three percent (n = 127) reported one or more co-occurring medical conditions; thirty-six percent (n = 71) reported two or more, and twenty-one percent (n = 41) reported three or more co-occurring medical conditions. Individuals with higher self-ratings of physical health functioning were more likely to be employed. Neither the number of co-occurring medical conditions nor any specific medical condition was related to employment status. Recommendations to enhance existing models of supported employment programs with physical health and wellness promotion components are offered.
Literature
go back to reference Becker, D. R., & Drake, R. E. (1994). Individual placement and support: A community mental health center approach to vocational rehabilitation. Community Mental Health Journal, 30, 193–206.PubMedCrossRef Becker, D. R., & Drake, R. E. (1994). Individual placement and support: A community mental health center approach to vocational rehabilitation. Community Mental Health Journal, 30, 193–206.PubMedCrossRef
go back to reference Buist-Bouwmann, M. A., deGraaf, R., Vollebergh, W. A., & Ormel, J. (2005). Comorbidity of physical and mental disorders and the effect on work-loss days. Acta Psychiatrica Scandanavia, 111, 436–443.CrossRef Buist-Bouwmann, M. A., deGraaf, R., Vollebergh, W. A., & Ormel, J. (2005). Comorbidity of physical and mental disorders and the effect on work-loss days. Acta Psychiatrica Scandanavia, 111, 436–443.CrossRef
go back to reference Burke-Miller, J., Cook, J., Grey, D., Razzano, L., Blyler, C., Leff, H., Gold, P., Goldberg, R., Mueser, K., Cook, W., Hoppe, S., Stewart, M., Blankertz, L., Dudek, K., Taylor, A., & Carey, M. A. (2006). Demographic characteristics and employment among people with severe mental illness in a multi-site study. Community Mental Health Journal, 11, 1–17. Burke-Miller, J., Cook, J., Grey, D., Razzano, L., Blyler, C., Leff, H., Gold, P., Goldberg, R., Mueser, K., Cook, W., Hoppe, S., Stewart, M., Blankertz, L., Dudek, K., Taylor, A., & Carey, M. A. (2006). Demographic characteristics and employment among people with severe mental illness in a multi-site study. Community Mental Health Journal, 11, 1–17.
go back to reference Chwastiak, L., Rosenheck, R., McEnvoy, J. et al. (2006). Interrelationships of psychiatric symptom severity, medical comorbidity, and functioning in schizophrenia. Psychiatric Services, 57, 1102–1109.PubMedCrossRef Chwastiak, L., Rosenheck, R., McEnvoy, J. et al. (2006). Interrelationships of psychiatric symptom severity, medical comorbidity, and functioning in schizophrenia. Psychiatric Services, 57, 1102–1109.PubMedCrossRef
go back to reference Compton, M. T., Weiss, P. S., West, J. C., & Kaslow, N. J. (2005). The association between substance use disorders, schizophrenia spectrum disorders and Axis IV psychosocial problems. Social Psychiatry and Psychiatric Epidemiology, 40, 939–946.PubMedCrossRef Compton, M. T., Weiss, P. S., West, J. C., & Kaslow, N. J. (2005). The association between substance use disorders, schizophrenia spectrum disorders and Axis IV psychosocial problems. Social Psychiatry and Psychiatric Epidemiology, 40, 939–946.PubMedCrossRef
go back to reference Cook, J. A., Leff, H. S., Blyler, C. R., Gold, P. B., Goldberg, R. W., Mueser, K. T., Toprac, M. G., McFarlane, W. R., Shafer, M. S., Blankertz, L. E., Dudek, K., Razzano, L. A., Grey, D. D., & Burke-Miller, J. (2005). Results of multisite randomized trials of supported employment interventions for individuals with severe mental illness. Archives of General Psychiatry, 62, 505–512.PubMedCrossRef Cook, J. A., Leff, H. S., Blyler, C. R., Gold, P. B., Goldberg, R. W., Mueser, K. T., Toprac, M. G., McFarlane, W. R., Shafer, M. S., Blankertz, L. E., Dudek, K., Razzano, L. A., Grey, D. D., & Burke-Miller, J. (2005). Results of multisite randomized trials of supported employment interventions for individuals with severe mental illness. Archives of General Psychiatry, 62, 505–512.PubMedCrossRef
go back to reference Cook, J. A. (2006). Employment barriers for persons with psychiatric disabilities:update of a report for the President’s commission. Psychiatric Services, 57, 1391–1405.PubMedCrossRef Cook, J. A. (2006). Employment barriers for persons with psychiatric disabilities:update of a report for the President’s commission. Psychiatric Services, 57, 1391–1405.PubMedCrossRef
go back to reference Cook, J. A., Razzano, L. A., Burke-Miller, J. K., Blyler, C. R., Leff, H. S., Mueser, K. T., Gold, P. B., Goldberg, R. W., Shafer, M. S., Onken, S. J., McFarlane, W. R., Donegan, K., Carey M. A., Kaufmann, C., & Grey, D. D. (2007). Effects of co-occurring disorders on employment outcomes in a multisite randomized study of supported employment for people with severe mental illness. Journal of Rehabilitation Research and Development, 44(6), 837–850.PubMedCrossRef Cook, J. A., Razzano, L. A., Burke-Miller, J. K., Blyler, C. R., Leff, H. S., Mueser, K. T., Gold, P. B., Goldberg, R. W., Shafer, M. S., Onken, S. J., McFarlane, W. R., Donegan, K., Carey M. A., Kaufmann, C., & Grey, D. D. (2007). Effects of co-occurring disorders on employment outcomes in a multisite randomized study of supported employment for people with severe mental illness. Journal of Rehabilitation Research and Development, 44(6), 837–850.PubMedCrossRef
go back to reference Derogatis, L. R., Lipman, R. S., & Covi, L. (1973). The SCL-90: an outpatient psychiatric rating scale. Psychopharmacological Bulletin, 9, 13–28. Derogatis, L. R., Lipman, R. S., & Covi, L. (1973). The SCL-90: an outpatient psychiatric rating scale. Psychopharmacological Bulletin, 9, 13–28.
go back to reference Dickerson, F. B., McNary, S. W., Brown, C. H., Kreyenbuhl, J., Goldberg, R. W., & Dixon, L. B. (2003). Somatic healthcare utilization among adults with serious mental illness who are receiving community psychiatric services. Medical Care, 41, 560–570.PubMedCrossRef Dickerson, F. B., McNary, S. W., Brown, C. H., Kreyenbuhl, J., Goldberg, R. W., & Dixon, L. B. (2003). Somatic healthcare utilization among adults with serious mental illness who are receiving community psychiatric services. Medical Care, 41, 560–570.PubMedCrossRef
go back to reference Dixon, L., Weiden, P., Delahanty, J., Goldberg, R. W., Postrado, L., Lucksted, A., & Lehman, A. (2000). Prevalence and correlates of diabetes in national schizophrenia samples. Schizophrenia Bulletin, 26, 903–912.PubMed Dixon, L., Weiden, P., Delahanty, J., Goldberg, R. W., Postrado, L., Lucksted, A., & Lehman, A. (2000). Prevalence and correlates of diabetes in national schizophrenia samples. Schizophrenia Bulletin, 26, 903–912.PubMed
go back to reference Dixon, L., Goldberg, R. W., Lehman, A., & McNary, S. (2001). The impact of health status on work, symptoms, and functional outcomes in severe mental illness. Journal of Nervous and Mental Disorders, 189, 17–23.CrossRef Dixon, L., Goldberg, R. W., Lehman, A., & McNary, S. (2001). The impact of health status on work, symptoms, and functional outcomes in severe mental illness. Journal of Nervous and Mental Disorders, 189, 17–23.CrossRef
go back to reference Emptage, N. P., Strum, R., & Robinson, R. L. (2005). Depression and comorbid pain as predictors of disability, employment, insurance status and health care costs. Psychiatric Services, 56, 468–474.PubMedCrossRef Emptage, N. P., Strum, R., & Robinson, R. L. (2005). Depression and comorbid pain as predictors of disability, employment, insurance status and health care costs. Psychiatric Services, 56, 468–474.PubMedCrossRef
go back to reference Enger, C., Weatherby, L., & Reynolds, R. F. (2004). Serious cardiovascular events and mortality among patients with schizophrenia. Journal of Nervous and Mental Disease, 192, 19–27.PubMedCrossRef Enger, C., Weatherby, L., & Reynolds, R. F. (2004). Serious cardiovascular events and mortality among patients with schizophrenia. Journal of Nervous and Mental Disease, 192, 19–27.PubMedCrossRef
go back to reference Evans, J. D., Bond, G. R., Meyer, P. S., Kim, H. W., Lysaker, P. H., Gibson, P. J., & Tunis, S. (2004). Cognitive and clinical predictors of success in vocational rehabilitation in schizophrenia. Schizophrenia Research, 70, 331–342.PubMedCrossRef Evans, J. D., Bond, G. R., Meyer, P. S., Kim, H. W., Lysaker, P. H., Gibson, P. J., & Tunis, S. (2004). Cognitive and clinical predictors of success in vocational rehabilitation in schizophrenia. Schizophrenia Research, 70, 331–342.PubMedCrossRef
go back to reference Goldberg, R. W., Lucksted, A., McNary, S., Gold, J., Dixon, L., & Lehman, A. (2001). Correlates of long-term unemployment among inner-city adults with serious and persistent mental illness. Psychiatric Services, 52, 101–103.PubMedCrossRef Goldberg, R. W., Lucksted, A., McNary, S., Gold, J., Dixon, L., & Lehman, A. (2001). Correlates of long-term unemployment among inner-city adults with serious and persistent mental illness. Psychiatric Services, 52, 101–103.PubMedCrossRef
go back to reference Himmelhoch, S., Lehman, A., Kreyenbuhl, J. L., Daumit, G., Brown, C., & Dixon, L. (2004). Prevalence of chronic obstructive pulmonary disease among those with serious mental illness. American Journal of Psychiatry, 161, 2317–2319.CrossRef Himmelhoch, S., Lehman, A., Kreyenbuhl, J. L., Daumit, G., Brown, C., & Dixon, L. (2004). Prevalence of chronic obstructive pulmonary disease among those with serious mental illness. American Journal of Psychiatry, 161, 2317–2319.CrossRef
go back to reference Kessler, R. C., Ormel, J., Demler, O., & Stang, P. E. (2003). Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders:results from the National Comorbidity Survey. Journal of Occupational and Environmental Medicine, 45, 1257–1266.PubMedCrossRef Kessler, R. C., Ormel, J., Demler, O., & Stang, P. E. (2003). Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders:results from the National Comorbidity Survey. Journal of Occupational and Environmental Medicine, 45, 1257–1266.PubMedCrossRef
go back to reference Muesser, K. T., Salyers, M. P., & Mueser, P. R. (2001). A prospective analysis of work in schizophrenia. Schizophrenia Bulletin, 27, 281–296. Muesser, K. T., Salyers, M. P., & Mueser, P. R. (2001). A prospective analysis of work in schizophrenia. Schizophrenia Bulletin, 27, 281–296.
go back to reference Mueser, K. T., Becker, D. R., Torrey, W. C. et al. (1997). Work and non-vocational domains of functioning in persons with severe mental illness: A longitudinal analysis. Journal of Nervous and Mental Disease, 185, 419–426.PubMedCrossRef Mueser, K. T., Becker, D. R., Torrey, W. C. et al. (1997). Work and non-vocational domains of functioning in persons with severe mental illness: A longitudinal analysis. Journal of Nervous and Mental Disease, 185, 419–426.PubMedCrossRef
go back to reference Razzano, L., Cook, J., Burke-Miller, J., Mueser, K., Pickett-Shenk, S., Grey, D., Goldberg, R., Blyler, C., Gold, P., Leff, H., Lehman, A., Shafer, M., Blankertz, L., McFarlane, W., Toprac, M., & Carey, M. (2005). Clinical factors associated with employment among people with severe mental illness: Findings from the Employment Intervention Demonstration Program. The Journal of Nervous and Mental Disorders, 193(11), 705–713.CrossRef Razzano, L., Cook, J., Burke-Miller, J., Mueser, K., Pickett-Shenk, S., Grey, D., Goldberg, R., Blyler, C., Gold, P., Leff, H., Lehman, A., Shafer, M., Blankertz, L., McFarlane, W., Toprac, M., & Carey, M. (2005). Clinical factors associated with employment among people with severe mental illness: Findings from the Employment Intervention Demonstration Program. The Journal of Nervous and Mental Disorders, 193(11), 705–713.CrossRef
go back to reference Rosenheck, R., Stroup, S., Keefe, R. S., McEvoy, J., Swartz, M., Perkins, D., Hsiao, J., Shumway, M., & Lieberman, J. (2005). Measuring outcome priorities and preferences in people with schizophrenia. British Journal of Psychiatry, 187, 529–536.PubMedCrossRef Rosenheck, R., Stroup, S., Keefe, R. S., McEvoy, J., Swartz, M., Perkins, D., Hsiao, J., Shumway, M., & Lieberman, J. (2005). Measuring outcome priorities and preferences in people with schizophrenia. British Journal of Psychiatry, 187, 529–536.PubMedCrossRef
go back to reference Sokal, J., Messias, E., Dickerson, F. B., Kreyenbuhl, J., Brown, C. H., Goldberg, R. W, & Dixon, L. B. (2004). Comorbidity of medical illnesses among adults with serious mental illness who are receiving community psychiatric services. Journal of Nervous and Mental Disorders, 192, 421–427.CrossRef Sokal, J., Messias, E., Dickerson, F. B., Kreyenbuhl, J., Brown, C. H., Goldberg, R. W, & Dixon, L. B. (2004). Comorbidity of medical illnesses among adults with serious mental illness who are receiving community psychiatric services. Journal of Nervous and Mental Disorders, 192, 421–427.CrossRef
go back to reference Sturm, R. M., Gresenz, C. R., Pacula, R. L., & Wells, K. B. (1999). Labor force participation by persons with mental illness. Psychiatric Services, 50, 1407.PubMed Sturm, R. M., Gresenz, C. R., Pacula, R. L., & Wells, K. B. (1999). Labor force participation by persons with mental illness. Psychiatric Services, 50, 1407.PubMed
go back to reference U.S. Department of Health and Human Services. National Center for Health Statistics. National Health Interview Survey (NHIS), 1998. Hyattsville, MD. U.S. Department of Health and Human Services. National Center for Health Statistics. National Health Interview Survey (NHIS), 1998. Hyattsville, MD.
go back to reference U.S. Department of Health and Human Services. National Center for Health Statistics. Third U.S. National Health and Nutrition Examination Survey (NHANES III), 1988–1994. Hyattsville, MD. U.S. Department of Health and Human Services. National Center for Health Statistics. Third U.S. National Health and Nutrition Examination Survey (NHANES III), 1988–1994. Hyattsville, MD.
go back to reference Ware, J. E., Kosinski, M., & Keller, S. E. (1998). How to score the SF-12 Physical and Mental Health Summary Scales 3rd ed. Lincoln RI: Quality Metric. Ware, J. E., Kosinski, M., & Keller, S. E. (1998). How to score the SF-12 Physical and Mental Health Summary Scales 3rd ed. Lincoln RI: Quality Metric.
go back to reference Van Dongen, C. J. (1996). Quality of life and self esteem in working and non-working persons with mental illness. Community Mental Health Journal, 32, 535–548.PubMedCrossRef Van Dongen, C. J. (1996). Quality of life and self esteem in working and non-working persons with mental illness. Community Mental Health Journal, 32, 535–548.PubMedCrossRef
Metadata
Title
Physical Wellness and Employment Status Among Adults with Serious Mental Illness
Authors
Richard W. Goldberg
Ann Hackman
Deborah R. Medoff
Clayton Brown
Li Juan Fang
Faith Dickerson
Julie Kreyenbuhl
Lisa Dixon
Publication date
01-08-2008
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 4/2008
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-008-9124-0

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