Nonvocational outcomes of vocational rehabilitation: reduction in health services utilization

Work : a Journal of Prevention, Assessment, and Rehabilitation
Yanina JacksonJohn R Reddon

Abstract

Numerous studies have demonstrated the beneficial effects of vocational rehabilitation on vocational outcomes in individuals with a mental illness, yet effects on secondary outcomes remain largely unexplored. This study investigates the impact of vocational rehabilitation on the utilization of emergency, ambulatory care and inpatient services in individuals with a mental illness. Using a repeated measures study design, the utilization of health services by individuals with a mental illness (n= 37) was compared before and during their engagement in training and employment at a social enterprise - a form of vocational rehabilitation. Individuals with a mental illness had significantly less emergency department visits (p=0.01), ambulatory care visits (p=0.01) and hospital admissions (p=0.05), but no difference in hospital length of stay (p=0.39), during training/employment, compared to pre-training/employment at a social enterprise. The reduction in health services utilization found in this study may reflect symptom and overall health improvement, highlighting the importance of vocational rehabilitation programs for individuals with a mental illness. In addition, results from this study can inform stakeholders and policymakers abo...Continue Reading

Citations

Jun 7, 2020·International Journal of Environmental Research and Public Health·Ann-Christin KordsmeyerStefanie Mache
Apr 14, 2016·International Journal of Mental Health Systems·Kan-Yuan ChengChih-Yuan Lin
Mar 9, 2017·Work : a Journal of Prevention, Assessment, and Rehabilitation·Debbie PetersonJenny Neale
Aug 4, 2018·Community Mental Health Journal·Martine VallarinoBarbara D'Avanzo

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