Trial reportPsychiatric services (Washington, D.C.)2006
Supported employment outcomes of a randomized controlled trial of ACT and clubhouse models.
Trial report in Psychiatric services (Washington, D.C.), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Employment Interventions in Health Settings: A Systematic Review and Synthesis.Annals of family medicine · 2018Pooled it
- A Systematic Review of Evidence for the Clubhouse Model of Psychosocial Rehabilitation.Administration and policy in mental health · 2018Pooled it
- Interventions for obtaining and maintaining employment in adults with severe mental illness, a network meta-analysis.The Cochrane database of systematic reviews · 2017Pooled it
- Supported employment for adults with severe mental illness.The Cochrane database of systematic reviews · 2013Pooled it
- Consumer-providers of care for adult clients of statutory mental health services.The Cochrane database of systematic reviews · 2013Pooled it
- Does Competitive Work Improve Quality of Life for Adults with Severe Mental Illness? Evidence from a Randomized Trial of Supported Employment.The journal of behavioral health services & research · 2016Trial
- Factors associated with early attrition from psychosocial rehabilitation programs.Community mental health journal · 2008Trial
- The Stepping Stone Clubhouse Evaluation: Exploring Members' Experiences, Service Engagement, and Perceived Impact of the Clubhouse International Model.Community mental health journal · 2025Article
- The Impact of COVID-19 on Clubhouse Employment Programs.Community mental health journal · 2023Article
- What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map.Campbell systematic reviews · 2022Review
- Psychosocial Change in Members of Clubhouse Paris (France) Over an 18-Month Period: A Longitudinal Mixed Methods Study.Community mental health journal · 2021Article
- International employment schemes for people with mental health problems.BJPsych international · 2015Article
- The contribution of case study design to supporting research on Clubhouse psychosocial rehabilitation.BMC research notes · 2015Article
- Meanings associated with the core component of clubhouse life: the work-ordered day.The Psychiatric quarterly · 2015Article
- Estimating premium sensitivity for children's public health insurance coverage: selection but no death spiral.Health services research · 2015Article
- The meaning of work in people with severe mental illness (SMI) in Iran.Medical journal of the Islamic Republic of Iran · 2015Article
- The impact of Medicaid peer support utilization on cost.Medicare & medicaid research review · 2014Article
- A comparison of assertive community treatment fidelity measures and patient-centered medical home standards.Psychiatric services (Washington, D.C.) · 2013Article
- Age and physical health as predictors of family contact among adults with severe psychiatric illness.The Psychiatric quarterly · 2013Article
- Converting partial hospitals to community integrated recovery centers.Community mental health journal · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveIn a randomized controlled trial, a vocationally integrated program of assertive community treatment (ACT) was compared with a certified clubhouse in the delivery of supported employment services.
methodsEmployment rates, total work hours, and earnings for 121 adults with serious mental illness interested in work were compared with published benchmark figures for exemplary supported employment programs. The two programs were then compared on service engagement, retention, and employment outcomes in regression analyses that controlled for background characteristics, program preference, and vocational service receipt.
resultsOutcomes for 63 ACT and 58 clubhouse participants met or exceeded most published outcomes for specialized supported employment teams. Compared with the clubhouse program, the ACT program had significantly (p<.05) better service engagement (ACT, 98 percent; clubhouse, 74 percent) and retention (ACT, 79 percent; clubhouse, 58 percent) over 24 months, but there was no significant difference in employment rates (ACT, 64 percent; clubhouse, 47 percent). Compared with ACT participants, clubhouse participants worked significantly longer (median of 199 days versus 98 days) for more total hours (median of 494 hours versus 234 hours) and earned more (median of $3,456 versus $1,252 total earnings). Better work performance by clubhouse participants was partially attributable to higher pay.
conclusionsVocationally integrated ACT and certified clubhouses can achieve employment outcomes similar to those of exemplary supported employment teams. Certified clubhouses can effectively provide supported employment along with other rehabilitative services, and the ACT program can ensure continuous integration of supported employment with clinical care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.