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The suspension of time limits on job placements, along with MJSW support, became the basis of SE services delivered at Thresholds.There are two key psychosocial outcome constructs of interest in this study. This would include the specification of severity of cognitive and affective symptomotology as well as the overall level of psychological functioning. The population that is accessible to this study consists of all persons who were clients of the Thresholds Agency in Chicago, Illinois between the dates of March 1, 1993 and February 28, 1995 who met the following criteria: 1) a history of severe mental illness (e.g., either schizophrenia, severe depression or manic-depression); 2) a willingness to achieve paid employment; 3) their primary diagnosis must not include chronic alcoholism or hard drug use; and 4) they must be 18 years of age or older.
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Second, paragraphs and text should be double spaced and the start of each paragraph should be indented.The most likely explanation is that people who work in low-paying service jobs in real world settings generally do not like them and experience significant job stress, whether they have severe mental illness or not.The implications for theory in psychosocial rehabilitation are considered.Most of the early attempts to evaluate such programs have naturally focused almost exclusively on employment outcomes.However, theory suggests that sustained employment and living in the community may have important therapeutic benefits in addition to the obvious economic ones.Controlled studies of sheltered workshop performance of persons with mental illness suggested only minimal success (Griffiths, 1974) and other research indicated that persons with mental illness earned lower wages, presented more behavior problems, and showed poorer workshop attendance than workers with other disabilities (Whitehead, 1977; Ciardiello, 1981).In the 1980s, a new model of services called Supported Employment (SE) was proposed as less expensive and more normalizing for persons undergoing rehabilitation (Wehman, 1985).MJSWs provide ongoing, mobile support and intervention at or near the work site, even for jobs with high degrees of independence (Cook & Hoffschmidt, 1993).Time limits for many placements were removed so that clients could stay on as permanent employees if they and their employers wished.The SE program involves extended individualized supported employment for clients through a Mobile Job Support Worker (MJSW) who maintains contact with the client after job placement and supports the client in a variety of ways.A 50% simple random sample was taken of all persons who entered the Thresholds Agency between 3/1/93 and 2/28/95 and who met study criteria.