Mental Health Clinical Trial
Official title:
Engaging Homeless Youth in Vocational Training to Meet Their Mental Health Needs
This randomized controlled trial (RCT) compared the efficacy between the Social Enterprise
Intervention (SEI) and Individual Placement and Support (IPS) with homeless youth with
mental illness.
Methods: Non-probability quota sampling sampling was used to recruit 72 homeless youth from
one agency, who were randomized to the SEI (n=36) or IPS (n=36) conditions.
In response to the limited use of RCTs with homeless youth to test research-supported
interventions, this study compares the efficacy and short-term outcomes of two interventions
that combine employment and clinical services with homeless youth experiencing mental
illness. The Social Enterprise Intervention (SEI) is a research-supported intervention using
a group approach that engages homeless youth in paid employment as well as case-management
and mental health services through involvement in an agency-run social enterprise. The
Individual Placement and Support (IPS) model of supported employment is an individually
focused, evidence-based intervention , which provides individuals with severe mental illness
with customized, long-term, and integrated vocational, case-management, and clinical
services to help them gain and maintain competitive employment.
A randomized comparative efficacy trial of the short-term, nonvocational outcomes
(depression, self-esteem, social support, housing stability) of the SEI and IPS was
conducted over 20 months with 72 homeless youth at a homeless youth drop-in center in Los
Angeles. This study answered two research questions: 1) Do homeless youth with mental
illness participating in an employment intervention integrated with clinical services (SEI
or IPS) experience improvements in their a) mental health status (self-esteem and
depression); b) housing stability, and c) social support; and 2) What are the differences
between the SEI and IPS groups on mental health, housing stability, and social support
outcomes between baseline and follow-up?
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