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Organizational analysis of Canadian supported employment programs for people with psychiatric disabilities

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  • Menear, Matthew
  • Reinharz, Daniel
  • Corbière, Marc
  • Houle, Nathalie
  • Lanctôt, Nathalie
  • Goering, Paula
  • Goldner, Elliot M.
  • Kirsh, Bonnie
  • Lecomte, Tania

Abstract

Supported employment (SE) is widely considered to be the most effective intervention for helping people with psychiatric disabilities integrate into the competitive workforce. While fidelity to principles and standards of evidence-based SE, i.e. the Individual Placement and Support model, is positively associated with vocational outcomes, studies have revealed significant heterogeneity in SE programs implemented in Canada. This qualitative study thus aimed to shed light on organizational and contextual factors influencing SE implementation in three Canadian provinces (British Columbia, Ontario and Quebec). The study adopted several key concepts from the field of organizational studies (e.g. coalitions, archetypes, isomorphism) to guide data collection and analysis. Overall, 20 SE programs provided by 15 different agencies were examined. Findings revealed that agencies' exposure to different institutional pressures, their interactions and relationships with other groups and organizations, as well as their values, beliefs and ideologies played determining roles in shaping the evolution of SE services in each province.

Suggested Citation

  • Menear, Matthew & Reinharz, Daniel & Corbière, Marc & Houle, Nathalie & Lanctôt, Nathalie & Goering, Paula & Goldner, Elliot M. & Kirsh, Bonnie & Lecomte, Tania, 2011. "Organizational analysis of Canadian supported employment programs for people with psychiatric disabilities," Social Science & Medicine, Elsevier, vol. 72(7), pages 1028-1035, April.
  • Handle: RePEc:eee:socmed:v:72:y:2011:i:7:p:1028-1035
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    Cited by:

    1. Janki Shankar & Lun Li & Shawn Tan, 2021. "Work Experiences and Challenges to Employment Sustainability for People With Mental Illness in Supported Employment Programs," SAGE Open, , vol. 11(3), pages 21582440211, July.

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