Impacting Entry into Evidence-Based Supported Employment: A Population-Based Empirical Analysis of a Statewide Public Mental Health Program in Maryland

33 Pages Posted: 1 Feb 2017

See all articles by David S. Salkever

David S. Salkever

UMBC, Department of Public Policy

Michael Abrams

University of Maryland, Baltimore County (UMBC) - The Hilltop Institute

Kevin Baier

University of Maryland, Baltimore County (UMBC)

Brent Gibbons

University of Maryland, Baltimore County (UMBC)

Date Written: January 30, 2017

Abstract

Access to evidence-based supported employment (SE) services for persons with serious mental illness is limited in the U.S., despite evidence such services are effective and could benefit more persons. Major barriers to SE expansion are overlapping and limited funding streams, and interagency coordination problems. An important recent initiative in one state (Maryland) addressed both types of barriers. This longitudinal analysis of SE take-up probabilities for population-based cohorts of Medicaid recipients, during 2002-2010, provided tentative evidence of initiative impacts (particularly during the recession downturn), and evidence of effects for a schizophrenia diagnosis, prior work-history, health and demographic characteristics, and geographic accessibility.

Keywords: Supported Employment, State Mental Health, Medicaid

JEL Classification: I18, I38, J14, J38

Suggested Citation

Salkever, David S. and Abrams, Michael and Baier, Kevin and Gibbons, Brent, Impacting Entry into Evidence-Based Supported Employment: A Population-Based Empirical Analysis of a Statewide Public Mental Health Program in Maryland (January 30, 2017). Available at SSRN: https://ssrn.com/abstract=2908253 or http://dx.doi.org/10.2139/ssrn.2908253

David S. Salkever (Contact Author)

UMBC, Department of Public Policy ( email )

1000 Hilltop Circle
Baltimore, MD 21250

Michael Abrams

University of Maryland, Baltimore County (UMBC) - The Hilltop Institute ( email )

1000 Hilltop Circle
Sondheim Hall, Third Floor
Baltimore, MD Maryland 21250
United States

Kevin Baier

University of Maryland, Baltimore County (UMBC) ( email )

1000 Hilltop Circle
Baltimore, MD 21250
United States

Brent Gibbons

University of Maryland, Baltimore County (UMBC) ( email )

1000 Hilltop Circle
Baltimore, MD 21250
United States

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