|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$2,098||Benefits minus costs||$5,741|
|Participants||$4,910||Benefit to cost ratio||$7.77|
|Others||$2||Chance the program will produce|
|Indirect||($420)||benefits greater than the costs||80 %|
|Net program cost||($849)|
|Benefits minus cost||$5,741|
|Meta-Analysis of Program Effects|
|Outcomes measured||Treatment age||No. of effect sizes||Treatment N||Adjusted effect sizes(ES) and standard errors(SE) used in the benefit - cost analysis||Unadjusted effect size (random effects model)|
|First time ES is estimated||Second time ES is estimated|
Any employment, including part-time work.
Admission to a psychiatric ward or hospital.
Percent change in labor market earnings, typically weekly or monthly wages.
Work performed by a person with a disability in an integrated setting at minimum wage or higher, at a rate comparable to workers without a disability.
Number of hours worked in a given time period.
Mental health symptoms (such as symptoms of psychosis) in individuals with serious mental illness, measured on a validated scale.
|Detailed Monetary Benefit Estimates Per Participant|
|Affected outcome:||Resulting benefits:1||Benefits accrue to:|
|Employment||Labor market earnings||$2,090||$4,910||$0||$0||$7,000|
|Hospitalization (psychiatric)||Health care associated with psychiatric hospitalization||$8||$0||$2||$4||$14|
|Program cost||Adjustment for deadweight cost of program||$0||$0||$0||($424)||($424)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$1,644||2001||Present value of net program costs (in 2018 dollars)||($849)|
|Comparison costs||$1,027||2001||Cost range (+ or -)||60 %|
Benefits Minus Costs
Benefits by Perspective
Taxpayer Benefits by Source of Value
|Benefits Minus Costs Over Time (Cumulative Discounted Dollars)|
|The graph above illustrates the estimated cumulative net benefits per-participant for the first fifty years beyond the initial investment in the program. We present these cash flows in discounted dollars. If the dollars are negative (bars below $0 line), the cumulative benefits do not outweigh the cost of the program up to that point in time. The program breaks even when the dollars reach $0. At this point, the total benefits to participants, taxpayers, and others, are equal to the cost of the program. If the dollars are above $0, the benefits of the program exceed the initial investment.|
Bond, G.R., Salyers, M.P., Dincin, J., Drake, R., Becker, D.R., Fraser, V.V., & Haines, M. (2007). A randomized controlled trial comparing two vocational models for persons with severe mental illness. Journal of Consulting and Clinical Psychology, 75(6), 968-982.
Burns, T., Catty, J., Becker, T., Drake, R.E., Fioritti, A., Knapp, M., . . . Wiersma, D. (2007). The effectiveness of supported employment for people with severe mental illness: A randomised controlled trial. The Lancet, 370(9593), 1146-1152.
Burns, T. Catty, J., White, S., Becker, T., Koletsi, M., Fioritti, A., . . . Lauber, C. (2009). The impact of supported employment and working on clinical and social functioning: Results of an international study of individual placement and support. Schizophrenia Bulletin, 35(5), 949-958.
Davis, L.L., Leon, A.C., Toscano, R., Drebing, C.E., Ward, L.C., Parker, P.E., Kashner, T.M., ... Drake, R.E. (2012). A randomized controlled trial of supported employment among veterans with posttraumatic stress disorder. Psychiatric Services, 63(5), 464-470.
Drake, R.E., McHugo, G.J., Becker, D.R., Anthony, W.A., & Clark, R.E. (1996). The New Hampshire Study of Supported Employment for People With Severe Mental Illness. Journal of Consulting and Clinical Psychology, 64(2): 391-399.
Drake, R.E., McHugo, G.J., Bebout, R.R., Becker, D.R., Harris, M., Bond, G.R., & Quimby, E. (1999). A randomized clinical trial of supported employment for inner-city patients with severe mental disorders. Archives of General Psychiatry, 56(7), 627-633.
Heslin, M., Howard, L., Leese, M., McCrone, P., Rice, C., Jarrett, M., ... & Thornicroft, G. (2011). Randomized controlled trial of supported employment in England: 2 year follow up of the Supported Work and Needs (SWAN) study. World Psychiatry, 10(2), 132-137.
Hoffmann, H., Jackel, D., Glauser, S., & Kupper, Z. (2012). A randomised controlled trial of the efficacy of supported employment. Acta Psychiatrica Scandinavica, 125(2), 157-67.
Latimer, E., Lecomte, T., Becker, D.R., Drake, R.E., Duclos, I., Piat, M., . . . Xie, H. (2006). Generalisability of the individual placement and support model of supported employment: Results of a Canadian randomised controlled trial. The British Journal of Psychiatry, 189(1), 65-73.
Lehman, A.F., Goldberg, R., Dixon, L.B., McNary, S., Postrado, L., Hackman, A., & McDonnell, K. (2002). Improving Employment Outcomes for Persons With Severe Mental Illnesses. Archives of General Psychiatry, 59(2): 165-172.
Mueser, K.T., Clark, R.E., Haines, M., Drake, R.E., McHugo, G.J., Bond, G.R., . . . Swain, K. (2004). The Hartford study of supported employment for persons with severe mental illness. Journal of Consulting and Clinical Psychology, 72(3), 479-488.
Tsang, H.W.H., Chan, A., Wong, A., & Liberman, R.P. 2009). Vocational outcomes of an integrated supported employment program for individuals with persistent and severe mental illness. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 292-305.
Twamley, E., Narvaez, J., Becker, D., Bartels, S., & Jeste, D. (2008). Supported employment for middle-aged and older people with schizophrenia. American Journal of Psychiatric Rehabilitation, 11(1), 76-89.
Wong, K.K., Chiu, R., Tang, B., Mak, D., Liu, J., & Chiu, S.N. (2008). A randomized controlled trial of a supported employment program for persons with long-term mental illness in Hong Kong. Psychiatric Services, 59(1), 84-90.