{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T22:05:51Z","timestamp":1773525951927,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,6,22]],"date-time":"2015-06-22T00:00:00Z","timestamp":1434931200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this project was to evaluate program outcomes following the implementation of an evidence\u2010based approach to supported employment on the Gold Coast, Queensland, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective observational design was used to evaluate employment outcomes and fidelity to the evidence\u2010based principles and practices of a specialised form of supported employment. The cohort was defined as all those (<jats:italic>n<\/jats:italic>\u00a0=\u00a0114) that entered the program at each of three sites within a 21\u2010month period. Each participant was followed up for a minimum of six months. All three sites implemented the employment program by establishing a partnership between a non\u2010government organisation and the Gold Coast community mental health service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The primary outcome variable was the proportion commencing competitive employment during the follow\u2010up period from among those that commenced receiving assistance (the denominator). This ranged from 12% at Site C to 33.3% at Site A, and 37% at Site B. Fidelity to evidence\u2010based principles was fair at Sites A and C and good at Site B. These results were below expectations based on international\u2010controlled trials. The variation in site effectiveness appeared related to both fidelity to evidence\u2010based principles and to other factors at each site, which could not be clearly identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Delivering an effective supported employment program using an inter\u2010agency partnership method is challenging. There are several roles in which occupational therapists can be involved that facilitate improving both the implementation and the effectiveness of supported employment for people with severe mental illness in Australia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.12202","type":"journal-article","created":{"date-parts":[[2015,6,22]],"date-time":"2015-06-22T10:13:07Z","timestamp":1434967987000},"page":"316-325","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Implementing evidence\u2010based practices in supported employment on the Gold Coast for people with severe mental illness"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5069-0802","authenticated-orcid":false,"given":"Philip Lee","family":"Williams","sequence":"first","affiliation":[{"name":"Early Psychosis Gold Coast Gold Coast University Hospital Southport Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Behavioural Basis of Health Griffith University Gold Coast Campus Southport Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoffrey","family":"Waghorn","sequence":"additional","affiliation":[{"name":"Department of Recovery and Social Inclusion The Queensland Centre for Mental Health Research West Moreton Hospital and Health Service The Park Centre for Mental health Wacol Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tawanda","family":"Machingura","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Mental Health Recovery Service Gold Coast University Hospital Southport Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,22]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Australian Bureau of Statistics. 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