Intersectional perspectives on the employment rate in Supported Employment for people with psychiatric, neuropsychiatric, or intellectual disabilities: A scoping review.
Ingrid Witte, Thomas Strandberg, Sarah Granberg and 1 others
PMID 36278382WHAT IT FOUND
Supported Employment appears to help people with psychiatric, neuropsychiatric, or intellectual disabilities get jobs regardless of their sex, race, age, or education level.
However, most studies were too small to detect real differences, so this finding is uncertain.
Key findings
01In most studies included in the review, intersecting statuses like sex, race, age, and education did not significantly influence the employment rate achieved through Supported Employment interventions.
02The average employment rate across the studies that reported it was 50.8%, but definitions of 'employment' varied widely, making comparisons difficult.
03Approximately two-thirds of the included studies had sample sizes under 200 participants, limiting the statistical power to detect subgroup differences.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Most studies were underpowered (sample size <200) to detect real subgroup differences. Definitions of 'employment' and follow-up periods varied significantly across studies, preventing direct comparison. The review heavily skewed towards people with psychiatric disabilities; only 5 studies examined neuropsychiatric or intellectual disabilities. Many studies did not report data on key intersecting statuses like work history or race/ethnicity at the outcome level. The search was limited to English, Danish, Norwegian, and Swedish, potentially excluding relevant studies from other regions.
Declared interests
The authors declared no conflicts of interest. The study protocol is available from the corresponding author.
The easy way to misread this
Do not assume that Supported Employment works equally well for people with intellectual or neuropsychiatric disabilities. This review found almost no data on these groups, as 89% of the included studies focused exclusively on psychiatric disabilities.