Deborah R. Becker and Robert E. Drake

in A Working Life for People with Severe Mental Illness

Published in print May 2003 | ISBN: 9780195131215
Published online January 2009 | e-ISBN: 9780199863808 | DOI:

Series: Innovations in Practice and Service Delivery with Vulnerable Populations


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This introductory chapter summarizes the nature of mental health and vocational services during the period preceding the development of IPS supported employment. Deinstitutionalization failed to change treatment attitudes. Clients were transferred to community settings that replicated aspects of previous hospital care with close supervision and a lack of meaningful activities. Vocational rehabilitation programs similarly provided protected and segregated work experiences.

Keywords: deinstitutionalization; community integration; paternalistic treatment models; traditional vocational services

Chapter.  1071 words. 

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