Abstract
Ensuring the financial security of individuals recovering from first episode psychosis is imperative, but disability income
programs can be powerful disincentives to employment, compromising the social and occupational aspects of recovery. Survival
analysis and Cox regression analysis were used to examine the rate at which individuals served by early intervention for psychosis
(EIP) services apply for government disability income benefits and factors that predict rate of application. Health records
for 558 individuals served by EIP programs were reviewed. Within the first year of receiving services 30% will make application
for disability income; 60% will do so by 5 years. Rate of application is predicted by rate of hospital admission, financial
status and engagement in productivity roles at the time of entry to EIP service. The findings suggest the need to examine
the extent to which the recovery goals of EI services are undermined by early application for government income support. They
also suggest the need to develop best practice guidelines related to ensuring the economic security of individuals served.
programs can be powerful disincentives to employment, compromising the social and occupational aspects of recovery. Survival
analysis and Cox regression analysis were used to examine the rate at which individuals served by early intervention for psychosis
(EIP) services apply for government disability income benefits and factors that predict rate of application. Health records
for 558 individuals served by EIP programs were reviewed. Within the first year of receiving services 30% will make application
for disability income; 60% will do so by 5 years. Rate of application is predicted by rate of hospital admission, financial
status and engagement in productivity roles at the time of entry to EIP service. The findings suggest the need to examine
the extent to which the recovery goals of EI services are undermined by early application for government income support. They
also suggest the need to develop best practice guidelines related to ensuring the economic security of individuals served.
- Content Type Journal Article
- Category Original Paper
- Pages 1-12
- DOI 10.1007/s10597-012-9496-z
- Authors
- Terry Krupa, School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
- Kola Oyewumi, Department of Psychiatry, Queen’s University, Kingston, ON, Canada
- Suzanne Archie, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
- J. Stuart Lawson, Department of Psychiatry, Queen’s University, Kingston, ON, Canada
- Joan Nandlal, Centre for Addiction and Mental Health, Toronto, Canada
- Gretchen Conrad, Ottawa Hospital, “On Track” Champlain District Regional First Episode Psychosis Program (CDRFEPP), Ottawa, ON, Canada
- Journal Community Mental Health Journal
- Online ISSN 1573-2789
- Print ISSN 0010-3853