This paper explores steps toward employment for unemployed veterans with serious mental illness.
This study sought to identify key ingredients of motivational interviewing (MI) associated with taking a step in the direction of competitive employment (CE) for unemployed veterans with serious mental illness (SMI). After controlling for session number, work importance, work confidence and duration of unemployment, variables significant in the adjusted multivariate model were intensity of client change talk and sustain talk and counselor adherence to MI technical principles of cultivating change talk and softening sustain talk. Findings suggest that change talk and sustain talk during counseling sessions are associated with taking a step toward employment and that counseling focused on cultivating change talk and softening sustain talk increases the likelihood that unemployed veterans with SMI will take steps toward becoming competitively employed.
Wewiorski NJ, Rose GS, Wang S, Dreifuss R, Mueller L, Shirk SD, Resnick SG, Siegel MJ, Drebing CE. Motivational interviewing: Key ingredients associated with taking a step toward employment. Psychiatr Rehabil J. 2021 May 27. doi: 10.1037/prj0000474. Epub ahead of print. PMID: 34043406.