scholarly journals The effects of supported employment interventions in populations of people with conditions other than severe mental health: a systematic review

2021 ◽  
Vol 22 ◽  
Author(s):  
Katrin Probyn ◽  
Martin Stav Engedahl ◽  
Dévan Rajendran ◽  
Tamar Pincus ◽  
Khadija Naeem ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Methadone Treatment ◽  
Homeless People ◽  
Competitive Employment ◽  
People With Mental Illness ◽  
Cord Injury ◽  
Employment Education ◽  
Randomised Controlled

Abstract Aim: To assess the effectiveness of supported employment interventions for improving competitive employment in populations of people with conditions other than only severe mental illness. Background: Supported employment interventions have been extensively tested in severe mental illness populations. These approaches may be beneficial outside of these populations. Methods: We searched PubMed, Embase, CINAHL, PsycInfo, Web of Science, Scopus, JSTOR, PEDro, OTSeeker, and NIOSHTIC for trials including unemployed people with any condition and including severe mental illness if combined with other co-morbidities or other specific circumstances (e.g., homelessness). We excluded trials where inclusion was based on severe mental illness alone. Two reviewers independently assessed risk of bias (RoB v2.0) and four reviewers extracted data. We assessed rates of competitive employment as compared to traditional vocational rehabilitation or waiting list/services as usual. Findings: Ten randomised controlled trials (913 participants) were included. Supported employment was more effective than control interventions for improving competitive employment in seven trials: in people with affective disorders [risk ratio (RR) 10.61 (1.49, 75.38)]; mental disorders and justice involvement [RR 4.44 (1.36,14.46)]; veterans with posttraumatic stress disorder (PTSD) [RR 2.73 (1.64, 4.54)]; formerly incarcerated veterans [RR 2.17 (1.09, 4.33)]; people receiving methadone treatment [RR 11.5 (1.62, 81.8)]; veterans with spinal cord injury at 12 months [RR 2.46 (1.16, 5.22)] and at 24 months [RR 2.81 (1.98, 7.37)]; and young people not in employment, education, or training [RR 5.90 (1.91–18.19)]. Three trials did not show significant benefits from supported employment: populations of workers with musculoskeletal injuries [RR 1.38 (1.00, 1.89)]; substance abuse [RR 1.85 (0.65, 5.41)]; and formerly homeless people with mental illness [RR 1.55 (0.76, 3.15)]. Supported employment interventions may be beneficial to people from more diverse populations than those with severe mental illness alone. Defining competitive employment and increasing (and standardising) measurement of non-vocational outcomes may help to improve research in this area.

scholarly journals Supported employment: randomised controlled trial

2010 ◽  
Vol 196 (5) ◽  
pp. 404-411 ◽  
Author(s):  
Louise M. Howard ◽  
Margaret Heslin ◽  
Morven Leese ◽  
Paul McCrone ◽  
Christopher Rice ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Controlled Trial ◽  
Intervention Group ◽  
Competitive Employment ◽  
Treatment As Usual ◽  
The Individual ◽  
Randomised Controlled ◽  
The Uk

BackgroundThere is evidence from North American trials that supported employment using the individual placement and support (IPS) model is effective in helping individuals with severe mental illness gain competitive employment. There have been few trials in other parts of the world.AimsTo investigate the effectiveness and cost-effectiveness of IPS in the UK.MethodIndividuals with severe mental illness in South London were randomised to IPS or local traditional vocational services (treatment as usual) (ISRCTN96677673).ResultsTwo hundred and nineteen participants were randomised, and 90% assessed 1 year later. There were no significant differences between the treatment as usual and intervention groups in obtaining competitive employment (13% in the intervention group and 7% in controls; risk ratio 1.35, 95% CI 0.95–1.93, P = 0.15), nor in secondary outcomes.ConclusionsThere was no evidence that IPS was of significant benefit in achieving competitive employment for individuals in South London at 1-year follow-up, which may reflect suboptimal implementation. Implementation of IPS can be challenging in the UK context where IPS is not structurally integrated with mental health services, and economic disincentives may lead to lower levels of motivation in individuals with severe mental illness and psychiatric professionals.

scholarly journals Generalisability of the individual placement and support model of supported employment: results of a Canadian randomised controlled trial

2006 ◽  
Vol 189 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Eric A. Latimer ◽  
Tania Lecomte ◽  
Deborah R. Becker ◽  
Robert E. Drake ◽  
Isabelle Duclos ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Control Group ◽  
Competitive Employment ◽  
Individual Placement And Support ◽  
Vocational Services ◽  
The Usa ◽  
The Individual ◽  
Individual Placement

BackgroundStudies conducted in the USA have found the individual placement and support model of supported employment to be more effective than traditional vocational rehabilitation at helping people with severe mental illness to find and maintain competitive employment.AimsTo determine the effectiveness of the individual placement and support (supported employment) model in a Canadian setting.MethodA total of 150 adults with severe mental illness, who were not currently employed and who desired competitive employment, were randomly assigned to receive either supported employment (n=75) or traditional vocational services (n=75).ResultsOver the 12 months of follow-up, 47% of clients in the supported employment group obtained at least some competitive employment, v. 18% of the control group (P<0.001). They averaged 126 h of competitive work, v. 72 inthe control group (P<0.001).ConclusionsSupported employment proved more effective than traditional vocational services in a setting significantly different from settings in the USA, and may therefore be generalised to settings in other countries.

Two types of expectancies concerning competitive employment among people with mental illness in supported employment

2017 ◽  
Vol 46 (2) ◽  
pp. 195-202 ◽  
Author(s):  
Elisabeth Brantschen ◽  
Karin Landolt ◽  
Wolfram Kawohl ◽  
Wulf Rössler ◽  
Bettina Bärtsch ◽  
...  
Keyword(s):  
Mental Illness ◽  
Supported Employment ◽  
Competitive Employment ◽  
People With Mental Illness

scholarly journals The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial

The Lancet ◽  
2007 ◽  
Vol 370 (9593) ◽  
pp. 1146-1152 ◽  
Author(s):  
Tom Burns ◽  
Jocelyn Catty ◽  
Thomas Becker ◽  
Robert E Drake ◽  
Angelo Fioritti ◽  
...  
Keyword(s):  
Mental Illness ◽  
Randomised Controlled Trial ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Controlled Trial ◽  
Randomised Controlled

scholarly journals The effectiveness of supported employment programs: Meta-regression analysis of the global secular trend, 1990 - 2015

2019 ◽  
Author(s):  
Dirk Richter ◽  
Holger Hoffmann
Keyword(s):  
Mental Illness ◽  
Regression Analysis ◽  
Supported Employment ◽  
Primary Objective ◽  
Employment Rate ◽  
Competitive Employment ◽  
Negative Consequences ◽  
People With Mental Illness ◽  
Employment Programs ◽  
Supported Employment Programs

Importance: Supported employment programs aim to re-integrate unemployed people with mental illness into the competitive labour market. While it is known that short-term economic developments like the 2008 recession may have negative consequences on the supported employment effectiveness rates, research into long-term secular trends has not yet been conducted. Objective: The primary objective of the regression analysis was to assess the effectiveness of supported employment programs for clients with any mental disorder over a longer time period. Further objectives were a comparison to prevocational training and the identification of moderating variables.Data sources: We retrieved publications on randomized controlled trials and on routine implementation programs that were included in four recent systematic reviews on supported employment for people with mental illness, plus very recent publications that were identified by a new search. This search was conducted in the following databases: Pubmed, PsycInfo, CINAHL (Cumulative Index on Nursing and Allied Health Literature), and Google Scholar. Study selection: We included any publication that was used in the four meta-analyses plus very recently published studies. The included studies were conducted between 1990 and 2015. Data extraction and synthesis: 80 studies with 14,437 participants were included in the analysis. Data was extracted by one author and cross-checked by the second author. We have conducted univariate and multivariate meta-regressions on the basis of a random-effects meta-analysis of proportions. The best-fitting model was computed by utilizing a statistical model selection procedure. Main Outcome and Measures: The outcome was the competitive employment rate over time. The year of study conduction (1990 to 2015) was regressed on the competitive employment rate. Regression coefficient estimates were computed and graphically displayed.

Supported employment – improving competitive employment for people with mental illness: The role of motivation and social network

2014 ◽  
Vol 40 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Elisabeth Brantschen ◽  
Wolfram Kawohl ◽  
Wulf Rössler ◽  
Bettina Bärtsch ◽  
Carlos Nordt
Keyword(s):  
Mental Illness ◽  
Social Network ◽  
Supported Employment ◽  
Competitive Employment ◽  
People With Mental Illness

scholarly journals Characteristics of people with severe mental illness who obtain employment

2010 ◽  
Vol 34 (2) ◽  
pp. 47-50 ◽  
Author(s):  
G. Butler ◽  
L. Howard ◽  
S. Choi ◽  
G. Thornicroft
Keyword(s):  
Mental Illness ◽  
Randomised Controlled Trial ◽  
Severe Mental Illness ◽  
Educational Level ◽  
Supported Employment ◽  
Controlled Trial ◽  
Clinical Implications ◽  
Clinical Factors ◽  
Factors Associated ◽  
Randomised Controlled

Aims and methodWe explored sociodemographic and clinical factors associated with obtaining employment for people with severe mental illness. Standardised validated interviews and questionnaires were administered to participants who had been recruited into a randomised controlled trial of supported employment.ResultsOlder age and diagnosis of schizophrenia were found to be independent predictors of unemployment in the previous year. Other factors of unemployment such as ethnicity and educational level were not associated with obtaining employment.Clinical implicationsOlder people and those with a diagnosis of schizophrenia may need additional targeted help in obtaining employment if they are to be helped to meet their vocational aims. Further research is needed to determine how this can be done most effectively.

Employment programmes for schizophrenia and other severe mental illness in psychosocial rehabilitation: a systematic review

2021 ◽  
pp. 030802262098068
Author(s):  
Muhammad Zairul Rezal Zainol Abidin ◽  
Farahiyah Wan Yunus ◽  
Hanif Farhan Mohd Rasdi ◽  
Masne Kadar
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
Web Of Science ◽  
Psychosocial Rehabilitation ◽  
Cognitive Intervention ◽  
Intervention Programme ◽  
Vocational Outcomes ◽  
People With Mental Illness ◽  
Vocational Outcome

Introduction Employment programmes for people with mental illness vary widely in range, but nonetheless all share the same objectives of restoring or initiating vocational roles to promote recovery in psychosocial rehabilitation. The current interventions available usually focus on the specific vocational outcomes of the intervention rather than focusing holistically on the client’s needs. Method This review aimed to examine the effectiveness of intervention programmes and determine the best intervention for schizophrenia and other severe mental illness, considering both vocational and non-vocational outcomes. Searching five databases – CINAHL, Medline via Ovid, Scopus, OT Seeker and Web of Science – a total of 3108 studies was identified; 24 met the selection criteria and were reviewed. Interventions were categorised into five major programmes of supported employment, integrated supported employment, vocational rehabilitation, cognitive intervention and virtual reality-based vocational training. Results Integrated supported employment was found to be the most effective approach for a vocational outcome. However, evidence concerning non-vocational outcomes of employment programmes and the use of cognitive training remains unclear. Conclusion Clinicians are advised to consider the needs and preferences of the client before selecting the best intervention programme. More research is needed to determine the applicability and the efficacy of intervention programmes.

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