scholarly journals Improving vocational recovery among people with psychosis: a two-pronged approach

2019 ◽  
Vol 47 (2) ◽  
pp. 114-123
Author(s):  
Niall Turner ◽  
Tara Nesbitt ◽  
Felicity Fanning ◽  
Mary Clarke
Keyword(s):  
Supported Employment ◽  
First Episode Psychosis ◽  
First Episode ◽  
Individual Placement And Support ◽  
Content Type ◽  
Episode Psychosis ◽  
The Impact ◽  
Individual Placement ◽  
Productive Role

PurposeThis paper aims to investigate the feasibility of conducting research on a two-pronged vocational intervention for people with first episode psychosis. The paper also aims to empirically examine the impact of a two-pronged vocational intervention for people with first episode psychosis by determining what effect, if any, introducing a two-pronged vocational intervention to an early intervention for psychosis service (EIPS) has on vocational outcomes using a prospective follow-up design. The approach consisted of supported employment (individual placement and support, IPS) for participants without a productive role and a job retention programme for those employed or studying.Design/methodology/approachBetween 2010 and 2013, a supported employment specialist joined an EIPS where occupational therapy was available to all attenders. The appropriate intervention was determined by the occupational therapist on the team. Participants were interviewed at baseline and one follow-up. Ethical approval was attained. The Individual Placement and Support Fidelity Scale was used to ensure the quality of IPS implementation.FindingsIn total, 39 (20 men, 19 women) consented; 21 (54 per cent) of these participants were unoccupied; 18 (46 per cent) had a productive role; 87 per cent (n= 34) were followed up. The mean length of follow-up was 18 months. At follow-up, 50 per cent (n= 10) of unoccupied participants had attained a productive role, and 17 of the 18 participants had retained their productive role. Overall, participants were found to have spent an average of 62 per cent of the follow-up period in a productive role.Research limitations/implicationsRates of vocational recovery among people affected by psychosis may be enhanced by a two-pronged approach that allows for the persons individual work circumstances to be taken into account.Originality/valueThis study highlights the impact of a two-progroned vocational intervention for people with first episode psychosis in Ireland. It is the first study of its kind to be published in the Republic of Ireland and the first world-wide to include a job retention element in its design.

The Impact of Smoking on Clinical Outcomes After First Episode Psychosis: Longer-Term Outcome Findings From the EPPIC 800 Follow-Up Study

2010 ◽  
Vol 6 (3-4) ◽  
pp. 212-234 ◽  
Author(s):  
Michael Berk ◽  
Lisa P. Henry ◽  
Kathryn S. Elkins ◽  
Susy M. Harrigan ◽  
Meredith G. Harris ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
First Episode Psychosis ◽  
First Episode ◽  
Term Outcome ◽  
Follow Up Study ◽  
Episode Psychosis ◽  
The Impact

Job- and schoolprescription: A local adaptation to individual placement and support for first episode psychosis

2018 ◽  
Vol 13 (4) ◽  
pp. 859-866 ◽  
Author(s):  
Wenche ten Velden Hegelstad ◽  
Inge Joa ◽  
Lena Heitmann ◽  
Jan Olav Johannessen ◽  
Johannes Langeveld
Keyword(s):  
Local Adaptation ◽  
First Episode Psychosis ◽  
First Episode ◽  
Individual Placement And Support ◽  
Episode Psychosis ◽  
Individual Placement

scholarly journals Individual placement and support for vocational recovery in first-episode psychosis: randomised controlled trial

2018 ◽  
Vol 214 (2) ◽  
pp. 76-82 ◽  
Author(s):  
Eóin Killackey ◽  
Kelly Allott ◽  
Henry J. Jackson ◽  
Rosanna Scutella ◽  
Yi-Ping Tseng ◽  
...  
Keyword(s):  
Young People ◽  
Controlled Trial ◽  
First Episode Psychosis ◽  
High Rate ◽  
First Episode ◽  
Control Group ◽  
Individual Placement And Support ◽  
Treatment As Usual ◽  
Episode Psychosis ◽  
Individual Placement

BackgroundHigh unemployment is a hallmark of psychotic illness. Individual placement and support (IPS) may be effective at assisting the vocational recoveries of young people with first-episode psychosis (FEP).AimsTo examine the effectiveness of IPS at assisting young people with FEP to gain employment (Australian and Clinical Trials Registry ACTRN12608000094370).MethodYoung people with FEP (n = 146) who were interested in vocational recovery were randomised using computer-generated random permuted blocks on a 1:1 ratio to: (a) 6 months of IPS in addition to treatment as usual (TAU) or (b) TAU alone. Assessments were conducted at baseline, 6 months (end of intervention), 12 months and 18 months post-baseline by research assistants who were masked to the treatment allocations.ResultsAt the end of the intervention the IPS group had a significantly higher rate of having been employed (71.2%) than the TAU group (48.0%), odds ratio 3.40 (95% CI 1.17–9.91, z = 2.25, P = 0.025). However, this difference was not seen at 12- and 18-month follow-up points. There was no difference at any time point on educational outcomes.ConclusionsThis is the largest trial to our knowledge on the effectiveness of IPS in FEP. The IPS group achieved a very high employment rate during the 6 months of the intervention. However, the advantage of IPS was not maintained in the long term. This seems to be related more to an unusually high rate of employment being achieved in the control group rather than a gross reduction in employment among the IPS group.Declaration of interestNone.

scholarly journals Vocational intervention in first-episode psychosis: Individual placement and support v. treatment as usual

2008 ◽  
Vol 193 (2) ◽  
pp. 114-120 ◽  
Author(s):  
Eóin Killackey ◽  
Henry J. Jackson ◽  
Patrick D. McGorry
Keyword(s):  
Chronic Schizophrenia ◽  
First Episode Psychosis ◽  
First Episode ◽  
Individual Placement And Support ◽  
Treatment As Usual ◽  
Welfare Benefits ◽  
Episode Psychosis ◽  
Good Potential ◽  
To Receive ◽  
Individual Placement

BackgroundUnemployment is a major problem for people with first-episode psychosis and schizophrenia. This has repercussions for the economy, social functioning and illness prognosis.AimsTo examine whether a vocational intervention - individual placement and support (IPS) - which has been found to be beneficial in populations with chronic schizophrenia, was a useful intervention for those with first-episode psychosis.MethodA total of 41 people with first-episode psychosis were randomised to receive either 6 months of IPS + treatment as usual (TAU) (n=20) or TAU alone (n=21).ResultsThe IPS group had significantly better outcomes on level of employment (13 v. 2, P<0.001), hours worked per week (median 38 v. 22.5, P=0.006), jobs acquired (23 v. 3) and longevity of employment (median 5 weeks v. 0, P=0.021). The IPS group also significantly reduced their reliance on welfare benefits.ConclusionsIndividual placement and support has good potential to address the problem of vocational outcome in people with first-episode psychosis. This has economic, social and health implications.

Sign in / Sign up

Export Citation Format

Share Document