Individual placement and support led to more competitive employment than did enhanced vocational rehabilitation for severe mental disorder

BackgroundIndividual placement and support (IPS) is a vocational rehabilitation programme that was developed in the USA to improve employment outcomes for people with severe mental illness. Its ability to be generalised to other countries and its effectiveness in varying economic conditions remains to be ascertained.AimsTo investigate whether IPS is effective across international settings and in different economic conditions.MethodA systematic review and meta-analysis of randomised controlled trials comparing IPS with traditional vocational services was undertaken; 17 studies, as well as 2 follow-up studies, were included. Meta-regressions were carried out to examine whether IPS effectiveness varied according to geographic location, unemployment rates or gross domestic product (GDP) growth.ResultsThe overall pooled risk ratio for competitive employment using IPS compared with traditional vocational rehabilitation was 2.40 (95% CI 1.99–2.90). Meta-regressions indicated that neither geographic area nor unemployment rates affected the overall effectiveness of IPS. Even when a country's GDP growth was less than 2% IPS was significantly more effective than traditional vocational training, and its benefits remained evident over 2 years.ConclusionsIndividual placement and support is an effective intervention across a variety of settings and economic conditions and is more than twice as likely to lead to competitive employment when compared with traditional vocational rehabilitation.

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RESULTS OF A RANDOMIZED CONTROLLED TRIAL OF INDIVIDUAL PLACEMENT AND SUPPORT FOR VOCATIONAL REHABILITATION IN FIRST EPISODE PSYCHOSIS

Schizophrenia Research ◽

10.1016/s0920-9964(08)70771-0 ◽

2008 ◽

Vol 102 (1-3) ◽

pp. 256

Author(s):

Eoin Killackey ◽

Henry Jackson ◽

Patrick McGorry

Keyword(s):

Randomized Controlled Trial ◽

Vocational Rehabilitation ◽

Controlled Trial ◽

First Episode Psychosis ◽

First Episode ◽

Individual Placement And Support ◽

Randomized Controlled ◽

Episode Psychosis ◽

Individual Placement

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Vocational rehabilitation in first-episode psychosis: results of the first Australian randomized controlled trial of individual placement and support

Acta Neuropsychiatrica ◽

10.1017/s092427080003043x ◽

2006 ◽

Vol 18 (6) ◽

pp. 256-257

Author(s):

E Killackey ◽

P McGorry ◽

K Roffel ◽

G Chinnery ◽

H Jackson

Keyword(s):

Randomized Controlled Trial ◽

Vocational Rehabilitation ◽

Controlled Trial ◽

First Episode Psychosis ◽

First Episode ◽

Individual Placement And Support ◽

Randomized Controlled ◽

Episode Psychosis ◽

Individual Placement

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

The British Journal of Psychiatry ◽

10.1192/bjp.bp.105.012641 ◽

2006 ◽

Vol 189 (1) ◽

pp. 65-73 ◽

Cited By ~ 91

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.

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Effectiveness of the Individual Placement and Support (IPS) model of vocational rehabilitation for people with severe mental illnesses in the Netherlands

Psychiatrische Praxis ◽

10.1055/s-0031-1277830 ◽

2011 ◽

Vol 38 (S 01) ◽

Cited By ~ 7

Author(s):

H Michon ◽

J van Busschbach ◽

M van Vugt ◽

A Stant ◽

H Kroon ◽

...

Keyword(s):

The Netherlands ◽

Vocational Rehabilitation ◽

Mental Illnesses ◽

Individual Placement And Support ◽

The Individual ◽

Ips Model ◽

Individual Placement

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Is Supported Employment Replacing Traditional Vocational Rehabilitation Services?

European Psychiatry ◽

10.1016/s0924-9338(09)70474-2 ◽

2009 ◽

Vol 24 (S1) ◽

pp. 1-1

Author(s):

C. Lauber

Keyword(s):

Mental Illness ◽

Vocational Rehabilitation ◽

Supported Employment ◽

Bipolar Disorders ◽

Daily Practice ◽

Rehabilitation Services ◽

Individual Placement And Support ◽

Vocational Rehabilitation Services ◽

Further Development ◽

Individual Placement

The only study in Europe that compared traditional vocational rehabilitation with Individual Placement and Support (IPS) in people with psychotic and bipolar disorders clearly showed that IPS is more effective. Based on these data, this paper will review the current situation of vocational rehabilitation in Europe and analyse whether these or other research do influence the daily practice in vocational rehabilitation. Moreover, it will summarise potential for further development of Supported Employment in people with severe mental illness.

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