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.

Cost-effectiveness of cognitive remediation and supported employment for people with mental illness: a randomized controlled trial

2016 ◽  
Vol 47 (1) ◽  
pp. 53-65 ◽  
Author(s):  
S. Yamaguchi ◽  
S. Sato ◽  
N. Horio ◽  
K. Yoshida ◽  
M. Shimodaira ◽  
...  
Keyword(s):  
Mental Illness ◽  
Cost Effectiveness ◽  
Supported Employment ◽  
Cognitive Remediation ◽  
Cost Effective ◽  
Economic Benefits ◽  
Cognitive Improvement ◽  
Vocational Outcomes ◽  
People With Mental Illness ◽  
Significant Difference

BackgroundLittle is known about the economic benefits of cognitive remediation and supported employment (CR + SE). The present study aimed to investigate the cost-effectiveness of CR + SE compared with traditional vocational services (TVS).MethodIndividuals with mental illness and low cognitive function were recruited at six sites in Japan. A total of 111 participants were randomly allocated to the CR + SE group or the TVS group. Clinical and vocational outcomes were assessed at baseline and 12-month follow-up. Service utilization data were collected monthly. The data on outcomes and costs were combined to examine cost-effectiveness.ResultsThe data were obtained from a total of 92 participants. The CR + SE group resulted in better vocational and clinical outcomes (employment rate, 62.2%; work tenures, 78.6 days; cognitive improvement, 0.5) than the TVS group (19.1%, 24.9 days and 0.2). There was no significant difference in mean total costs between the groups (CR + SE group: $9823, s.d. = $6372, TVS group: $11 063, s.d. = $11 263) with and without adjustment for covariates. However, mean cost for medical services in the CR + SE group was significantly lower than that in the TVS group after adjusting covariates (Β = −$3979, 95% confidence interval −$7816 to −$143, p = 0.042). Cost-effectiveness acceptability curves for vocational outcomes illustrated the high probabilities (approximately 70%) of the CR + SE group being more cost-effective than TVS when society is not willing to pay additional costs.ConclusionsCR + SE appears to be a cost-effective option for people with mental illness who have low cognitive functioning when compared with TVS.

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.

Vocational rehabilitation in people with severe mental illness

2011 ◽  
Vol 26 (S2) ◽  
pp. 2043-2043
Author(s):  
C. Lauber
Keyword(s):  
Mental Illness ◽  
Multicentre Study ◽  
Vocational Rehabilitation ◽  
Severe Mental Illness ◽  
Supported Employment ◽  
New Method ◽  
Specific Intervention ◽  
Individual Placement And Support ◽  
People With Mental Illness ◽  
Individual Placement

Vocational rehabilitation is an important topic in people with severe mental illness as only about 10–15% have a regular job. This paper will present results of a European multicentre study on a specific intervention of supported employment designed for people with mental illness. This new method is called Individual Placement and Support (IPS). The study found that IPS is much more effective than the traditional vocational rehabilitation. This paper will additionally describe approaches to further develop vocational rehabilitation in people with severe and enduring mental illness.

scholarly journals Management aspects of care for the homeless mentally ill

1996 ◽  
Vol 2 (4) ◽  
pp. 158-165 ◽  
Author(s):  
P. Timms
Keyword(s):  
Mental Illness ◽  
Inner City ◽  
Severe Mental Illness ◽  
Social Service ◽  
Mentally Ill ◽  
Economically Disadvantaged ◽  
High Unemployment ◽  
People With Mental Illness ◽  
Homeless Mentally Ill ◽  
The Continuum

People with mental illness have always been marginalised and economically disadvantaged. Warner (1987) has shown that this is particularly true in times of high unemployment. Poor inner-city areas have excessive rates of severe mental illness, usually without the health, housing and social service provisions necessary to deal with them (Faris & Dunham, 1959). The majority of those who suffer major mental illness live in impoverished circumstances somewhere along the continuum of poverty. Homelessness, however defined, is the extreme and most marginalised end of this continuum, and it is here that we find disproportionate numbers of the mentally ill.

Memoirs

2009 ◽  
Vol 19 (1) ◽  
pp. 52-68 ◽  
Author(s):  
Elizabeth Young
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Narrative Structure ◽  
Social Attitudes ◽  
Cultural Discourse ◽  
Hegemonic Discourse ◽  
People With Mental Illness

Four published memoirs refute culturally dominant ideas about severe mental illness as personal weakness, as something shameful, and as a condition that necessarily leads to isolation and disenfranchisement. The narrative structure and content of the memoirs reveal that people’s experience differs from the hegemonic discourse: while narrating symptoms, diagnosis, treatment, and acceptance of the illness, all four authors present themselves as accomplished, self-possessed, and socially integrated. Their memoirs, and the act of narrating their experiences with mental illness, challenge the established cultural discourse of mental illness as limitation. The narratives help change that discourse and our social attitudes toward people with mental illness.

The effects of supported employment in Latino consumers with severe mental illness.

2014 ◽  
Vol 37 (2) ◽  
pp. 113-122 ◽  
Author(s):  
Kim T. Mueser ◽  
Gary R. Bond ◽  
Susan M. Essock ◽  
Robin E. Clark ◽  
Elizabeth Carpenter-Song ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Supported Employment

scholarly journals Art appreciation for veterans with severe mental illness in a VA Psychosocial Rehabilitation and Recovery Center

Arts & Health ◽  
2015 ◽  
Vol 7 (2) ◽  
pp. 172-181 ◽  
Author(s):  
Robert A. Ketch ◽  
Robert T. Rubin ◽  
Matthew R. Baker ◽  
Alexander C. Sones ◽  
Donna Ames
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychosocial Rehabilitation ◽  
Art Appreciation

scholarly journals Predictors of employment for people with severe mental illness: results of an international six-centre randomised controlled trial

2008 ◽  
Vol 192 (3) ◽  
pp. 224-231 ◽  
Author(s):  
Jocelyn Catty ◽  
Pascale Lissouba ◽  
Sarah White ◽  
Thomas Becker ◽  
Robert E. Drake ◽  
...  
Keyword(s):  
Mental Illness ◽  
Randomised Controlled Trial ◽  
Severe Mental Illness ◽  
Controlled Trial ◽  
Patient Characteristics ◽  
Employment Outcomes ◽  
Social Needs ◽  
Vocational Outcomes ◽  
Randomised Controlled ◽  
Ips Model

BackgroundAn international six-centre randomised controlled trial comparing individual placement and support (IPS) with usual vocational rehabilitation for people with serious mental illness found IPS to be more effective for all vocational outcomes.AimsTo determine which patients with severe mental illness do well in vocational services and which process and service factors are associated with better outcomes.MethodPatient characteristics and early process variables were tested as predictors of employment outcomes. Service characteristics were explored as predictors of the effectiveness of IPS.ResultsPatients with previous work history, fewer met social needs and better relationships with their vocational workers were more likely to obtain employment and work for longer. Remission and swifter service uptake were associated with working more. Having an IPS service closer to the original IPS model was the only service characteristic associated with greater effectiveness.ConclusionsThe IPS service was found to be more effective for all vocational outcomes. In addition, maintaining high IPS fidelity and targeting relational skills would be a valuable focus for all vocational interventions, leading to improved employment outcomes. Motivation to find work may be decreased by satisfaction with current life circumstances.

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