scholarly journals Experiences with Individual Placement and Support and employment – a qualitative study among clients and employment specialists

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Miljana Vukadin ◽  
Frederieke G. Schaafsma ◽  
Harry W. C. Michon ◽  
Marianne de Maaker-Berkhof ◽  
Johannes R. Anema
Keyword(s):  
Implementation Strategy ◽  
Pay For Performance ◽  
Competitive Employment ◽  
Structured Interviews ◽  
Financial Barriers ◽  
Individual Placement And Support ◽  
Organizational Barriers ◽  
Rich Information ◽  
Individual Placement ◽  
Employment Specialists

Abstract Background Individual Placement and Support (IPS) is an evidence-based, effective approach to help people with severe mental illness (SMI) achieve competitive employment. The aim of the present study is to explore experiences with Individual Placement and Support using a multifaceted implementation strategy (IPS + MIS), and competitive employment. The goal of this strategy was to improve IPS implementation by enhancing collaboration between mental health care and vocational rehabilitation stakeholders, and realizing a secured IPS funding with a ‘pay for performance’ element. Methods A qualitative, exploratory study was performed using semi-structured interviews with IPS clients (n = 10) and two focus groups with IPS employment specialists (n = 7 and n = 8) to collect rich information about their experiences with IPS + MIS and competitive employment. Thematic content analysis was used to analyse the data. Results Themes related to experiences with IPS and the multifaceted implementation strategy were identified, including the importance of discussing the client’s motivation and motives to work, facilitators and barriers to obtaining and maintaining employment, facilitators to collaboration between stakeholders, barriers to benefits counselling, organizational barriers to IPS execution and collaboration between stakeholders, financial barriers to IPS execution and experiences with the pay for performance element. Conclusions Although the multifaceted implementation strategy seems to contribute to an improved IPS implementation, the barriers identified in this study suggest that further steps are necessary to promote IPS execution and to help people with SMI obtain and maintain competitive employment.

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.

scholarly journals Implementing evidence-based supported employment

2007 ◽  
Vol 31 (7) ◽  
pp. 244-249 ◽  
Author(s):  
Miles Rinaldi ◽  
Rachel Perkins
Keyword(s):  
Supported Employment ◽  
Educational Activity ◽  
Client Outcomes ◽  
Individual Placement And Support ◽  
Individual Client ◽  
The Individual ◽  
Work Education ◽  
The Impact ◽  
Individual Placement ◽  
Employment Specialists

Aims and MethodWe evaluated the impact of implementing the individual placement and support (IPS) approach within eight community mental health teams (CMHTs) in two London boroughs. Demographic, clinical and vocational data were collected enabling a comparison of the number of people supported in work/education and individual client outcomes at 6 and 12 months.ResultsFollowing the integration of employment specialists there were significant increases in the number and proportion of clients engaged in mainstream work or educational activity at 6 months and 12 months. The employment specialists supported 38% in open employment at 6 months and 39% at 12 months.Clinical ImplicationsThe results support the use of IPS in clinical practice in CMHTs.

Journeys to work: the perspective of client and employment specialist of “Individual Placement and Support” in action

2014 ◽  
Vol 18 (4) ◽  
pp. 198-202 ◽  
Author(s):  
Lynne Miller ◽  
Suzanne Clinton-Davis ◽  
Tina Meegan
Keyword(s):  
Mental Health ◽  
Lived Experience ◽  
Supported Employment ◽  
Mental Health Problems ◽  
Individual Placement And Support ◽  
Content Type ◽  
Employment Specialist ◽  
Personal Accounts ◽  
Individual Placement ◽  
Employment Specialists

Purpose – The purpose of this paper is to provide the personal accounts of the journey back to work from the perspective of both the person entering employment and the Employment Specialist who assisted them. Design/methodology/approach – Two people with mental health problems who received help into employment from an employment service in a London Mental Health Trust were asked to give write their accounts of their journey. The Employment Specialists who assisted them in this journey were also asked to write their accounts. Findings – Reflective accounts – no findings presented. Originality/value – Much has been written about the effectiveness of Individual Placement and Support evidence-based supported employment, but little has been published about the lived experience of this approach from the perspective of both the person endeavouring to return to work and the employment specialists who support them. This paper presents two such accounts.

Service Intensity as a Predictor of Competitive Employment in an Individual Placement and Support Model

2011 ◽  
Vol 62 (9) ◽  
pp. 1066-1072 ◽  
Author(s):  
Alan B. McGuire ◽  
Gary R. Bond ◽  
Daniel R. Clendenning ◽  
Marina Kukla
Keyword(s):  
Competitive Employment ◽  
Individual Placement And Support ◽  
Service Intensity ◽  
Individual Placement ◽  
Support Model

scholarly journals Effectiveness of augmented Individual Placement and Support interventions for competitive employment in people with schizophrenia: Systematic review and meta-analysis

Salud Mental ◽  
2018 ◽  
Vol 41 (4) ◽  
pp. 187-197 ◽  
Author(s):  
Martin Felipe Vázquez-Estupiñán ◽  
◽  
Sol Durand-Arias ◽  
Claudia Iveth Astudillo-García ◽  
Eduardo Ángel Madrigal de León
Keyword(s):  
Systematic Review ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Cognitive Remediation ◽  
Psychotic Episode ◽  
General Effect ◽  
Competitive Employment ◽  
Individual Placement And Support ◽  
The Individual ◽  
Individual Placement

Background. It has been estimated that over 70% of people living with a diagnosis of schizophrenia wish to work. The Individual Placement and Support (IPS) model has proven to be highly effective in enhancing competitive employment in people with schizophrenia. However, the efficacy of augmented IPS interventions, in other words, those that incorporate a psychosocial intervention into the model, has not been evaluated in this population. Objective. To assess the efficacy of augmented IPS interventions designed to obtain competitive employment in people with schizophrenia. Method. A systematic review of the literature on randomized clinical trials of augmented IPS interventions, published in English between 2007 and 2017, was conducted in the electronic databases of PubMed, Science Direct, and EBSCO. Risk of bias and competitive employment rates were calculated. A meta-analysis was performed using the random effects method to estimate the effect of augmented IPS interventions. Results. Twelve articles were identified in which 10 augmented IPS interventions were compared with other interventions. In eight studies conducted on people with schizophrenia, the intervention was based on IPS + social skills/work skills/cognitive remediation vs. IPS or modified IPS. No general effect favoring augmented interventions (RR = 1.37, 95% CI [.97, 1.95], I2 = 52%) was found. Augmented IPS interventions tend to be more effective when they are implemented during the first psychotic episode. Discussion and conclusion. It is not possible to conclude that augmented IPS interventions have a significant effect over standard IPS interventions in obtaining competitive employment in people with schizophrenia.

scholarly journals Supported employment for people with severe mental illness: Systematic review and meta-analysis of the international evidence

2016 ◽  
Vol 209 (1) ◽  
pp. 14-22 ◽  
Author(s):  
Matthew Modini ◽  
Leona Tan ◽  
Beate Brinchmann ◽  
Min-Jung Wang ◽  
Eoin Killackey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Vocational Rehabilitation ◽  
Meta Analysis ◽  
Economic Conditions ◽  
Gdp Growth ◽  
Competitive Employment ◽  
Individual Placement And Support ◽  
Unemployment Rates ◽  
Individual Placement

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.

scholarly journals Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review

2021 ◽  
Vol 18 (22) ◽  
pp. 12083
Author(s):  
Isabelle Weld-Blundell ◽  
Marissa Shields ◽  
Alexandra Devine ◽  
Helen Dickinson ◽  
Anne Kavanagh ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Cochrane Collaboration ◽  
Risk Of Bias ◽  
Competitive Employment ◽  
Adults With Autism ◽  
Individual Placement And Support ◽  
Psychosocial Disability ◽  
Employment Participation ◽  
The Cochrane Collaboration ◽  
Individual Placement

Objective: To systematically review interventions aimed at improving employment participation of people with psychosocial disability, autism, and intellectual disability. Methods: We searched MEDLINE, Embase, PsycINFO, Web of Science, Scopus, CINAHL, ERIC, and ERC for studies published from 2010 to July 2020. Randomized controlled trials (RCTs) of interventions aimed at increasing participation in open/competitive or non-competitive employment were eligible for inclusion. We included studies with adults with psychosocial disability autism and/or intellectual disability. Risk of bias was assessed using the Cochrane Collaboration Risk of Bias II Tool. Data were qualitatively synthesized. Our review was registered with PROSPERO (CRD42020219192). Results: We included 26 RCTs: 23 targeted people with psychosocial disabilities (n = 2465), 3 included people with autism (n = 214), and none included people with intellectual disability. Risk of bias was high in 8 studies, moderate for 18, and low for none. There was evidence for a beneficial effect of Individual Placement and Support compared to control conditions in 10/11 studies. Among young adults with autism, there was some evidence for the benefit of Project SEARCH and ASD supports on open employment. Discussion: Gaps in the availability of high-quality evidence remain, undermining comparability and investment decisions in vocational interventions. Future studies should focus on improving quality and consistent measurement, especially for interventions targeting people with autism and/or intellectual disability.

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