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 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 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.

Is Supported Employment Replacing Traditional Vocational Rehabilitation Services?

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.

‘I have potential’: Experiences of recovery in the individual placement and support intervention

2017 ◽  
Vol 63 (5) ◽  
pp. 400-406 ◽  
Author(s):  
Iben Gammelgaard ◽  
Thomas N Christensen ◽  
Lene F Eplov ◽  
Sofie B Jensen ◽  
Elsebeth Stenager ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Psychotic Symptoms ◽  
Competitive Employment ◽  
Personal Recovery ◽  
Individual Placement And Support ◽  
Support Intervention ◽  
The Individual ◽  
Qualitative Phenomenological ◽  
Individual Placement

Background: The individual placement and support (IPS) intervention supports persons with severe mental illness in achieving competitive employment. Although the IPS intervention is labelled a recovery-oriented intervention, little is known about how participants experience IPS to influence recovery. The aim was to investigate how IPS and employment influence recovery in persons with severe mental illness. Material: A qualitative phenomenological hermeneutic study of experiences of 12 participants in IPS. Discussion and conclusion: IPS and competitive work have an impact on personal recovery, may influence work functioning and decrease depressive symptoms, but do not seem to have an impact on psychotic symptoms.

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 Effectiveness of vocational interventions for gaining paid work for people living with mild to moderate mental health conditions: systematic review and meta-analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e039699
Author(s):  
Joanna K Fadyl ◽  
David Anstiss ◽  
Kirk Reed ◽  
Mariya Khoronzhevych ◽  
William M M Levack
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Vocational Rehabilitation ◽  
Usual Care ◽  
Meta Analysis ◽  
Health Conditions ◽  
Competitive Employment ◽  
Paid Work ◽  
Mental Health Conditions ◽  
Quality Evidence

ObjectivesTo evaluate the effectiveness of vocational interventions to help people living with mild to moderate mental health conditions gain paid work.MethodsSystematic review of international, peer-reviewed literature. Development of the prepublished protocol and search strategy was done in consultation with stakeholder reference groups consisting of people with lived experience of long-term conditions, advocates and clinicians. We searched academic databases MEDLINE, EMBASE, PsychINFO, AMED, CINAHL, Proquest Dissertations and Theses database, and Business Source Complete for controlled trials comparing a specific vocational intervention against a control intervention or usual care, published between 1 January 2004 and 1 August 2019. Two authors independently screened search results, extracted data and appraised studies using the Cochrane risk of bias tool.ResultsEleven studies met inclusion criteria. Seven studies investigated Individual Placement and Support (IPS) modified for people who were not in intensive mental health treatment services. These studies occurred settings such as community vocational rehabilitation services, a housing programme and community mental health services. The studies provided very low quality evidence that people who receive IPS-style vocational rehabilitation are more likely to gain competitive employment than people who receive usual care (risk ratio 1.70, 95% CI 1.23 to 2.34, seven studies, 1611 participants). The remaining four studies considered cognitive behavioural therapy or specific vocational rehabilitation interventions designed to fit a unique context. There was insufficient evidence from these studies to draw conclusions regarding the effectiveness of non-IPS forms of vocational rehabilitation for people with mild to moderate mental health conditions.DiscussionThe meta-analysis showed a clear intervention effect but low precision, and more high-quality studies are needed in this field. There is currently very low quality evidence that IPS-style intervention results in more participants in competitive employment compared with ‘usual care’ control groups in populations with mild to moderate mental health conditions.

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