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.

Posttraumatic Stress Disorder, Supported Employment, and Outcomes in People with Severe Mental Illness

CNS Spectrums ◽  
2004 ◽  
Vol 9 (12) ◽  
pp. 913-925 ◽  
Author(s):  
Kim T. Mueser ◽  
Susan M. Essock ◽  
Michael Haines ◽  
Rosemarie Wolfe ◽  
Haiyi Xie
Keyword(s):  
Quality Of Life ◽  
Mental Illness ◽  
Supported Employment ◽  
Stress Disorder ◽  
Work Outcomes ◽  
Individual Placement And Support ◽  
Rehabilitation Programs ◽  
The Individual ◽  
Individual Placement

AbstractObjective: To evaluate whether posttraumatic stress disorder (PTSD) is related to outcomes in persons with severe mental illness (SMI) participating in a study of vocatinal rehabilitation programsBackground: PTSD is a common comorbid disorder in people with SMI, but it is unknown whether PTSD interferes with the ability to benefit from rehabilitation programs such as supported employment.Methods: The relationships between PTSD and symptoms, health, quality of life, and work outcomes was examined in 176 clients with SMI participating in a 2-year randomized controlled trial of three vocational rehabilitation programs: supported employment based on the Individual Placement and Support model, a psychosocial rehabilitation program based on transitional employment, and standard services.Results: The overall rate of current PTSD in the sample was 16%. Compared with clients without PTSD, clients with PTSD had more severe psychiatric symptoms, worse reported health, lower self-esteem, and lower subjective quality of life. Clients with PTSD who participated in the Individual Placement and Support model (the most effective vocational model of the three studied) also had worse employment outcomes over the 2-year study period than clients without PTSD, with lower rates of compeitive work, fewer hours worked, and fewer wages earned. Employment outcomes did not differ between clients with PTSD versus without PTSD in the other two vocational rehabilitation approaches.Conclusion: The findings suggest that PTSD may contribute to worse work outcomes in clients participating in supported employment programs. Effective treatment of these clients with PTSD may improve their ability to benefit from supported 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 Relationship Between Self-Assessed Fidelity and Self-Reported Employment in the Individual Placement and Support Model of Supported Employment

2018 ◽  
Vol 69 (5) ◽  
pp. 609-612 ◽  
Author(s):  
Paul J. Margolies ◽  
Jennifer L. Humensky ◽  
I-Chin Chiang ◽  
Nancy H. Covell ◽  
Thomas C. Jewell ◽  
...  
Keyword(s):  
Supported Employment ◽  
Individual Placement And Support ◽  
The Individual ◽  
Individual Placement ◽  
Support Model

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.

scholarly journals Barriers and facilitators to the implementation of individual placement and support (IPS) for patients with offending histories in the community: The United Kingdom experience

2019 ◽  
Vol 83 (3) ◽  
pp. 179-190 ◽  
Author(s):  
Najat Khalifa ◽  
Sarah Hadfield ◽  
Louise Thomson ◽  
Emily Talbot ◽  
Yvonne Bird ◽  
...  
Keyword(s):  
Mental Health ◽  
Support Service ◽  
Barriers And Facilitators ◽  
High Fidelity ◽  
Individual Placement And Support ◽  
Health History ◽  
Mental Health History ◽  
The Individual ◽  
The Impact ◽  
Individual Placement

Introduction We aimed to identify the barriers and facilitators to the implementation of a high fidelity individual placement and support service in a community forensic mental health setting. Method In-depth interviews were conducted with clinical staff ( n = 11), patients ( n = 3), and employers ( n = 5) to examine barriers and facilitators to implementation of a high fidelity individual placement and support service. Data was analysed using thematic analysis, and themes were mapped onto individual placement and support fidelity criteria. Results Barriers cited included competing interests between employment support and psychological therapies, perceptions of patients’ readiness for work, and concerns about the impact of returning to work on welfare benefits. Facilitators of implementation included clear communication of the benefits of individual placement and support, inter-disciplinary collaboration, and positive attitudes towards the support offered by the individual placement and support programme among stakeholders. Offences, rather than mental health history, were seen as a key issue from employers’ perspectives. Employers regarded disclosure of offending or mental health history as important to developing trust and to gauging their own capacity to offer support. Conclusions Implementation of individual placement and support in a community mental health forensic setting is complex and requires robust planning. Future studies should address the barriers identified, and adaptations to the individual placement and support model are needed to address difficulties encountered in forensic settings.

scholarly journals Is There a Role for Fidelity Self-Assessment in the Individual Placement and Support Model of Supported Employment?

2017 ◽  
Vol 68 (9) ◽  
pp. 975-978 ◽  
Author(s):  
Paul J. Margolies ◽  
Jennifer L. Humensky ◽  
I-Chin Chiang ◽  
Nancy H. Covell ◽  
Karen Broadway-Wilson ◽  
...  
Keyword(s):  
Supported Employment ◽  
Self Assessment ◽  
Individual Placement And Support ◽  
The Individual ◽  
Individual Placement ◽  
Support Model

scholarly journals An effective intervention delivered at sub-therapeutic dose becomes an ineffective intervention

2010 ◽  
Vol 196 (5) ◽  
pp. 341-342 ◽  
Author(s):  
Eric Latimer
Keyword(s):  
Mental Illness ◽  
Therapeutic Dose ◽  
Supported Employment ◽  
Effective Intervention ◽  
Individual Placement And Support ◽  
People With Mental Illness ◽  
The Individual ◽  
Individual Placement ◽  
Support Model

SummaryEvidence to date indicates that the individual placement and support model of supported employment helps people with mental illness to obtain competitive jobs. The study by Howard et al (this issue) is the first unsuccessful trial of this model. Vocational workers had far fewer contacts with clients and employers than normal.

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