Individual Placement And Support Services Boost Employment For People With Serious Mental Illnesses, But Funding Is Lacking

2016 ◽  
Vol 35 (6) ◽  
pp. 1098-1105 ◽  
Author(s):  
Robert E. Drake ◽  
Gary R. Bond ◽  
Howard H. Goldman ◽  
Michael F. Hogan ◽  
Mustafa Karakus
2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Sarah Swanson ◽  
Deborah Becker ◽  
Gary Bond ◽  
Kimberly Reeder ◽  
Marsha Ellison

This manual describes IPS supported employment and education services for adolescents and young adults (IPS-Y). IPS stands for Individual Placement and Support and indicates a type of supported employment program that is evidence-based for people who have mental illnesses. Growing evidence indicates that IPS may be an effective approach for other populations and age groups as well. IPS practitioners in Maryland and other states helped us learn more about serving youth as a part of developing this manual. Young workers and students also described what helped them and what may benefit other youth. We appreciate their assistance in developing this manual.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Felix S. Hussenoeder ◽  
Maria Koschig ◽  
Ines Conrad ◽  
Uta Gühne ◽  
Alexander Pabst ◽  
...  

Abstract Background Individuals receiving means-tested benefits are at a higher risk of being diagnosed with a psychiatric illness compared to those who are employed, and the rate of those working in the first labor market is low. The intervention (Individual Placement and Support, IPS) aims at maintaining or regaining working ability and at facilitating reintegration into the (first) labor market following a “first place, then train”-approach. The objective of the study is to conduct the first RCT in Germany that addresses a broad group of long-term unemployed individuals with severe mental illnesses that receive means-tested benefits, and to test the effectiveness of the IPS intervention. Methods In this randomized controlled trial, about 120 eligible participants aged between 18 years and local retirement age will be randomly allocated to an intervention group (IG) or to an active control group (CG) using a parallel arm design. The IG will receive IPS + high quality treatment as usual (TAU), the active CG will receive TAU + a booklet on integration measures. A block-randomization algorithm with a targeted assignment ratio of 1:1 for participants in IG and active CG will be used, stratified by sex and three age groups. Assessments will take place before the intervention at baseline (t0), and 6 (t1), 12 (t2), and 18 (t3) months later. Primary outcome will be the proportion of participants having worked at least 1 day in competitive employment since baseline, as assessed at t3. Secondary outcomes will be related to employment/ vocation and mental health. In addition, there will be a process evaluation. Treatment effects on outcomes will be tested using appropriate panel-data regression models, and acceptability, uptake and adherence will be evaluated using descriptive statistics and appropriate inference testing. Discussion The results of this trial are expected to generate a better understanding of the efficiency, feasibility, acceptance, and relevance of the IPS intervention in a German setting. They could be a first step towards the implementation of the method and towards improving the situation of long-term unemployed individuals with severe mental health problems. Trial registration German Clinical Trials Register (DRKS00023245), registered on 22.02.2021.


2014 ◽  
Vol 65 (4) ◽  
pp. 429-441 ◽  
Author(s):  
Matthew Chinman ◽  
Preethy George ◽  
Richard H. Dougherty ◽  
Allen S. Daniels ◽  
Sushmita Shoma Ghose ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Natalia Contreras ◽  
Susan L. Rossell ◽  
David J. Castle ◽  
Ellie Fossey ◽  
Dea Morgan ◽  
...  

Persons with severe mental illness (SMI) have reduced workforce participation, which leads to significant economic and social disadvantage. This theoretical review introduces the strategies that have been implemented to address this issue. These include Individual Placement and Support (IPS) services, the most widely researched form of supported employment, to which cognitive remediation has more recently been recognised in the USA, as an intervention to improve employment outcomes by addressing the cognitive impairments often experienced by people with SMI. The authors review the international literature and discuss specifically the Australian context. They suggest that Australia is in a prime position to engage clients in such a dual intervention, having had recent success with increasing access to supported employment programs and workforce reentry, through implementation of the Health Optimisation Program for Employment (HOPE). Such programs assist withgainingandmaintainingemployment. However, they do not address the cognitive issues that oftenpreventpersons with SMI from effectively participating in work. Thus, optimising current interventions, with work-focused cognitive skills development is critical to enhancing employment rates that remain low for persons with SMI.


Author(s):  
Jan Hutchinson ◽  
David Gilbert ◽  
Rachel Papworth ◽  
Jed Boardman

Individual Placement and Support (IPS) is an internationally accepted and effective form of supported employment for people with severe mental health conditions. Despite its strong evidence base, the implementation of IPS has been slow and inconsistent. In England, a demonstration project, Making IPS Work, was developed to offer support for the implementation of IPS in six local sites National Health Service Mental Health trusts. The project aimed to: Establish Individual Placement and Support services within clinical teams; develop high fidelity practice and leave a sustainable IPS service beyond the project. The number of people gaining open employment in each site was monitored. Fidelity checks were carried out at three sites by independent assessors. Stakeholders were interviewed over the 18-month lifetime of the implementation period to examine the experience of developing the services in the six sites. A total of 421 jobs were found for people with mental health conditions over 18 months with a large variation between the highest and lowest performing sites. The sites assessed for fidelity all attained the threshold for a ‘Good Fidelity’ service. The new services were readily accepted by mental health service users, clinical staff and managers across the trust sites. Maintaining the funding for the Individual Placement and Support services beyond the project period proved to be problematic for many sites. Placing the services within a broader strategy of improving psychosocial services and bringing together decision making at the corporate, commissioning and clinical management level were helpful in achieving success. The growth and maintenance of these services is difficult to achieve whilst the current cost pressures on the NHS continue.


2014 ◽  
Vol 2014 ◽  
pp. 1-9
Author(s):  
Jeannette Waegemakers Schiff ◽  
Rebecca Schiff ◽  
Barbara Schneider

A rich body of literature attests to the importance of affordable accommodation and support services necessary, appropriate, and acceptable to persons disabled by a mental illness. However, there is a little which provides a means for housing and service planners to determine the gap between available supportive housing and need. Such understandings are needed to prepare strategies and develop the resources needed to accommodate persons with a disabling mental illness in the community. While housing studies that examine shelter needs of the homeless acknowledge that a sizable proportion has a disabling mental illness, these numbers underestimate need in the cohort that experiences disabling mental illnesses. This underestimate exists because many of those who are disabled by mental illness and in need of supportive housing are among the hidden homeless: doubled-up, couch-surfing, and temporarily sheltered by friends and family. Thus, little is known about the size of this cohort or their supportive shelter needs. The present analysis examines two approaches and offers one methodology as most feasible and parsimonious which can approximate housing need and may be extrapolated to other urban locations.


Sign in / Sign up

Export Citation Format

Share Document