scholarly journals A randomized controlled multicenter trial of individual placement and support for patients with moderate-to-severe mental illness

2018 ◽  
Vol 45 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Silje Endresen Reme ◽  
Karin Monstad ◽  
Tonje Fyhn ◽  
Vigdis Sveinsdottir ◽  
Camilla Løvvik ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Multicenter Trial ◽  
Individual Placement And Support ◽  
Randomized Controlled ◽  
Individual Placement

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 A structured mixed method process evaluation of a randomized controlled trial of Individual Placement and Support (IPS)

2020 ◽  
Author(s):  
Tonje Fyhn ◽  
Kari Ludvigsen ◽  
Silje E Reme ◽  
Frederieke Schaafsma
Keyword(s):  
Mental Illness ◽  
Randomized Controlled Trial ◽  
Mixed Methods ◽  
Process Evaluation ◽  
Controlled Trial ◽  
Work Rehabilitation ◽  
Individual Placement And Support ◽  
Randomized Controlled ◽  
Fidelity Scale ◽  
Individual Placement

Abstract Background: Individual Placement and Support (IPS) is an evidence-based work rehabilitation program helping people with moderate to severe mental illness to obtaini ordinary employment. Although IPS has proven superior to other work rehabilitation programs, in many studies, the majority of the participants remains unemployed. Structured process evaluations of IPS that use mixed methods are scarce, although they could identify implementation aspects that may enhance its effect. The aim of the current study is to assess reach, fidelity, and identify barriers and facilitators to implement IPS. Methods: The process evaluation was conducted alongside a randomized controlled trial including six IPS centers, comparing IPS with treatment as usual in a population of patients in treatment for moderate to severe mental illness. Mixed methods were used in the process evaluation, including focus group interviews with service providers, individual interviews and survey data from participants, and fidelity reviews using the validated IPS Fidelity Scale. Results: The intervention reached the intended target group. All centers reached fair to good fidelity according to the IPS Fidelity Scale within the project period (range 89-108, SD 7). Certain fidelity items indicated implementation issues related to employer contact, community-based services, and integration with health services. Survey data showed that less than half of the participants regarded their illness as a barrier for participating in IPS and that freedom of disclosure was important. Participant interviews gave further insight into the role of the IPS specialist, emphasizing their availability and consistent job focus. Conclusions: Indications of implementation challenges across centers during the first year suggest special attention should be given to these aspects in an early phase to ensure higher fidelity from the start and thus enhance the effectiveness of IPS. The IPS specialist played an important role for participants, and was described as positive, pushing in a positive way, and encouraging. More knowledge on the characteristics of successful IPS specialists could further enhance the effectiveness of the intervention. Trial Registration: The study was registered on clinicaltrials.gov prior to the inclusion period (reg.no: NCT01964092, registered 17/07/2013, https://clinicaltrials.gov/ct2/show/NCT01964092).

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