Effectiveness of individual placement and support for people with severe mental illness in The Netherlands: a 30-month randomized controlled trial.

نویسندگان

  • Harry Michon
  • Jooske T van Busschbach
  • A Dennis Stant
  • Maaike D van Vugt
  • Jaap van Weeghel
  • Hans Kroon
چکیده

OBJECTIVE Whereas in the U.S. and Canada the Individual Placement and Support (IPS) model has proven to be highly effective in enhancing employment perspectives for persons with severe mental illnesses, the evidence base is less abundant in countries with a different socioeconomic climate. The aim of this study was to examine the effectiveness of IPS in the Dutch socioeconomic context. METHOD A multisite randomized controlled trial was performed following 151 persons with severe mental illnesses expressing an explicit wish for regular employment, comparing IPS with traditional vocational rehabilitation (TVR). Primary outcome was the proportion of persons who were competitively employed over a period of 30 months. Secondary outcomes were self-reported quality of life, self-esteem and mental health. Additionally, the impact of being engaged in competitive employment on these secondary outcomes was examined. RESULTS In 30 months, 44% of IPS participants found competitive work, compared with 25% of participants supported by TVR. No direct effect of IPS on mental health, self-esteem or quality of life was found. Being competitively employed before follow-up measurements was significantly associated with an increase in mental health, self-esteem and quality of life. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE This study strongly confirms that IPS is an effective method in helping people with severe mental illnesses find competitive work also in countries characterized by a relatively protective socioeconomic climate putting up unintended barriers to employment. The implementation of IPS on a larger scale seems warranted, and new studies are needed on the mechanisms through which IPS works.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Group Emotion Regulation Therapy for Illness Anxiety Disorder: A Randomized Controlled Trial

Background & Objective: People with Illness Anxiety Disorder experience excessive worry and in this regard, they have a lot in common with Generalized Anxiety Disorder. Emotion Regulation Therapy (ERT) is a multifaceted and integrated treatment that is widely used for Generalized Anxiety Disorder and its effectiveness in anxious factors has been established in many studies. The aim of the pres...

متن کامل

Protocol for the Individual Placement and Support (IPS) in Pain Trial: A randomized controlled trial investigating the effectiveness of IPS for patients with chronic pain

BACKGROUND Work disability involves large costs to the society as well as to the individual. Work disability is common among people with chronic pain conditions, yet few effective interventions exist. Individual Placement and Support (IPS) is an evidence-based work rehabilitation model originally developed to help people with severe mental illness obtain and maintain employment. The effectivene...

متن کامل

Protocol for the effect evaluation of Individual Placement and Support (IPS): a randomized controlled multicenter trial of IPS versus treatment as usual for patients with moderate to severe mental illness in Norway

BACKGROUND Roughly one third of disability pensions in Norway are issued for mental and behavioral disorders, and vocational rehabilitation offered to this group has traditionally been dominated by train-and-place approaches with assisted or sheltered employment. Based on a more innovative place-and-train approach, Individual Placement and Support (IPS) involves supported employment in real-lif...

متن کامل

Effect of Leventhal’s Self-Regulatory Model on Illness Perception in Women with Gestational Diabetes: A Randomized Controlled Clinical Trial

Background and purpose:  Illness perception can affect self-care, mental anxiety, and other health outcomes in individuals. Current study aimed to investigate the effect of Leventhal’s Self-Regulatory Model on illness perception in women with Gestational Diabetes Mellitus (GDM). Materials and methods: A randomized controlled clinical trial was performed in women with GDM admitted to prenatal d...

متن کامل

Clinical outcomes and cost effectiveness of two aftercare models provided by general physicians and nurses to patients with severe mental illness

  Background: Implementing community-based psychiatric services is one of the priorities of the WHO/EMRO mental health programs. This study presents an aftercare service, as a community based-service, for patients with severe mental illness (SMIs).   Methods : In this randomized controlled clinical trial design, 176 patients, who attended selective hospitals with SMI, were allocated into three ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Psychiatric rehabilitation journal

دوره 37 2  شماره 

صفحات  -

تاریخ انتشار 2014