View in EDS

The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial.

Saved in:
Bibliographic Details
Title: The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial.
Authors: Burns T (AUTHOR), Catty J (AUTHOR), Becker T (AUTHOR), Drake RE (AUTHOR), Fioritti A (AUTHOR), Knapp M (AUTHOR), Lauber C (AUTHOR), Rössler W (AUTHOR), Tomov T (AUTHOR), van Busschbach J (AUTHOR), White S (AUTHOR), Wiersma D (AUTHOR), EQOLISE Group (CORPORATE AUTHOR)
Source: Lancet. 9/29/2007, Vol. 370 Issue 9593, p1146-1152. 7p.
Abstract: BACKGROUND: The value of the individual placement and support (IPS) programme in helping people with severe mental illness gain open employment is unknown in Europe. Our aim was to assess the effectiveness of IPS, and to examine whether its effect is modified by local labour markets and welfare systems. METHODS: 312 patients with severe mental illness were randomly assigned in six European centres to receive IPS (n=156) or vocational services (n=156). Patients were followed up for 18 months. The primary outcome was the difference between the proportions of people entering competitive employment in the two groups. The heterogeneity of IPS effectiveness was explored with prospective meta-analyses to establish the effect of local welfare systems and labour markets. Analysis was by intention to treat. This study is registered with ClinicalTrials.gov, with the number NCT00461318. FINDINGS: IPS was more effective than vocational services for every vocational outcome, with 85 (55%) patients assigned to IPS working for at least 1 day compared with 43 (28%) patients assigned to vocational services (difference 26.9%, 95% CI 16.4-37.4). Patients assigned to vocational services were significantly more likely to drop out of the service and to be readmitted to hospital than were those assigned to IPS (drop-out 70 [45%] vs 20 [13%]; difference -32.1% [95% CI -41.5 to -22.7]; readmission 42 [31%] vs 28 [20%]; difference -11.2% [-21.5 to -0.90]). Local unemployment rates accounted for a substantial amount of the heterogeneity in IPS effectiveness. INTERPRETATION: Our demonstration of the effectiveness of IPS in widely differing labour market and welfare contexts confirms this service to be an effective approach for vocational rehabilitation in mental health that deserves investment and further investigation. [ABSTRACT FROM AUTHOR]
Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 105642980
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Burns+T%22">Burns T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Catty+J%22">Catty J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Becker+T%22">Becker T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Drake+RE%22">Drake RE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fioritti+A%22">Fioritti A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Knapp+M%22">Knapp M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lauber+C%22">Lauber C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rössler+W%22">Rössler W</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tomov+T%22">Tomov T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+Busschbach+J%22">van Busschbach J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22White+S%22">White S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wiersma+D%22">Wiersma D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22EQOLISE+Group%22">EQOLISE Group</searchLink> (CORPORATE AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Lancet%22">Lancet</searchLink>. 9/29/2007, Vol. 370 Issue 9593, p1146-1152. 7p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: BACKGROUND: The value of the individual placement and support (IPS) programme in helping people with severe mental illness gain open employment is unknown in Europe. Our aim was to assess the effectiveness of IPS, and to examine whether its effect is modified by local labour markets and welfare systems. METHODS: 312 patients with severe mental illness were randomly assigned in six European centres to receive IPS (n=156) or vocational services (n=156). Patients were followed up for 18 months. The primary outcome was the difference between the proportions of people entering competitive employment in the two groups. The heterogeneity of IPS effectiveness was explored with prospective meta-analyses to establish the effect of local welfare systems and labour markets. Analysis was by intention to treat. This study is registered with ClinicalTrials.gov, with the number NCT00461318. FINDINGS: IPS was more effective than vocational services for every vocational outcome, with 85 (55%) patients assigned to IPS working for at least 1 day compared with 43 (28%) patients assigned to vocational services (difference 26.9%, 95% CI 16.4-37.4). Patients assigned to vocational services were significantly more likely to drop out of the service and to be readmitted to hospital than were those assigned to IPS (drop-out 70 [45%] vs 20 [13%]; difference -32.1% [95% CI -41.5 to -22.7]; readmission 42 [31%] vs 28 [20%]; difference -11.2% [-21.5 to -0.90]). Local unemployment rates accounted for a substantial amount of the heterogeneity in IPS effectiveness. INTERPRETATION: Our demonstration of the effectiveness of IPS in widely differing labour market and welfare contexts confirms this service to be an effective approach for vocational rehabilitation in mental health that deserves investment and further investigation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105642980
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/s0140-6736(07)61516-5
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 1146
    Titles:
      – TitleFull: The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Burns T
      – PersonEntity:
          Name:
            NameFull: Catty J
      – PersonEntity:
          Name:
            NameFull: Becker T
      – PersonEntity:
          Name:
            NameFull: Drake RE
      – PersonEntity:
          Name:
            NameFull: Fioritti A
      – PersonEntity:
          Name:
            NameFull: Knapp M
      – PersonEntity:
          Name:
            NameFull: Lauber C
      – PersonEntity:
          Name:
            NameFull: Rössler W
      – PersonEntity:
          Name:
            NameFull: Tomov T
      – PersonEntity:
          Name:
            NameFull: van Busschbach J
      – PersonEntity:
          Name:
            NameFull: White S
      – PersonEntity:
          Name:
            NameFull: Wiersma D
      – PersonEntity:
          Name:
            NameFull: EQOLISE Group
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 29
              M: 09
              Text: 9/29/2007
              Type: published
              Y: 2007
          Identifiers:
            – Type: issn-print
              Value: 01406736
          Numbering:
            – Type: volume
              Value: 370
            – Type: issue
              Value: 9593
          Titles:
            – TitleFull: Lancet
              Type: main
ResultId 1