Research to Practice: Comparison of VR Outcomes for Clients with Mental Illness across System Indicators

The argument that people with psychiatric disabilities cannot work is an empty one, as anecdotal and research data have shown (Bond, 2004). Recently, there has been a plethora of information on evidence based employment strategies, prominently connected with the research on the Individual Placement and Support (IPS) model associated with Drake and colleagues at Dartmouth College (Drake, 1998)

Exploring communication and interaction skills at work among participants in individual placement and support.

Not all people with severe mental illness who attend Individual Placement and Support (IPS) gain and keep their jobs or work full time. Research has indicated a relationship between social disabilities and work performance in this group, and that support provided is often directed towards the social work environment. However, relationships between social skills performed in an authentic work setting and vocational outcomes have not been explored

Supported Employment Adapted for Young Adults with Peer Mentors: A Feasibility Study [English and Spanish versions]

A Spanish translation of this publication is available to download under Additional Files below. The mission of the Transitions RTC is to conduct cutting edge research and knowledge translation projects that support the transition of youth and young adults with serious mental health conditions (age 14-30) into rewarding lives as students and workers. One of these projects is the Thresholds-Dartmouth Research Center adaptation of Individual Placement and Support (IPS) for youth and young adults. The program and study are described in this brief. Originally published as: Transitions RTC Research Brief 4, Jan. 2012

Mental health vocational rehabilitation

Bakgrunn: I dagens samfunn er tallet på mennesker med psykiske problemer økende. Mange opplever problemer med å komme inn på arbeidsmarkedet. Individual Placement and Support (IPS) er et program som hjelper mennesker med psykiske lidelser å skaffe jobb. Hensikt: Hensikten med denne studien var å få mer kjennskap til hvordan ergoterapeuter bruker sin kompetanse innen området arbeid og psykisk helse. Metode: Jeg har benyttet kvalitativ forskning og intervjuet tre ergoterapeuter som jobber med IPS. De innsamlede dataene ble organisert og delt opp i ulike emner. Resultater: Resultatene viser at ergoterapeuter har kompetanse som samsvarer i forhold til IPS-programmet. Ergoterapeuters fagkompetanse er å jobbe klientsentrert, noe som også er veldig sentralt innen IPS.Background: In the society of today there are a growing number of people suffering from mental disorders. Many of these have difficulties getting into the labor market. Individual Placement and Support (IPS) is a program which supports people with mental disorders to achieve a job. Purpose: The purpose of this study is to get more knowledge about how occupational therapists use their competence within the area vocational rehabilitation and mental disorders. Method: I chose a qualitative approach and made interviews with three occupational therapists. The collected data were organized and put into different themes. Conclusions: The results show that occupational therapists have expertise which corresponds to the IPS-program. The profession of occupational therapy is to work client-centered and this is also the purpose of the IPS-program

An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MoHO); a prospective cohort study

Susan Prior - ORCID 0000-0003-3069-6961 http://orcid.org/0000-0003-3069-6961Donald Maciver - ORCID 0000-0002-6173-429X https://orcid.org/0000-0002-6173-429XKirsty Forsyth - ORCID 0000-0002-6732-1699 https://orcid.org/0000-0002-6732-1699Replaced original VoR with updated VoR 2020-07-09Background: Employment is good for physical and mental health, however people with severe mental illness (SMI) are often excluded from employment. Standard Individual Placement and Support (IPS) is effective in supporting around 55% of people with SMI into employment or education. Current research considers enhancements to IPS to improve outcomes for those requiring more complex interventions. Clinicians need to better understand who will benefit from these enhanced IPS interventions. This study offers a new enhanced IPS intervention and an approach to predicting who may achieve successful outcomes.Methods: This prospective cohort study included people with SMI who participated in an enhanced IPS service and had prolonged absence from employment. Secondary data analysis was conducted of data gathered in routine clinical practice. Univariate analysis coupled with previous research and clinical consultation was used to select variables to be included in the initial model, followed by a backward stepwise approach to model building for the final multiple logistic regression model with an outcome of successful or unsuccessful goal attainment (employment or education).Results: Sixty-three percent of participants in the enhanced IPS successfully attained employment or education. Significant relationships from bivariate analyses were identified between outcomes (employment or education) and seven psychosocial variables. Adapting Routines to Minimise Difficulties, Work Related Goals, and Living in an Area of Lesser Deprivation were found to be significant in predicting employment or education in the final multiple logistic regression model R2 = 0.16 (Hosmer-Lemeshow), 0.19 (Cox-Snell), 0.26 (Nagelkerke). Model χ2(7) = 41.38 p < .001.Conclusion: An enhanced IPS service had a 63% rate success in achieving employment or education, higher than comparable studies and provides an alternative to IPS-Lite and IPS-standard for more complex populations. Motivational and habitual psychosocial variables are helpful in predicting who may benefit from an enhanced IPS intervention supporting people after prolonged absence from employment.Trial registration: NCT04083404 Registered 05 September 2019 (retrospectively registered).This study was funded by the Scottish Government. The funding body had no role in the design of the study and collection, analysis, and interpretation of data and in writing the manuscript.https://bmcpsychiatry.biomedcentral.com/https://doi.org/10.1186/s12888-020-02745-320pubpu

Putting Healthcare Dollars to Work for Jobseekers Facing Barriers to Employment

The expansion of Medicaid under the Affordable Care Act opens up new opportunities to leverage healthcare funding to create job opportunities for individuals facing barriers to employment, including homeless jobseekers. In this session, learn about innovative efforts to use healthcare funds to finance employment-related benefits and how these mechanisms can work in your state. The session highlighted a unique partnership between the Corporation for Supportive Housing (CSH) and REDF to align supportive housing and workforce development to create sustainable funding sources for employment of individuals with lived experience of homelessness through California's Health Homes Program, a new Medicaid benefit for care management. The session also discussed Illinois' newly-proposed Individual Placement and Support (IPS) employment Medicaid benefit for individuals diagnosed with a serious mental illness, substance use disorder, or serious emotional disturbance

Förändring av tidsanvändning i aktivitet - bland deltagare i arbetsrehabilitering enligt Individual Placement and Support (IPS)

Inledning: I dagens samhälle har personer med långvarig psykisk funktionsnedsättning stora problem att ta sig in på arbetsmarknaden. De saknar även möjlighet till meningsfulla aktiviteter, att ha en aktiv fritid och känslan av att vara delaktiga i samhället. Självbilden är nära förknippad med yrkesrollen och tidigare forskning om Individual Placement and Support (IPS) visar att när dessa personer har ett arbete, praktik eller studerar, upplevs meningsfullhet i vardagen. Det finns inga studier som undersökt hur tidsanvändningen förändras när en person börjar med IPS och får arbete, praktik eller studerar. Syfte: Syftet för studien var att kartlägga vilka aktiviteter personer med långvarig psykisk funktionsnedsättning gjorde samt se förändring av tidsanvändning i aktivitet. Metod: Denna longitudinella studie använde sig av en riktad innehållsanalys med efterföljande kvantifiering av tiden i aktivitet. Urval: Studien bestod av 14 personer som med IPS intervention hade arbete, praktik eller studier efter 18 månader. Personerna togs från en RCT-studie. Resultat: De aktivitetsområdena analysen utgick ifrån var produktivitet, egenvård, fritid och sömn. Det förekom en förändring av tidsanvändning i aktivitet över tid. Störst var förändringen inom delområdena arbete och fritid. Tiden som gick åt till arbete fördubblades och personerna la mer tid på rekreativ fritid än ofrivillig fritid. Konklusion: Minskningen av de ofrivilliga fritidsaktiviteter tolkades som att fritiden upplevdes mer meningsfull efter IPS-insats än vid baslinjen och därmed även gav bättre aktivitetsbalans

Cost Effectiveness and Hospitalization Rates of Those with Mental Health Issues Using On-Site versus Off-Site Job Coaching

The State of California’s Department of Rehabilitation has established a goal of reducing the rate of unemployment for people suffering from mental illness (Department of Rehabilitation, 2020). Sheltered workshops and short duration employment efforts have proven to be less effective than the Individual Placement and Support (IPS) or other supported employment models. Provided that they have the right support and strategies, those suffering from mental illness can maintain competitive employment and reduce their incidences of hospitalization, dependency, boredom, and lack of fulfillment. The alienation one suffers from lack of social connection and employment cannot be understated. Participants in supported employment programs keep their jobs for longer periods of time, and regain self-respect and a sense of self-worth that is lacking while unemployed (Bond, 2004; Cimera, 2008). Continued efforts focusing on job retention and decreased hospitalization stays, especially as it pertains to people with diagnosed mental illness, could benefit those afflicted, as well as society as a whole

Individual Placement and Support is the keyhole : Employer experiences of supporting persons with mental illness

BACKGROUND: Rehabilitation professionals are increasingly interested in the vocational rehabilitation approach called Individual Placement and Support (IPS) for persons with serious mental illness. OBJECTIVE: Since employers play a crucial supporting role for the IPS service user in the workplace, the aim of this study was to explore the experiences and views of employers in Sweden who have participated in the IPS network and taken IPS service users into their workforce. METHODS: Grounded theory with situational analysis was used to analyze data from nine employers. RESULTS: The core category being socially committedwas identified. Six stages/categories illustrated the employer process, from taking on IPS service users to supporting them at work: 1) IPS is the keyhole, 2) being ready to open the door, 3) making a job offer, 4) removing barriers, 5) achieving the goal, and 6) pride mixed with negative feelings. CONCLUSION: The study results suggest that collaborative relationships with employers must be based on trust and professionalism, and that employers must be provided with adequate support

Increasing employment rates for Indigenous people with a disability

Introduction: The purpose of this resource sheet is to assess and summarise evidence on the effectiveness of programs relevant to increasing employment rates for Aboriginal and Torres Strait Islander people with a disability. A total of 265 papers were reviewed—sourced from peer-reviewed journals published from 1990–2013, and reports and information obtained from government and non-government websites. This resource sheet reviews the effectiveness of both Indigenous-specific and mainstream Australian employment programs, as well as international employment programs for Indigenous people with a disability. Where relevant, it also takes account of evaluations of employment programs for people with a disability that did not specifically report the results for Indigenous job seekers as they are likely to have some Indigenous clients