Implementation Issues for IPS Supported Employment: Stakeholders Share Their Strategies

Abstract

Objective: This paper examines common barriers to IPS supported employment implementation from the perspective of various stakeholders for IPS. Stakeholders describe the strategies used within their state to minimize or eliminate those problems. Methods: Six stakeholders reported barriers they encountered while implementing IPS and strategies they found helpful in overcoming those issues. The stakeholders included two senior planners from state mental health, one senior planner from state vocational rehabilitation, a mental health agency executive director, a client advocate, and a family member advocate. Barriers examined in this paper include program fee schedules that promote the use of traditional vocational assessments, difficulties funding IPS services, practitioner attitudes that conflict with IPS principles, client and family fears regarding loss of disability benefits or increased symptoms related to a return to work, and difficulties related to effective program implementation and sustainability. Conclusions: Although many service delivery systems have barriers to IPS implementation, these can be managed or eliminated through leadership from stakeholders such as state mental health and vocational rehabilitation senior planners, client and family advocates, and agency directors.

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