Three Year Follow-Up Study of an Integrated Supported Employment for Individuals with Severe Mental Illness

Hector W. H. Tsang · Kelvin M. T. Fung · Ada Y. Leung · Sally M. Y. Li

92 citations0/0 files storedAustralian & New Zealand Journal of Psychiatry

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Disability Education and Employment Schizophrenia research and treatment Employment and Welfare Studies

Abstract

OBJECTIVES: The aim of the present study was to examine and compare the long-term effectiveness of the Integrated Supported Employment (ISE) programme, which consists of individual placement and support (IPS) and work-related social skills training, with the IPS programme on the vocational and non-vocational outcomes among individuals with severe mental illness (SMI) over a period of 3 years. METHOD: One hundred and eighty-nine participants with SMI were recruited from two non-government organizations and three day hospitals in Hong Kong and randomly assigned into the ISE (n = 58), IPS (n = 65) and traditional vocational rehabilitation (TVR) (n = 66) groups. Vocational and non-vocational outcomes of the ISE and IPS participants were collected by a blind and independent assessor at 7 11, 15, 21, 27, 33 and 39 months after their admission, whereas the TVR groups were assessed only up to the 15th month follow up. RESULTS: After 39 months of service provision, ISE participants obtained higher employment rate (82.8% vs 61.5%) and longer job tenure (46.94 weeks vs 36.17 weeks) than the IPS participants. Only 6.1% of TVR participants were able to obtain employment before the 15th month follow up. Fewer interpersonal conflicts at the workplace were reported for the ISE participants. Advantages of the ISE participants over IPS participants on non-vocational outcomes were not conclusive. CONCLUSION: The long-term effectiveness of the ISE programme in enhancing employment rates and job tenures among individuals with SMI was demonstrated by this randomized controlled trial.

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References

2001Implementing Supported Employmentas an Evidence-Based Practice 2004Supported Employment: Evidence for an Evidence-Based Practice.1999The researcher's own therapy allegiances: A "wild card" in comparisons of treatment efficacy.2001Helping people with severe mental illness to obtain work: systematic review 1995Measuring optimistic self-beliefs: A Chinese adaptation of the General Self-Efficacy Scale.2005An Investigation into the Cross-Cultural Equivalence of the Personal Wellbeing Index 2001Does competitive employment improve nonvocational outcomes for people with severe mental illness?2002Improving Employment Outcomes for Persons With Severe Mental Illnesses

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2019Effects of Individual Placement and Support Supplemented With Cognitive Remediation and Work-Focused Social Skills Training for People With Severe Mental Illness 2019Enhancing return to work or school after a first episode of schizophrenia: the UCLA RCT of Individual Placement and Support and Workplace Fundamentals Module training 2017Predictors of Acquisition of Competitive Employment for People Enrolled in Supported Employment Programs 2016Evidence-Based Interventions for Increasing Work Participation for Persons With Various Disabilities

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