Understanding interventions and outcomes in supported employment and individual placement support: A qualitative evidence synthesis

Susan Kathryn Baxter · J. Barry Cullingworth · Adam Whitworth · Katherine Runswick‐Cole · Mark Clowes

12 citations0/0 files storedDisability and health journal

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Disability Education and Employment Medical Practices and Rehabilitation Occupational Therapy Practice and Research

Abstract

BACKGROUND: Economically developed economies continue to display large and long-standing disability employment gaps. Train-then-place activation models have traditionally dominated efforts to support non-working disabled people to gain employment but recently there has been increasing interest in place-then-train Supported Employment (SE) activation models. OBJECTIVE: Evidence regarding the effectiveness of SE approaches is growing. However, authors have called for greater understanding of the mechanisms underpinning these interventions. We therefore carried out a systematic review of qualitative research to understand the processes operating. METHODS: We carried out a systematic review of qualitative research around SE interventions carried out in developed countries since 2000 in any population excepting those with severe mental illness. We used thematic synthesis and logic modelling methods and assessed the quality of the body of literature. RESULTS: We identified and included 13 relevant source studies containing qualitative data. Key aspects of the programmes reported were the nature of the support, the employment advisor, and the type of employment. Influencing factors were client-related, employer and employment-related, programme-related, and system-related. Effects beyond the gaining of employment included a changed attitude to work, different outlook, increased skills and/or confidence. Suggested longer-term impacts were on health and wellbeing, financial security, independence, contribution to society and sense of belonging. CONCLUSIONS: This review adds to the growing evidence regarding the value of SE interventions for disabled people. It adds insights regarding the key elements of the programmes, and suggests outcomes beyond the measures typically considered within quantitative studies.

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2008Methods for the thematic synthesis of qualitative research in systematic reviews 2020A Review of the Quality Indicators of Rigor in Qualitative Research 2018Applying GRADE-CERQual to qualitative evidence synthesis findings: introduction to the series 2019Qualitative evidence synthesis for complex interventions and guideline development: clarification of the purpose, designs and relevant methods 2011Using logic models to capture complexity in systematic reviews 2001Enterprising States: The Public Management of Welfare-to-Work 2005An 8 year follow-up of a specialist supported employment service for high-ability adults with autism or Asperger syndrome 2014Effect of Supported Employment on Vocational Rehabilitation Outcomes of Transition-Age Youth With Intellectual and Developmental Disabilities: A Case Control Study

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