Vocational intervention in first-episode psychosis: Individual placement and support v. treatment as usual
|Authors:||Kilsby M. S., & Beyer, S.|
|Publication||The British Journal of Psychiatry|
|Publisher||Royal College of Psychiatrists|
Unemployment has economic, social and health implications for individuals with first episode psychosis and schizophrenia. The Individual Placement and Support model of supported employment shows promise for individuals with chronic mental illness. However, there are no randomized controlled trials on use of this approach to assist individuals with first episode psychosis with employment.
The aim of this study was to look at the effectiveness of the Individual Placement and Support model of supported employment for young people with first episode psychosis.
The setting included a variety of places of employment.
The study sample was made up of 41 individuals, between the ages of 15 and 25 years, with first-episode psychosis.
Both groups were assessed at baseline and 6 months after the conclusion of the intervention. Data about demographics, symptoms, diagnosis and functioning was collected for all participants using a variety of measures. These included the Brief Psychiatric Rating Scale, Structured Clinical Interview for the DSM-IV Axis One Disorders, The Quality of Life Scale and Social and Occupational Functioning Assessment Scale. The Supported Employment Fidelity Scale Implementation questions were used to assess the fidelity of the program. Statistical analysis was conducted using SPSS version 14 for Windows.
The control condition was typical treatment as usual.
Participants in the Individual Placement and Support group had better outcomes. These included level of employment, hours worked per week, jobs acquired, and length of time employed. Twenty three participants in the intervention group went to work as compared to only 3 in the control group. The intervention group also reduced reliance on welfare benefits.
The Individual Placement and Support Model has the potential to assist individuals with first episode psychosis with employment. More research is needed.
|Outcomes||Wages | Other|
|Research Design||Randomized Controlled Trials (RCTs)|