TY - JOUR
T1 - Vocational Outcomes of the Individual Placement and Support Model in Subgroups of Diagnoses, Substance Abuse, and Forensic Conditions
T2 - A Systematic Review and Analysis of Pooled Original Data
AU - Hellström, Lone
AU - Pedersen, Pernille
AU - Christensen, Thomas Nordahl
AU - Wallstroem, Iben Gammelgaard
AU - Bojesen, Anders Bo
AU - Stenager, Elsebeth
AU - Bejerholm, Ulrika
AU - van Busschbach, Jooske
AU - Michon, Harry
AU - Mueser, Kim T
AU - Reme, Silje Endresen
AU - White, Sarah
AU - Eplov, Lene Falgaard
N1 - © 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.
PY - 2021/12
Y1 - 2021/12
N2 - PURPOSE: To investigate the effect of Individual Placement and Support (IPS) according to diagnoses of schizophrenia, bipolar disorder, major depression, substance use disorders, or forensic psychiatric conditions.METHODS: A systematic search of the literature was conducted in June 2017 and repeated in December 2020. The systematic review included 13 studies. Analyses of pooled original data were based on the six studies providing data (n = 1594). No studies on forensic psychiatric conditions were eligible. Hours and weeks worked were analyzed using linear regression. Employment, and time to employment was analyzed using logistic regression, and cox-regression, respectively.RESULTS: The effects on hours and weeks in employment after 18 months were comparable for participants with schizophrenia, and bipolar disorder but only statistically significant for participants with schizophrenia compared to services as usual (SAU) (EMD 109.1 h (95% CI 60.5-157.7), 6.1 weeks (95% CI 3.9-8.4)). The effect was also significant for participants with any drug use disorder (121.2 h (95% CI 23.6-218.7), 6.8 weeks (95% CI 1.8-11.8)). Participants with schizophrenia, bipolar disorder, and any drug use disorder had higher odds of being competitively employed (OR 2.1 (95% CI 1.6-2.7); 2.4 (95% CI 1.3-4.4); 3.0 (95% CI 1.5-5.8)) and returned to work faster than SAU (HR 2.1 (95% CI 1.6-2.6); 1.8 (95% CI 1.1-3.1); 3.0 (95% CI 1.6-5.7)). No statistically significant effects were found regarding depression.CONCLUSIONS: IPS was effective regarding schizophrenia, bipolar disorder, and substance use disorder; however, the effect on hours, and weeks worked was not statistically significant regarding bipolar disorder. For people with depression the impact of IPS remains inconclusive. Non-significant results may be due to lack of power.TRIAL REGISTRATION: PROSPERO protocol nr. CRD42017060524.
AB - PURPOSE: To investigate the effect of Individual Placement and Support (IPS) according to diagnoses of schizophrenia, bipolar disorder, major depression, substance use disorders, or forensic psychiatric conditions.METHODS: A systematic search of the literature was conducted in June 2017 and repeated in December 2020. The systematic review included 13 studies. Analyses of pooled original data were based on the six studies providing data (n = 1594). No studies on forensic psychiatric conditions were eligible. Hours and weeks worked were analyzed using linear regression. Employment, and time to employment was analyzed using logistic regression, and cox-regression, respectively.RESULTS: The effects on hours and weeks in employment after 18 months were comparable for participants with schizophrenia, and bipolar disorder but only statistically significant for participants with schizophrenia compared to services as usual (SAU) (EMD 109.1 h (95% CI 60.5-157.7), 6.1 weeks (95% CI 3.9-8.4)). The effect was also significant for participants with any drug use disorder (121.2 h (95% CI 23.6-218.7), 6.8 weeks (95% CI 1.8-11.8)). Participants with schizophrenia, bipolar disorder, and any drug use disorder had higher odds of being competitively employed (OR 2.1 (95% CI 1.6-2.7); 2.4 (95% CI 1.3-4.4); 3.0 (95% CI 1.5-5.8)) and returned to work faster than SAU (HR 2.1 (95% CI 1.6-2.6); 1.8 (95% CI 1.1-3.1); 3.0 (95% CI 1.6-5.7)). No statistically significant effects were found regarding depression.CONCLUSIONS: IPS was effective regarding schizophrenia, bipolar disorder, and substance use disorder; however, the effect on hours, and weeks worked was not statistically significant regarding bipolar disorder. For people with depression the impact of IPS remains inconclusive. Non-significant results may be due to lack of power.TRIAL REGISTRATION: PROSPERO protocol nr. CRD42017060524.
KW - Health Sciences
KW - Recovery
KW - Depressive Disorder
KW - Employment, Supported
KW - Humans
KW - Mental Disorders
KW - Rehabilitation, Vocational
KW - Schizophrenia
KW - Substance-Related Disorders
KW - Vocational rehabilitation
KW - Mental disorders
KW - Substance-related disorders
KW - Supported employment
UR - http://www.scopus.com/inward/record.url?scp=85102180381&partnerID=8YFLogxK
U2 - 10.1007/s10926-021-09960-z
DO - 10.1007/s10926-021-09960-z
M3 - Review
C2 - 33661452
VL - 31
SP - 699
EP - 710
JO - Journal of Occupational Rehabilitation
JF - Journal of Occupational Rehabilitation
SN - 1053-0487
IS - 4
ER -