The individual placement and support approach (IPS) has become a widely recognized evidence-based practice to provide work for more people with severe mental illness. The aim of this literature review was to identify and evaluate research on implementation of IPS, focusing on facilitators and barriers. Contextual, local organizational, cooperation/team and individual factors influence the implementation process. Key facilitators are the use of a fidelity scale to measure and develop quality and the employment of skilled local leaders and IPS specialists. Barriers are located at the contextual level, when the national employment policy and regulation contradict the IPS scheme, and at the local level, where mental health professionals' negative attitudes towards the IPS scheme and a culture based on a medical approach challenge the implementation of IPS. The evaluation of research in IPS implementation show that most studies are empirically driven, using different understandings of implementation and have a poor theoretical underpinning of the studies. The need for further studies based on comparative methods and more developed theoretical framework is discussed.

The authors discuss recent developments in services for people with intellectual disabilities (ID) in the Nordic countries. They note that all of the countries saw important reforms during the 1990s, regarding both deinstitutionalization and decentralization. However, they posit that the litmus test of the reforms is not what happens during reform years, but after the reform energy decreases and political attention fades. Thus, developments after 2000 are of particular interest. The comparative analysis is based on research reviews in the five Nordic countries. The analysis observed a trend toward larger group homes and congregations, inequality across municipalities, marketization, and new public management, but also an increasing emphasis on consumer rights and the use of the personal assistance scheme in services for people with ID. The authors conclude that diverging trends coexist, with improvements going together with significant setbacks. They explore the trends from a political science perspective and, in particular, note how they relate to recent shifts in public management and changing drivers of change.

The concept of empowerment has been closely linked to the development of personal assistance (PA) and the independent living ideology. However, the use of the concept of empowerment has been disputed as it has begun to be used in both the marketization of the PA scheme and as a government strategy to promote active partnership. In this article, we take a closer look at the concept of empowerment and how different approaches capture different relationships between the state and the users of PA. We distinguish between empowerment as a form of resistance, as a form of consumer choice, as co-productions and as a liberal strategy of dominance in the modern society. The analysis indicates how the different notions of empowerment run alongside each other in the development of the PA arrangement in the Scandinavian countries and that the different perspectives will have different consequences when PA is to be analysed as a tool of liberation for disabled people.