A randomised controlled trial of the efficacy of supported employment

Hoffmann, Holger; Jäckel, Dorothea; Glauser, Sybille; Kupper, Zeno

doi:10.1111/j.1600-0447.2011.01780.x

Cited by 85 publications

(82 citation statements)

References 26 publications

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“…Nor have advantages been found for IPS in studies that specifically evaluated psychiatric symptoms [39-42], quality of life [39,[41][42], self-esteem [40], global functioning [40][41][42], relapses [41], coping [41], social support [42], or substance misuse [42]. When differences on non-vocational outcomes have been identified, they have been small [20] or possibly due to baseline differences and resultant regression to the mean [42].…”

Section: Supported Employmentmentioning

confidence: 99%

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

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Abstract-Supported employment, specifically individual placement and support (IPS), improves competitive employment (CE) rates for individuals with serious mental illness, but has not shown greater improvement in non-vocational outcomes than other rehabilitation approaches. The Department of Veterans Affairs offers two types of vocational services, IPS and transitional work experience (TWE), but no study has compared the effectiveness of these approaches. This secondary analysis of data from a study of homeless veterans compared 6 mo improvement in diverse outcomes for five employment patterns: never worked, worked only in TWE, worked in TWE followed by CE, worked in CE without IPS, and worked in CE with IPS referral. Veterans referred to IPS were more likely to be competitively employed. Those who worked in CE (whether following TWE or with or without IPS referral) showed the greatest increase in days worked, employment income, and total income and the greatest decrease in public support income when compared with those who worked only in TWE or not at all. Veterans in TWE showed the greatest increase in residential treatment days, but there were no other differences in nonvocational outcomes between groups. There are multiple paths to CE, but few differences in non-vocational outcomes across employment experiences.

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Section: Supported Employmentmentioning

confidence: 99%

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Leddy¹,

Stefanovics²,

Rosenheck

2014

J Rehabil Res Dev

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“…RESSORT, avec 52,5% des participants en activité professionnelle ou de formation à la sortie et 40,3% en emploi, dont 22% en emploi protégé et 18% en emploi compétitif, obtient en termes d'insertion professionnelle des résultats tout à fait comparables avec ceux décrits dans la littérature [16,[20][21][22][23]. Toutes proportions gardées, on peut comparer nos résulats avec ceux de l'étude randomisée contrôlée de Drake [9] sur l'IPS, où les auteurs relèvent après dix-huit mois de suivi un taux d'emploi compétitif de 23% des participants.…”

Section: Discussionunclassified

“…Evidemment, les différences importantes entre la situation suisse et le marché de l'emploi nord-américain (disponibilité de nombreux emplois n on-qualifiés et contexte légal relativement peu contraignant aux USA), obligent à manipuler avec précaution cette comparaison. La comparaison avec l'étude de Hoffmann et collaborateurs [21] menée en Suisse est sans doute plus éclairante, car cette dernière a été conduite dans un contexte proche du nôtre (le canton de Berne). Elle compare le soutien à l'emploi avec un programme de réhabilitation professionnelle plus traditionnel (ateliers protégés, modèle du Train then Place).…”

Section: Discussionunclassified

“…Par ailleurs les conditions d'admission au programme de soutien à l'emploi diffèrent entre ceux de RESSORT et ceux de l'étude bernoise. En effet dans cette dernière, les personnes présentant une toxicomanie, un manque de motivation à suivre un traitement ambulatoire régulier, des performances professionnelles inférieures à 50% des performances attendues dans un emploi compétitif, et l'incapacité à assurer une participation au programme d'au moins 15 heures par semaine étaient exclues de l'étude [21]. De tels critères d'exclusion ne sont pas appliqués à RESSORT.…”

Section: Discussionunclassified

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Dispositif de soutien à l’emploi pour patients psychiatriques : évaluation rétrospective

2014

Swiss Arch Neurol Psychiatr

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SummarySupport programme of employment for psychiatric patients : a retrospective study Goal: RESSORT,a supported employment programme developed and implemented in Lausanne in 2009, provides personalised help to people with mental difficulties to obtain and keep employment, access educational programmes or engage in mental health care based on the clients' personal needs. Either a traditional progressive vocational rehabilitation programme or the Individual Placement and Support model (IPS) could be offered. The purpose of this retrospective pilot study was to evaluate the effectiveness of RESSORT in promoting professional reintegration and personal goals achievement. Method: The professional and educational status at the end of the programme for 139 patients between 2009 and 2011 were compared with their baseline status using contingency tables and chi-square analysis. The achievement of the initial goals was also measured. Finally, the predictive power of a series of baseline variables was tested to identify subgroups of clients with different levels of response to the programme. Results: At the end of the programme 54% of the patients had a professional or an educational activity, versus 37% at the baseline. Besides, 40.3% of the patients were employed at the programme exit, of which 22% in sheltered jobs and 18% in competitive jobs, versus 33.1% at the baseline. During RES-SORT 28% of the patients gained access to a professional or educational activity, while 12% lost it, 35% remained unemployed and 25% kept their initial activity. The analysis of the predictive factors showed that having a certificate of professional education, being more than 30 years of age and undergoing psychiatric treatment at the baseline are factors leading to a successfull vocational reintegration. Conclusion: Based on these study outcomes, which demonstrated comparability with the results of previous research, we can assume RESSORT to be effective at enhancing vocational reintegration results. Since 2012 three specialised pathways (psychiatric care engagement, traditional vocational rehabilitation and supported employment IPS) have been differentiated. This latest development, aimed at clarifying the strategies of intervention used by RESSORT, will be object of further research in the future.

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“…Die Kontroverse um den Empfehlungsgrad fand eine erste Beruhigung mit der Publikation der 2-Jahres-Ergebnisse unserer randomisiert kontrollierten Studie zum Berner Job Coach Projekt [8]. Nach 2 Jahren arbeiten 45 % der Teilnehmer in der freien Wirtschaft gegenüber 17 %, die ein herkömmliches Trainingsprogramm durchlaufen haben.…”

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Berufliche Rehabilitation: First Place, then Train – Pro

Hoffmann

2014

Psychiat Prax

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A randomised controlled trial of the efficacy of supported employment

Abstract: The SE programme in Switzerland also proved more effective than TVR and seems to be applicable to the socio-economic context of Western European countries.

Cited by 85 publications

References 26 publications

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Health and well-being of homeless veterans participating in transitional and supported employment: Six-month outcomes

Dispositif de soutien à l’emploi pour patients psychiatriques : évaluation rétrospective

Berufliche Rehabilitation: First Place, then Train – Pro

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