An update on Individual Placement and Support

Bond, Gary R.; Drake, Robert E.; Becker, Deborah R.

doi:10.1002/wps.20784

Cited by 88 publications

(77 citation statements)

References 9 publications

(12 reference statements)

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“…Our previous study did show that recovery-oriented treatment (i.e., Illness Management and Recovery), is associated with higher perceived support for personal recovery (article in press), and another study has shown that service users enrolled in Assertive Community Treatment (ACT) programs are highly satisfied with the care they receive, including those being on a CTO [ 40 ]. Other interventions with a significant evidence base to support recovery include 19 randomised controlled trials of peer support work [ 41 ], 27 randomised controlled trials of the Individual Placement and Support approach to employment [ 42 ] and the development of education initiative called Recovery Colleges in 22 countries [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between satisfaction with mental health services, personal recovery and quality of life among service users with psychosis: a cross-sectional study

Skar-Fröding

Clausen

Benth

et al. 2021

BMC Health Serv Res

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Background Mental health policy internationally emphasizes patient centredness and personal recovery. This study investigated the relationship between satisfaction with mental health services among service users with psychosis in Norway, and personal recovery, perceived support for personal recovery, and quality of life. Methods Cross-sectional data were collected from 292 service users diagnosed with psychosis from 39 clinical sites across Norway. Satisfaction with services was assessed using the Client Satisfaction Questionnaire-8. A linear mixed model was estimated to explore the relationship between satisfaction with services and preselected covariates, and to control for confounding factors. Results A large majority of participants (89%) reported moderate-to-high levels of satisfaction. Satisfaction with services was positively associated with perceived support for personal recovery, but not with personal recovery or quality of life. In addition, service users under a Community Treatment Order (CTO) were significantly less satisfied than those who were not. Conclusions Satisfaction levels among service users were higher compared with similar, international studies. Those who feel supported in their personal recovery were more satisfied with the care they receive, which support the need for implementation of recovery-oriented practices for service users with psychosis. However, satisfaction with services was not related to service user-rated quality of life or level of personal recovery; thus, more follow-up studies are needed. The lower satisfaction of service users placed under CTOs shows the importance of targeted interventions to improve satisfaction with services among this group. Trial registration NCT03271242, date of registration: 5 sept. 2017.

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Section: Discussionmentioning

confidence: 99%

Relationship between satisfaction with mental health services, personal recovery and quality of life among service users with psychosis: a cross-sectional study

Skar-Fröding

Clausen

Benth

et al. 2021

BMC Health Serv Res

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“…The assessment of the patient’s practical needs is essential for the formulation of a comprehensive management plan. For patients who express an interest in supported employment, the Individual Placement and Support (IPS) model has been found to be significantly more effective than other types of vocational assistance in many randomized trials conducted internationally 174 . Among the basic principles of the IPS model are eligibility based on client's choice, focus on competitive employment, integration of mental health and employment services, attention to the client's preferences, and individualized job supports 174 .…”

Section: Social Functioning Quality Of Life and Unmet Needsmentioning

confidence: 99%

The clinical characterization of the patient with primary psychosis aimed at personalization of management

et al. 2021

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The current management of patients with primary psychosis worldwide is often remarkably stereotyped. In almost all cases an antipsychotic medication is prescribed, with second‐generation antipsychotics usually preferred to first‐generation ones. Cognitive behavioral therapy is rarely used in the vast majority of countries, although there is evidence to support its efficacy. Psychosocial interventions are often provided, especially in chronic cases, but those applied are frequently not validated by research. Evidence‐based family interventions and supported employment programs are seldom implemented in ordinary practice. Although the notion that patients with primary psychosis are at increased risk for cardiovascular diseases and diabetes mellitus is widely shared, it is not frequent that appropriate measures be implemented to address this problem. The view that the management of the patient with primary psychosis should be personalized is endorsed by the vast majority of clinicians, but this personalization is lacking or inadequate in most clinical contexts. Although many mental health services would declare themselves “recovery‐oriented”, it is not common that a focus on empowerment, identity, meaning and resilience is ensured in ordinary practice. The present paper aims to address this situation. It describes systematically the salient domains that should be considered in the characterization of the individual patient with primary psychosis aimed at personalization of management. These include positive and negative symptom dimensions, other psychopathological components, onset and course, neurocognition and social cognition, neurodevelopmental indicators; social functioning, quality of life and unmet needs; clinical staging, antecedent and concomitant psychiatric conditions, physical comorbidities, family history, history of obstetric complications, early and recent environmental exposures, protective factors and resilience, and internalized stigma. For each domain, simple assessment instruments are identified that could be considered for use in clinical practice and included in standardized decision tools. A management of primary psychosis is encouraged which takes into account all the available treatment modalities whose efficacy is supported by research evidence, selects and modulates them in the individual patient on the basis of the clinical characterization, addresses the patient’s needs in terms of employment, housing, self‐care, social relationships and education, and offers a focus on identity, meaning and resilience.

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“…Twenty-eight randomized controlled trials have demonstrated that IPS supported employment programs, designed for people with a behavioral health condition, enable about two-thirds of participants in the U.S., including those with serious mental illnesses, substance disorders, and homelessness, to achieve employment, with many working steadily for years thereafter (Bond et al, 2020 ). IPS produces rates of employment, job tenure, and earnings that are two to three times higher than achieved with other interventions.…”

Section: Supported Employmentmentioning

confidence: 99%

COVID-19, Unemployment, and Behavioral Health Conditions: The Need for Supported Employment

Drake

Sederer

Becker

et al. 2021

Adm Policy Ment Health

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The COVID-19 pandemic has caused massive unemployment, exacerbated pre-existing behavioral health (mental health and substance use) disorders for many people, and created new disorders for others. Although policy changes have increased health care and unemployment benefits, most people want jobs and self-sufficiency rather than handouts. A robust evidence base shows that supported employment can enable unemployed people with behavioral health conditions to find competitive, integrated employment and behavioral health supports. Millions of U.S. citizens may need these services as the pandemic recedes and jobs become available. Government attention to supported employment is necessary now more than ever.

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An update on Individual Placement and Support

Cited by 88 publications

References 9 publications

Relationship between satisfaction with mental health services, personal recovery and quality of life among service users with psychosis: a cross-sectional study

Relationship between satisfaction with mental health services, personal recovery and quality of life among service users with psychosis: a cross-sectional study

The clinical characterization of the patient with primary psychosis aimed at personalization of management

COVID-19, Unemployment, and Behavioral Health Conditions: The Need for Supported Employment

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