Evidence for Occupational Therapy Intervention With Employment and Education for Adults With Serious Mental Illness: A Systematic Review

Noyes, Susan; Sokolow, Helena; Arbesman, Marian

doi:10.5014/ajot.2018.033068

Cited by 32 publications

(31 citation statements)

References 74 publications

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“…These outcomes are of interest to occupational therapists, who can play a key role in supporting the process of gaining and sustaining employment for individuals with mental illness. Occupational therapists have a specific skill set that provides them with the capacity to understand the impact of mental illness on job performance and to evaluate, analyze, and recommend proper approaches to work integration (Auerbach, 2002; Noyes et al, 2018). Occupational therapists are considered vocational experts within IPS programs and often act as case managers to support the employment specialist (ES) who, in turn, supports the clients and employers (Action Mental Health, 2017).…”

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confidence: 99%

Stakeholder Perspectives on IPS for Employment: A Scoping Review

Chen¹,

Lal²

2020

Can J Occup Ther

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Background. Individual Placement and Support (IPS) has demonstrated effectiveness in achieving competitive employment for people with severe mental illness. Yet limited efforts have been made to synthesize the literature pertaining to the experiences and perspectives of key stakeholders regarding IPS, which could be helpful for occupational therapists, given their role in vocational rehabilitation. Purpose. To synthesize qualitative literature to understand how stakeholders (including occupational therapists) experience and perceive IPS and consider the implications for future occupational therapy practice and research. Method. A scoping review methodology guided our review. We conducted an electronic search of qualitative and mixed-method studies on IPS. Findings. Twenty-six articles were retrieved. Most studies sought clients’ perspectives ( n = 15), followed by practitioners (mostly employment specialists; n = 10) and only one with employers. Implications. There is a need for research targeting practitioners and employers which will help improve the nature of the collaboration between mental health teams, vocational teams, and employers.

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confidence: 99%

Stakeholder Perspectives on IPS for Employment: A Scoping Review

Chen¹,

Lal²

2020

Can J Occup Ther

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“…Dette er en tilnaerming som er relevant for å få sykemeldte tilbake til jobb. Forskningen om hvordan man best kan få personer tilbake til arbeid er nokså entydig på at det først og fremst er tiltak som iverksettes på arbeidsplassen som gir positive resultater (Arbesman & Logsdon 2011;Crowthe, Marshall, Bond & Huxly 2001;Høgelund 2014). I tillegg konkluderer flere internasjonale kunnskapsoppsummeringer med at vellykkete tilbakeføringsprosesser handler om tidlig intervensjon og samordnete tjenester med innsats fra de ulike aktørene som arbeidsgiver, NAV og helsevesen (se for eksempel MacEachen, Clarke, Franche & Irvin 2006;Hoefsmit, Houkes & Nijhuis 2012).…”

Section: Bakgrunn Og Teoretiske Perspektiverunclassified

NAV: Virksomhetsbaserte team – redusert sykefravær?

Hansen¹,

Bjørkquist²,

Fineide³

et al. 2019

SPA

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“…Hence, recent investigations have focused on enhancements to improve outcomes for those requiring more complex interventions, to date these have primarily focused on interventions to improve cognitive and social skills [10][11][12][13][14][15]. Developing enhanced IPS and to be able to predict who secures employment or education has therefore become a priority for practice and research [11,16,17].…”

Section: Introductionmentioning

confidence: 99%

An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study

et al. 2020

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Background: Employment is good for physical and mental health, however people with severe mental illness (SMI) are often excluded from employment. Standard Individual Placement and Support (IPS) is effective in supporting around 55% of people with SMI into employment or education. Current research considers enhancements to IPS to improve outcomes for those requiring more complex interventions. Clinicians need to better understand who will benefit from these enhanced IPS interventions. This study offers a new enhanced IPS intervention and an approach to predicting who may achieve successful outcomes. Methods: This prospective cohort study included people with SMI who participated in an enhanced IPS service and had prolonged absence from employment. Secondary data analysis was conducted of data gathered in routine clinical practice. Univariate analysis coupled with previous research and clinical consultation was used to select variables to be included in the initial model, followed by a backward stepwise approach to model building for the final multiple logistic regression model with an outcome of successful or unsuccessful goal attainment (employment or education). Results: Sixty-three percent of participants in the enhanced IPS successfully attained employment or education. Significant relationships from bivariate analyses were identified between outcomes (employment or education) and seven psychosocial variables. Adapting Routines to Minimise Difficulties, Work Related Goals, and Living in an Area of Lesser Deprivation were found to be significant in predicting employment or education in the final multiple logistic regression model R 2 = 0.16 (Hosmer-Lemeshow), 0.19 (Cox-Snell), 0.26 (Nagelkerke). Model χ 2 (7) = 41.38 p < .001. Conclusion: An enhanced IPS service had a 63% rate success in achieving employment or education, higher than comparable studies and provides an alternative to IPS-Lite and IPS-standard for more complex populations. Motivational and habitual psychosocial variables are helpful in predicting who may benefit from an enhanced IPS intervention supporting people after prolonged absence from employment. Trial registration: NCT04083404 Registered 05 September 2019 (retrospectively registered).

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Evidence for Occupational Therapy Intervention With Employment and Education for Adults With Serious Mental Illness: A Systematic Review

Abstract: This systematic review supports the role of occupational therapy practitioners in promoting the implementation of IPS, cognitive-based, and social skills programs to improve vocational and educational outcomes for adults with SMI.

Cited by 32 publications

References 74 publications

Stakeholder Perspectives on IPS for Employment: A Scoping Review

Stakeholder Perspectives on IPS for Employment: A Scoping Review

NAV: Virksomhetsbaserte team – redusert sykefravær?

An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study

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