Integrated Supported Employment for People With Schizophrenia in Mainland China: A Randomized Controlled Trial

Zhang, Guo Fu; Tsui, Chi Man; Lu, Aisia J. B.; Yu, Li Bo; Tsang, Hector W.H.; Da, Li

doi:10.5014/ajot.2017.024802

Cited by 32 publications

(90 citation statements)

References 26 publications

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“…The majority of the study participants in both studies identified the relevance of work for persons with mental disorders and its role in the recovery process. The relevance of this finding has been previously recorded [39,40]. Mental healthcare providers who support employment for persons with mental illness in these settings offer both care and psycho-education.…”

Section: Discussionsupporting

confidence: 62%

“…This would ensure that mechanisms that guard against discriminatory employment practices are in place and that dialogue and collaboration with employers is used to achieve fair employment practices. There is evidence in support of this finding and studies suggest that adoption of inclusive employment policies facilitates employment for persons with disorders [40,49]. Lastly, in order to improve employment opportunities for persons with mental disorders, government commitment to health care and social welfare is critical.…”

Section: Missingmentioning

confidence: 99%

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Perspectives of mental healthcare providers on pathways to improved employment for persons with mental disorders in two lower middle-income countries

Ebuenyi

Regeer

Aguocha

et al. 2020

Int J Ment Health Syst

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Background: Mental disorders affect employment and the ability to work, and mental healthcare providers are important in the promotion of health and employment for affected individuals. The objective of this study is to explore the perspectives of mental healthcare providers on pathways to improved employment for persons with mental disorders in two lower middle-income countries. Methods: Our study participants included mental healthcare providers (psychiatrists, occupational physicians, psychologists, and social care workers) from Kenya and Nigeria. Qualitative interviews and a focus group discussion were conducted with 15 professionals in Kenya and online questionnaires were completed by 80 professionals from Nigeria. Results: The study participants suggested that work is important for the recovery and wellbeing of persons with mental disorders. A complex interplay of factors related to the health of persons with mental disorders and the socioeconomic system in their setting were identified as barriers to their work ability and employment. Participants proposed four pathways to improved employment: including information on reducing stigma, better healthcare, policy advocacy in employment, and government commitment to healthcare and social welfare. Public education to reduce stigma and better healthcare were the highest reported facilitators of employment. Conclusions: Persons with mental disorders require multilevel support and care in obtaining and retaining employment. A better mental healthcare system is essential for the employment of persons with mental disorders.

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Section: Discussionsupporting

confidence: 62%

Section: Missingmentioning

confidence: 99%

Perspectives of mental healthcare providers on pathways to improved employment for persons with mental disorders in two lower middle-income countries

Ebuenyi

Regeer

Aguocha

et al. 2020

Int J Ment Health Syst

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“…Hoffmann et al and Howard et al and Heslin et al report the efficacy of IPS for the same patient population at two follow‐up periods, so we only included the latter study from both in our meta‐analysis. The meta‐analysis is based on 27 studies (Fig. ).…”

Section: Resultsmentioning

confidence: 99%

A meta‐regression of the impact of policy on the efficacy of individual placement and support

Brinchmann

Widding‐Havneraas

Modini

et al. 2019

Acta Psychiatr Scand

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Objective Individual placement and support (IPS) has shown consistently better outcomes on competitive employment for patients with severe mental illness than traditional vocational rehabilitation. The evidence for efficacy originates from few countries, and generalization to different countries has been questioned. This has delayed implementation of IPS and led to requests for country‐specific RCTs. This meta‐analysis examines if evidence for IPS efficacy can be generalized between rather different countries. Methods A systematic search was conducted according to PRISMA guidelines to identify RCTs. Overall efficacy was established by meta‐analysis. The generalizability of IPS efficacy between countries was analysed by random‐effects meta‐regression, employing country‐ and date‐specific contextual data obtained from the OECD and the World Bank. Results The systematic review identified 27 RCTs. Employment rates are more than doubled in IPS compared with standard vocational rehabilitation (RR 2.07 95% CI 1.82–2.35). The efficacy of IPS was marginally moderated by strong legal protection against dismissals. It was not moderated by regulation of temporary employment, generosity of disability benefits, type of integration policies, GDP, unemployment rate or employment rate for those with low education. Conclusions The evidence for efficacy of IPS is very strong. The efficacy of IPS can be generalized between countries.

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“…Where they exist and are taken up, they increase the employment opportunities for persons with a disability [13,38]. In this study, we observed three models of employment for persons with psychiatric disabilities.…”

Section: Other Facilitators Of Employability For People With Psychiatmentioning

confidence: 92%

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Ebuenyi

Syurina

Bunders

et al. 2018

Global Health Action

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Background: Despite the importance of inclusive employment, described in Goal 8 of the Sustainable Development Goals (SDGs), employment of persons with psychiatric disabilities in Africa is lower than among the general population. Objective: The aim of this scoping review is to explore evidence related to the barriers to and facilitators of employment of persons with psychiatric disabilities in Africa. Methods: A literature search was conducted using six relevant electronic databases of articles published between 1990 and 2017. Results: Eight studies were identified and analysed regarding barriers and facilitators of employment of persons with psychiatric disabilities. The dynamic adaptation of the bio-psycho-social model was used as an analytical framework. Identified barriers include ill health, (anticipated) psychiatric illness, social stigma and discrimination, negative attitudes among employers and the lack of social support and government welfare. Facilitators of employment include stability of mental illness, heightened self-esteem, a personal decision to work despite stigma, competitive and supported employment, reduction in social barriers/stigma and workplace accommodations. Conclusion: Employment of persons with psychiatric disabilities is essential, yet there is dearth of scientific evidence to identify contextual models that might be useful in African countries and other low-and middle countries (LMICs). This gap in information would benefit from further research to improve the employment rates of persons with psychiatric disabilities in Africa.

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Integrated Supported Employment for People With Schizophrenia in Mainland China: A Randomized Controlled Trial

Abstract: Work-related social skills training embedded in ISE with generalization strategies can enhance vocational and nonvocational outcomes for people with schizophrenia in mainland China.

Cited by 32 publications

References 26 publications

Perspectives of mental healthcare providers on pathways to improved employment for persons with mental disorders in two lower middle-income countries

Perspectives of mental healthcare providers on pathways to improved employment for persons with mental disorders in two lower middle-income countries

A meta‐regression of the impact of policy on the efficacy of individual placement and support

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

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