Supported Employment for people with mental disabilities in South Africa: cost calculation of service utilisation

Engelbrecht, Madri; Niekerk, Lana van; Coetzee, Zelda; Hajwani, Zerina

doi:10.17159/231-3833/1017/v47n2a3

Cited by 7 publications

(20 citation statements)

References 14 publications

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“…30 Narrative reviews and expert opinions comprise the lowest level of scientific evidence, that is, level 5. In this study, one source by Vizzotto et al 22 is level 1, two sources by Engelbrecht et al 26 and van Niekerk et al 28 are level 2, and seven sources 13 27 31-35 are level 5. Two sources 29 36 did not specify methodology used.…”

Section: Level Of Evidence Of Included Sourcesmentioning

confidence: 58%

“…Khare et al 29 identified the following strategies: teaching illness self-management skills, systematic involvement of families and social networks to help with job finding, collaboration on mental illness management, and facilitating work in family business. Van Niekerk et al 27 and Engelbrecht et al 26 reported similar VR intervention strategies in their studies. These were job analysis and matching, job finding, job coaching, trial placement, simulated work, work in protective factories and sheltered workshops.…”

Section: Open Accessmentioning

confidence: 81%

“…Supported employment was the most common VR intervention cited by four sources. [26][27][28][29] This is a VR intervention type that promotes the inclusion of persons with disabilities in competitive employment. 28 It is based on the assumption that people with the most severe disabilities can be integrated into competitive employment if they receive the right support.…”

Section: Intervention Typesmentioning

confidence: 99%

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Scoping review exploring vocational rehabilitation interventions for mental health service users with chronic mental illness in low-income to upper-middle-income countries

2022

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ObjectiveTo synthesise research published on vocational rehabilitation (VR) interventions offered in institutions, by occupational therapists, to mental health service users (MHSUs) with chronic mental illness, in low-income to upper-middle-income countries (L-UMIC).DesignThis scoping review used Arksey and O’Malley’s methodological framework, the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews and Joanna Briggs scoping review guidelines.Data sourcesWe searched PsycInfo, EBSCOhost, HINARI, Google Scholar, Medline, CINAHL, PubMed, Cochrane Library, Scopus, Science Direct and Wiley online library between 15 July and 31 August 2021.Eligibility criteriaSources, published in English between 2011 and 2021, on institution-based VR in occupational therapy for MHSUs who had chronic mental illness in L-UMIC were included. We included primary studies of any design.Data extraction and synthesisThree reviewers used Mendeley to manage identified references, Rayyan for abstract and full-text screening and Microsoft Excel for data extraction. Data were sifted and sorted by key categories and themes.Results895 sources were identified, and their title and abstracts reviewed. 207 sources were included for full-text screening. 12 articles from 4 countries (South Africa, India, Brazil and Kenya) were finally included. Types of VR intervention included supported employment, case management and prevocational skills training. Client centeredness, support and empowerment were the key VR principles identified. Teaching of illness self-management, job analysis and matching, job coaching, trial placement, and vocational guidance and counselling were the main intervention strategies reported.ConclusionsVR intervention in institutions for MHSUs in L-UMIC revealed the multidimensional uniqueness of individual MHSU’s vocational ability, needs and contexts. The interventions allowed client-centred approaches that offer support and empowerment beyond the boundaries of the institutions. Occupational therapists offering VR need to expand their interventions beyond their institutions to contexts where MHSUs are working or intending to work.

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Section: Level Of Evidence Of Included Sourcesmentioning

confidence: 58%

Section: Open Accessmentioning

confidence: 81%

Section: Intervention Typesmentioning

confidence: 99%

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Scoping review exploring vocational rehabilitation interventions for mental health service users with chronic mental illness in low-income to upper-middle-income countries

2022

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“…Another gap concerns the impact of adherence to fidelity in service delivery on the cost-effectiveness of programmes; good but less than perfect fidelity has been shown as most cost-effective for first-episode psychosis services [ 63 ]. Finally, another gap is the lack of economic studies in low-income countries, although costs of delivering SE/IPS have been examined in South Africa [ 70 ].…”

Section: Discussionmentioning

confidence: 99%

Economic analyses of supported employment programmes for people with mental health conditions: A systematic review

et al. 2022

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BackgroundEmployment is intrinsic to recovery from mental health conditions, helping people live independently. Systematic reviews indicate supported employment (SE) focused on competitive employment, including individual placement and support (IPS), is effective in helping people with mental health conditions into work. Evidence is limited on cost-effectiveness. We comprehensively reviewed evidence on the economic case for SE/IPS programmes. MethodsWe searched PubMed/MEDLINE, EMBASE, PsycINFO, CINAHL, IBSS, Business Source Complete and EconLit for economic and return on investment analyses of SE/IPS programmes for mental health conditions. Traditional vocational rehabilitation, sheltered work, and return to work initiatives after sickness absence of less than one year were excluded. Studies were independently screened by two reviewers. We assessed quality using the Consolidate Health Economic Evaluation Reporting Standards(CHEERS) checklist. The protocol was pre-registered with PROSPERO-CRD42020184359. ResultsFrom 40,015 references, 28 studies examined the economic case for IPS, four IPS augmented by another intervention, and 24 other forms of SE. Studies were very heterogenous, quality was variable. Of 41 studies with quality scores over 50% ten reported cost per Quality Adjusted Life Year gained, (eight favourable to SE/IPS), 14

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“…Most of the budget for the health sector goes into primary health care for the purpose of preventing disease and promoting health. This lack of funding is significantly impacting the vocational rehabilitation services in SA [19] and is hindering vocational rehabilitation services that could assist people with TBIs to return to work successfully. Results of this study indicated that a lack of funding was caused by a bigger problem of a lack of legislation or the lack of practical implementation of policies to facilitate the reintegration of people with disabilities (PWD) in the workplace [20].…”

Section: Discussionmentioning

confidence: 99%

The Use of the Model of Occupational Self-Efficacy for Work Retraining: A Multiple Case Study

Soeker

Pape

2019

Occupational Therapy International

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The South African labour law serves as a guide for employers to accommodate injured individuals in the work place. The aim of the study was to explore and describe the experiences of individuals with traumatic brain injury regarding returning to work through the use of the Model of Occupational Self-Efficacy (MOOSE). The study utilized a multiple case study research design, and 10 participants participated in the study. An analytical strategy of explanation building was used to analyse the data. Three themes emerged from the study, i.e., Theme 1: the model has its limitations (barriers), Theme 2: the model helps facilitate work integration (facilitators), and Theme 3: further enhancements to improve the model. The findings of this study indicated that the participant experiences of the MOOSE are a useful model to facilitate the return of individuals living with a TBI back to work. Coping skills and support groups were also viewed as being an important part of the vocational rehabilitation program.

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Supported Employment for people with mental disabilities in South Africa: cost calculation of service utilisation

Abstract: ABSTRACT

Cited by 7 publications

References 14 publications

Scoping review exploring vocational rehabilitation interventions for mental health service users with chronic mental illness in low-income to upper-middle-income countries

Scoping review exploring vocational rehabilitation interventions for mental health service users with chronic mental illness in low-income to upper-middle-income countries

Economic analyses of supported employment programmes for people with mental health conditions: A systematic review

The Use of the Model of Occupational Self-Efficacy for Work Retraining: A Multiple Case Study

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