The availability of evidence‐based practices in supported employment for <scp>A</scp>ustralians with severe and persistent mental illness

Waghorn, Geoffrey; Hielscher, Emily

doi:10.1111/1440-1630.12162

Cited by 21 publications

(23 citation statements)

References 12 publications

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“…Despite evidence for the efficacy of IPS, implementation at a large scale and as a standard intervention within more traditional treatment approaches has not been the norm (20)(21)(22)(23)(24). There are several reasons for this.…”

Section: Introductionmentioning

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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Section: Introductionmentioning

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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“…In LMICs, most people with SMI do not have access to evidenced‐based practice (EBP). High‐income countries (HIC) are not immune to difficulties with service access (Harvey et al, ; Waghorn & Hielscher, ). While there is a perception that in many HIC, clinical and social services for people with schizophrenia are coordinated by specialist community‐based multidisciplinary teams (Chatterjee et al, ), this process is by no means optimal.…”

Section: Resultsmentioning

confidence: 99%

A structured review of psychiatric rehabilitation for individuals living with severe mental illness within three regions of the Asia‐Pacific: Implications for practice and policy

Hill

Killaspy

Padmavati

et al. 2019

Asia-Pacific Psychiatry

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Introduction Psychiatric rehabilitation can provide and support recovery‐oriented care by assisting individuals living with severe mental illness to lead full lives. Despite a well‐established evidence‐base, implementation and access to these interventions in clinical practice for people with severe mental illness in the Asia‐Pacific region is low. We therefore aimed to evaluate prominent themes impacting on clinical practice, policy, and the implementation of psychiatric rehabilitation across the Asia‐Pacific region. Methods A comprehensive review of relevant literature on psychiatric rehabilitation of three regions within the Asia‐Pacific was conducted using a structured search of PubMed and other databases. Eligible articles were selected which focussed on how psychiatric rehabilitation is defined and implemented across the Asia‐Pacific region, as well as the associated successes and challenges. Common themes were generated. Results Six themes emerged: the impact of policy, legislation, and human rights; access difficulties; the important role of family; the significance of culture, religion, and spiritual beliefs; the widespread impact of stigma; and the indigenous models of excellence being developed. Discussion Consideration of the six themes and their implications should help raise awareness of the issues involved in the provision of psychiatric rehabilitation in the Asia‐Pacific region and may improve outcomes for people living with severe mental illness. Suggested strategies include: developing a shared understanding of psychiatric rehabilitation; establishing quality legislation that's well implemented; adapting evidence‐based models to develop culturally appropriate services; implementing stigma reduction and empowerment‐based interventions; and, ensuring coordinated action among all stakeholders, combined with effective leadership.

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“…Employer support programs can reduce costs of accommodating and supervising people with disability. Subsidies from programs such as Disability Employment Services (DES) and Jobs Search Australia (JSA) are available to help employers and people with disability (Waghorn & Hielscher 2015). These programs have different target groups and outcome priorities.…”

Section: Attitudinal Barriers To Employment Opportunities For People mentioning

confidence: 99%

“…Much more is required to remove attitudinal barriers that disadvantage vulnerable people with disability (Marston 2013;Marston & Dee 2015). For example, occupational mobility and labour market integration (Fernández-Macías et al 2015) and improved work capability and support assessment systems are necessary (Waghorn & Hielscher 2015). The NDIS legislation is deliberate in its efforts to reframe disability as a part of everyday life with funding redirected from service agencies to NDIS participants to pursue their choice of goals and services (NDIS 2013).…”

Section: Changing Attitudesmentioning

confidence: 99%

“…Government efforts to break down barriers to employment for people with disability in Australia have followed international recommendations such as making employment of people with disability easier for employers, incentivising hiring, and providing access to training for employers, their workforce, and people with disability (Henry et al 2014). Differences in work impairments -in disability type and severity -increase the complexity of overcoming employer resistance to hiring people with disability (Tuckerman et al 2012;Waghorn & Hielscher 2015). Personal support for people with disability included in the NDIS might not be enough for employers to include people with disability in their workforces (Hallahan 2015).…”

Section: Introductionmentioning

confidence: 99%

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Shaping attitudes to disability employment with a national disability insurance scheme

Hemphill¹,

Kulik²

2016

Aust J Social Issues

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Approximately twenty per cent of the world's population has some form of disability, but workforce participation of people with disability has been intractably low. In an effort to improve the economic and social participation of people with disability, the Australian Government introduced legislation in 2013 designed to provide individualised support and encourage communities and employers to be more receptive to people with disability. The authors surveyed 1,230 workforce members and 715 employer decision-makers at three points in time (2010, 2012, and 2014) to examine how attitudes to people with disability and employer hiring behaviour are changing in response to the legislation. The evidence demonstrated that both groups are experiencing greater contact with people with disability, reporting more positive interactions with people with disability, and endorsing more reasons for employers hiring people with disability. However, these positive attitudes have not been accompanied by improvements in hiring: there was a decline in decision-makers' hiring of people with disability from 2012 to 2014.

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The availability of evidence‐based practices in supported employment for Australians with severe and persistent mental illness

Abstract: KEY WORDS evidence-based practices, psychiatric disability, psychotic disorders, severe and persistent mental illness, supported employment.

Cited by 21 publications

References 12 publications

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

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

A structured review of psychiatric rehabilitation for individuals living with severe mental illness within three regions of the Asia‐Pacific: Implications for practice and policy

Shaping attitudes to disability employment with a national disability insurance scheme

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