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04.03.2021 | Review

Vocational Outcomes of the Individual Placement and Support Model in Subgroups of Diagnoses, Substance Abuse, and Forensic Conditions: A Systematic Review and Analysis of Pooled Original Data

verfasst von: Lone Hellström, Pernille Pedersen, Thomas Nordahl Christensen, Iben Gammelgaard Wallstroem, Anders Bo Bojesen, Elsebeth Stenager, Ulrika Bejerholm, Jooske van Busschbach, Harry Michon, Kim T. Mueser, Silje Endresen Reme, Sarah White, Lene Falgaard Eplov

Erschienen in: Journal of Occupational Rehabilitation | Ausgabe 4/2021

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Abstract

Purpose

To investigate the effect of Individual Placement and Support (IPS) according to diagnoses of schizophrenia, bipolar disorder, major depression, substance use disorders, or forensic psychiatric conditions.

Methods

A systematic search of the literature was conducted in June 2017 and repeated in December 2020. The systematic review included 13 studies. Analyses of pooled original data were based on the six studies providing data (n = 1594). No studies on forensic psychiatric conditions were eligible. Hours and weeks worked were analyzed using linear regression. Employment, and time to employment was analyzed using logistic regression, and cox-regression, respectively.

Results

The effects on hours and weeks in employment after 18 months were comparable for participants with schizophrenia, and bipolar disorder but only statistically significant for participants with schizophrenia compared to services as usual (SAU) (EMD 109.1 h (95% CI 60.5–157.7), 6.1 weeks (95% CI 3.9–8.4)). The effect was also significant for participants with any drug use disorder (121.2 h (95% CI 23.6–218.7), 6.8 weeks (95% CI 1.8–11.8)). Participants with schizophrenia, bipolar disorder, and any drug use disorder had higher odds of being competitively employed (OR 2.1 (95% CI 1.6–2.7); 2.4 (95% CI 1.3–4.4); 3.0 (95% CI 1.5–5.8)) and returned to work faster than SAU (HR 2.1 (95% CI 1.6–2.6); 1.8 (95% CI 1.1–3.1); 3.0 (95% CI 1.6–5.7)). No statistically significant effects were found regarding depression.

Conclusions

IPS was effective regarding schizophrenia, bipolar disorder, and substance use disorder; however, the effect on hours, and weeks worked was not statistically significant regarding bipolar disorder. For people with depression the impact of IPS remains inconclusive. Non-significant results may be due to lack of power.

Trial Registration: PROSPERO protocol nr. CRD42017060524

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Titel: Vocational Outcomes of the Individual Placement and Support Model in Subgroups of Diagnoses, Substance Abuse, and Forensic Conditions: A Systematic Review and Analysis of Pooled Original Data
verfasst von: Lone Hellström
Pernille Pedersen
Thomas Nordahl Christensen
Iben Gammelgaard Wallstroem
Anders Bo Bojesen
Elsebeth Stenager
Ulrika Bejerholm
Jooske van Busschbach
Harry Michon
Kim T. Mueser
Silje Endresen Reme
Sarah White
Lene Falgaard Eplov
Publikationsdatum: 04.03.2021
Verlag: Springer US
Erschienen in: Journal of Occupational Rehabilitation / Ausgabe 4/2021
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-021-09960-z

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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