Effectiveness of individual placement and support for people with severe mental illness in the Netherlands: A 30-month randomized controlled trial.

Abstract

This study strongly confirms that IPS is an effective method in helping people with severe mental illnesses find competitive work also in countries characterized by a relatively protective socioeconomic climate putting up unintended barriers to employment. The implementation of IPS on a larger scale seems warranted, and new studies are needed on the mechanisms through which IPS works.

Short Review of Self-Esteem Components with Individual Placement and Support (IPS) Strategy in People with Severe Mental Illness

“…Regarding the quality of the analysed RCTs, we found that only four of them obtained an average score of 3 points out of 5 [16][17][18][19] and the remaining five obtained a lower score [2,3,15,20,21]. In all of them, the concealment or blinding is unknown or does not appear.…”

“…Another study that found positive associations was Areberg and Bejerholm's study [18] who, using an empowerment scale that had a subscale of selfesteem, found that IPS participants obtained significantly higher scores than the control group that were less empowered at the end of the study. In Michon et al 's study [19], self-esteem was practically unchanged over time. However, having a regular job was associated with a positive impact on mental health and specifically the self-esteem component.…”

“…Regarding the quality of the RCTs (Table 1), most of the studies present IB level of evidence except Bond et al [3] (IIA) and Schneider et al [15] (IIB), with a total quality of 3 points [16][17][18][19], 2 points [2,20] and 1 point [3,15,21]. Concealment and blinding are not met in any of the studies reviewed.…”

“…According to Bond et al [3] the competitive IPS work group obtained a considerable increase regarding the other three groups. In a study by Michon et al [19], having a regular job was associated with a positive impact on self-esteem. In terms of the quality level of the systematic review [24] (Table 3), which includes controlled trials of vocational strategies, it presents a quality level of 9 points.…”

“…In some of the studies, such as Bond et al 's [3], the samples are classified into 4 groups. The studies present a long follow-up period ( [19]. The predominant scale used is the Rosenberg scale [22].…”