Employment outcome and predictors of competitive employment at 2-year follow-up of a vocational rehabilitation programme for individuals with schizophrenia in a high-income welfare society

Evensen, Stig; Ueland, Torill; Lystad, June Ullevoldsæter; Bull, Helen; Klungsøyr, Ole; Martinsen, Egil W.; Falkum, Erik

doi:10.1080/08039488.2016.1247195

Cited by 36 publications

(35 citation statements)

References 38 publications

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“…There are two defined types of burden: objective burden, which refers to the observable costs to the family that results from the disease; and, subjective burden, which includes the individual’s perception of the situation as burdensome [6]. Specifically, the burden of caring for people with mental illness include disruption of everyday life routine, stigma and blame, dissatisfaction with family and relatives, financial problems, physical burden, troubles with adherence of the patients to treatment and problems with health services and governmental support [7]. It was not until the mid-1950s onwards that the experience of burden of informal family caregivers of family members with mental illness drew researchers’ attention’ [8].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the burden on caregivers of patients with mental disorders in Jeddah, Saudi Arabia

Alzahrani¹,

Fallata²,

Alabdulwahab³

et al. 2017

BMC Psychiatry

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BackgroundMental disorders are considered important public health problems not only to people with mental illness but also their caregivers. As is the case in many countries, the deinstitutionalization of mental health services in Saudi Arabia, has meant that informal caregivers are shouldering responsibilities for which they are not usually prepared; therefore, the current study was aimed at assessment of the burden on caregivers of people with mental illness.MethodsThrough a cross-sectional design, a sample of the caregivers of people with mental illness (n = 377) was selected randomly from a psychiatric hospital in Jeddah. An Arabic version of the Involvement Evaluation Questionnaire (IEQ) was used for collection of data. The data were analyzed on the subscale scores and the 27 items in two ways. First, we used the summed scores for the subscales based on the Likert scale (0–4) for univariate and multivariate statistical analyses, as recommended. We also used parametric statistics (t-tests, one-way ANOVA) because the IEQ subscale scores were fairly normally distributed.ResultsMales constituted more than one-half of the participating caregivers (55%), with a mean age of 36.6, SD = 11.4 years. As reported by the caregivers, most of the patients were males (62.7%) with a mean age of 33.8, SD = 13.7 years and a range of 17–90 years old. The total mean IEQ burden score of the caregivers was 38.4, SD = 17.5. “Tension” was significantly prominent among younger caregivers aged ≤30 years. “Worrying” was significantly higher among caregivers living with their spouse and children and those living in families with relatively fewer members (<6 members). “Urging” was significantly higher among caregivers who are living with the patient in the same household and those who had been in close contact with the patient for 28 days in the four weeks prior to the study (13.4, SD = 6.8) p < 0.05. Meanwhile, “Urging” was also significantly higher among caregivers caring for mentally ill females (13.5, SD = 6.6) and those not receiving any kind of professional support (12.8, SD = 6.7). The overall burden and the subscale scores were highest among caregivers caring for a close relative such as a parent (44.1, SD = 17.6), son/daughter (39.1, SD = 12.9), sibling (37.1, SD = 18.6), or spouse (37.1, SD = 18.6) p < 0.05.ConclusionCare for people with mental illness is burdensome for their caregivers, the magnitude of burden is potentially augmented by factors related to the patients and households. These factors should be considered when planning for preparing caregivers to cope with people with mental illness in Saudi Arabia.

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Section: Introductionmentioning

confidence: 99%

Assessment of the burden on caregivers of patients with mental disorders in Jeddah, Saudi Arabia

Alzahrani¹,

Fallata²,

Alabdulwahab³

et al. 2017

BMC Psychiatry

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“…Seccomandi et al. ( 23 ) recently pointed out that the improvement in self-esteem might be a moderator of the response of CR with a link between higher self-esteem at baseline and better competitive employment as well as lower unemployment ( 55 ). However, in another study self-esteem had no influence on cognitive gains ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

“…Confirmation of these benefits also come from literature: Farreny et al (54) showed an association between improvement in executive functioning after CR and reduction of thought disorders. Seccomandi et al (23) recently pointed out that the improvement in self-esteem might be a moderator of the response of CR with a link between higher self-esteem at baseline and better competitive employment as well as lower unemployment (55). However, in another study self-esteem had no influence on cognitive gains (16).…”

Section: Class 3 (29%)mentioning

confidence: 98%

Employment, Studies and Feelings: Two to Nine Years After a Personalized Program of Cognitive Remediation in Psychiatric Patients

et al. 2020

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“…Through a randomization process, three counties offered each of the treatments. Employment specialists who had undertaken 40 hours of training carried out the respective cognitive interventions twice a week over a six-month period (Evensen et al, 2017;Lystad et al, 2016).…”

Section: The Job Management Program (Jump)mentioning

confidence: 99%

A short history of individual placement and support in Norway.

Sveinsdottir

Bull

Evensen

et al. 2020

Psychiatric Rehabilitation Journal

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Objective: Norway is a high-income and high-cost society with a generous welfare system, and has the largest mental health-related unemployment gap of the OECD countries. The aim of the current paper was to present a short history of Individual Placement and Support (IPS) services to increase work participation in Norway. Method: We provide a narrative overview of the developments and research on IPS in Norway, from the introduction of supported employment to recent and ongoing randomized controlled trials (RCTs) investigating the effectiveness of IPS for various target groups. Findings: While vocational rehabilitation services in Norway have traditionally followed a train-then-place approach, the introduction of supported employment in the early 90's led to a range of new initiatives to increase work participation. Early implementations were inspired by supported employment, but did not follow the evidence-based IPS methodology. More recent developments include a shift toward evidence-based IPS, and the first Norwegian RCT of IPS showed effectiveness on both work-and health-related outcomes among people with moderate to severe mental illness. Several ongoing trials are currently investigating IPS for new target groups including chronic pain patients and refugees. Conclusions and Implications for Practice: The results suggest that IPS is more effective than traditional approaches to increase work participation, even in the Norwegian context of a high-cost welfare society. IPS has shown effectiveness in severe as well as more common types of mental illness in Norway, and results from ongoing trials will further reveal whether IPS may be expanded to various new target groups.

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Employment outcome and predictors of competitive employment at 2-year follow-up of a vocational rehabilitation programme for individuals with schizophrenia in a high-income welfare society

Abstract: The results add to existing evidence that competitive employment is attainable for individuals with schizophrenia. High global functioning and self-esteem were strongly associated with competitive employment outcome.

Cited by 36 publications

References 38 publications

Assessment of the burden on caregivers of patients with mental disorders in Jeddah, Saudi Arabia

Assessment of the burden on caregivers of patients with mental disorders in Jeddah, Saudi Arabia

Employment, Studies and Feelings: Two to Nine Years After a Personalized Program of Cognitive Remediation in Psychiatric Patients

A short history of individual placement and support in Norway.

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