Incorporating Individualized Placement and Support Principles Into Vocational Rehabilitation for Formerly Incarcerated Veterans

LePage, James P.; Lewis, Avery A.; Crawford, April M.; Parish, Julie A.; Ottomanelli, Lisa; Washington, Edward L.; Cipher, Daisha J.

doi:10.1176/appi.ps.201500058

Cited by 29 publications

(23 citation statements)

References 36 publications

(16 reference statements)

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“…Studies include trials from Asia (Japan, Mainland China, Hong Kong), Australia, North America (Canada and the United States) central and northern Europe (Italy, Switzerland, Germany, Netherlands, Norway, Sweden, Denmark and the United Kingdom) and Eastern Europe (Bulgaria) (Table ). We excluded two studies from Scandinavia, and one from the United States that used a modified version of IPS with patients with moderate mental illness and substance abuse . One Norwegian study with enhanced IPS and no fidelity report were excluded , and we also excluded one randomized trial performed at a methadone clinic in the United States , with primarily opioid use disorders.…”

Section: Resultsmentioning

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: Resultsmentioning

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

View full text Add to dashboard Cite

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“…Vocational training was the most commonly studied psychosocial factor in relation to the health of justice-involved veterans. The majority of studies were randomized controlled trials comparing vocational training to usual care among justice-involved veterans in VHA settings (LePage et al, 2016, 2017; LePage, Lewis, Washington, Davis, & Glasgow, 2013; LePage, Ottomanelli, Barnett, & Njoh, 2014; LePage, Washington, Lewis, Johnson, & Garcia-Rea, 2011). Screening for psychosocial issues in primary care was addressed by two studies (Bikson, McGuire, Blue-Howells, & Seldin-Sommer, 2009; Cook, Freedman, Freedman, Arick, & Miller, 1996).…”

Section: Resultsmentioning

confidence: 99%

A scoping review of military veterans involved in the criminal justice system and their health and healthcare

et al. 2019

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Background In the criminal justice system, special populations, such as older adults or patients with infectious diseases, have been identified as particularly vulnerable to poor health outcomes. Military veterans involved in the criminal justice system are also a vulnerable population warranting attention because of their unique healthcare needs. This review aims to provide an overview of existing literature on justice-involved veterans’ health and healthcare to identify research gaps and inform policy and practice. Methods A systematic search was conducted to identify research articles related to justice-involved veterans’ health and healthcare that were published prior to December 2017. Study characteristics including healthcare category, study design, sample size, and funding source were extracted and summarized with the aim of providing an overview of extant literature. Results The search strategy initially identified 1830 unique abstracts with 1387 abstracts then excluded. Full-text review of 443 articles was conducted with 252 excluded. There were 191 articles included, most related to veterans’ mental health (130/191, 68%) or homelessness (24/191, 13%). Most studies used an observational design (173/191, 91%). Conclusions Knowledge gaps identified from the review provide guidance on future areas of research. Studies on different sociodemographic groups, medical conditions, and the management of multiple conditions and psychosocial challenges are needed. Developing and testing interventions, especially randomized trials, to address justice-involved veterans care needs will help to improve their health and healthcare. Finally, an integrated conceptual framework that draws from diverse disciplines, such as criminology, health services, psychology, and implementation science is needed to inform research, policy and practice focused on justice-involved veterans. Electronic supplementary material The online version of this article (10.1186/s40352-019-0086-9) contains supplementary material, which is available to authorized users.

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“…95,114 Six studies, including a number of observational studies that were highly rigorous, reported the advantages of employer buy-in and incentives to take on individuals with health concerns as a means of reducing barriers to entering the workforce. [60][61][62]64,95,114 Five studies described how employers provided accommodation to employees, such as individualizing schedules. 44,52,64,106,114…”

Section: Intervention Team Work With and Engages Employersmentioning

confidence: 99%

“…[60][61][62]64,95,114 Five studies described how employers provided accommodation to employees, such as individualizing schedules. 44,52,64,106,114…”

Section: Intervention Team Work With and Engages Employersmentioning

confidence: 99%

Employment Interventions in Health Settings: A Systematic Review and Synthesis

2018

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Our findings can inform new interventions that focus on employment as a social determinant of health. Although hiring a dedicated employment specialist may not be feasible for most primary care organizations, pathways using existing resources with links to external agencies can be created. As precarious work becomes more common, helping patients engage in safe and productive employment could improve health, access to health care, and well-being.

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Incorporating Individualized Placement and Support Principles Into Vocational Rehabilitation for Formerly Incarcerated Veterans

Abstract: Incorporating many of the principles and techniques of IPS into an existing vocational program was associated with improved employment outcomes over the six-month follow-up period and should be considered a viable rehabilitation option when working with this vulnerable population.

Cited by 29 publications

References 36 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 scoping review of military veterans involved in the criminal justice system and their health and healthcare

Employment Interventions in Health Settings: A Systematic Review and Synthesis

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