The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial

Burns, Tom; Catty, Jocelyn; Becker, Thomas; Drake, Robert E.; Fioritti, Angelo; Knapp, Martín; Lauber, Christoph; Rössler, Wulf; Томов, Тома; Busschbach, Jooske van; White, Sarah; Wiersma, Durk

doi:10.1016/s0140-6736(07)61516-5

Cited by 527 publications

(492 citation statements)

References 22 publications

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“…Supported employment that fosters competitive employment for people with psychiatric disabilities was also identified as a useful employment model in resource-poor settings [34]. Individual placement and support has been demonstrated to be very effective in HICs [12,51], but its applicability in African countries and other LMICs is still limited by finances and lack of government support [2], which has also been noted in HICS [13]. …”

Section: Discussionmentioning

confidence: 99%

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Ebuenyi

Syurina

Bunders

et al. 2018

Global Health Action

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Background: Despite the importance of inclusive employment, described in Goal 8 of the Sustainable Development Goals (SDGs), employment of persons with psychiatric disabilities in Africa is lower than among the general population. Objective: The aim of this scoping review is to explore evidence related to the barriers to and facilitators of employment of persons with psychiatric disabilities in Africa. Methods: A literature search was conducted using six relevant electronic databases of articles published between 1990 and 2017. Results: Eight studies were identified and analysed regarding barriers and facilitators of employment of persons with psychiatric disabilities. The dynamic adaptation of the bio-psycho-social model was used as an analytical framework. Identified barriers include ill health, (anticipated) psychiatric illness, social stigma and discrimination, negative attitudes among employers and the lack of social support and government welfare. Facilitators of employment include stability of mental illness, heightened self-esteem, a personal decision to work despite stigma, competitive and supported employment, reduction in social barriers/stigma and workplace accommodations. Conclusion: Employment of persons with psychiatric disabilities is essential, yet there is dearth of scientific evidence to identify contextual models that might be useful in African countries and other low-and middle countries (LMICs). This gap in information would benefit from further research to improve the employment rates of persons with psychiatric disabilities in Africa.

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Section: Discussionmentioning

confidence: 99%

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Ebuenyi

Syurina

Bunders

et al. 2018

Global Health Action

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“…Continual support should, when required, be provided to increase the employee's chances of retaining employment. This method has proven to be successful in obtaining jobs for people with disabilities, not only in Sweden (Germundsson et al 2012) but also in other countries (Burns et al 2007;Bond, Drake & Becker 2008). Although successful, the method is limited to providing change in labour market status on the individual level; barriers to employment remain for 1.…”

Section: Supported Employmentmentioning

confidence: 99%

Supported Employment and Social Inclusion – Experiences of Workers with Disabilities in Wage Subsidized Employment in Sweden

Gustafsson¹,

Peralta²,

Danermark

2018

Scandinavian Journal of Disability Research

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Labour market policies targeting people with disabilities primarily focus on establishing a working life based on reaching and procuring employment. Less attention is directed towards the qualitative aspects of working conditions or opportunities to retain employment. This study seeks to examine how people with disabilities who, with the help of Supported Employment (SE) methods, are establishing themselves in the labour market, experience social inclusion at their workplaces and how their working conditions influence their experiences with social inclusion. Data were collected in semi-structured interviews. Two themes were prominent in the interviewees' experiences with social inclusion: the importance of being a valued worker and the sense of social belonging. Competence is important to feeling valued, as is working in fair working conditions. Disclosure of disability often helps to create fairness. The sense of social belonging arises from natural support and mattering to others. Important conditions that increase social inclusion are job-matching and natural support. The SE method can therefore contribute to the creation of social inclusion by ensuring that the matching process is well thought out and by utilizing strategies for inclusion, such as encouragement of natural support.

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“…It is possible that the consideration of short periods as indicative of job placement success could overestimate the employment rate. For example, Macias et al [54] defined job acquisition as successful if the participants worked "at least five days;" Burns et al [45] and Howard et al [49] defined a period of "at least one day." Therefore, the competitive job tenure and wages earned would reflect the sum of hours or weeks worked by many individuals, each of whom only worked for a short period of time.…”

Section: Ijomeh 2017;30(3)mentioning

confidence: 99%

Employment outcomes for people with schizophrenia spectrum disorder: A meta-analysis of randomized controlled trials

Carmona

Gómez-Benito

Huedo‐Medina

et al. 2017

Int J Occup Med Environ Health

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Access to employment plays a critical role in the recovery and functioning of people with schizophrenia. We have investigated the effectiveness of treatments to enhance employment outcomes for people with schizophrenia and evaluated the potential moderators of these outcomes. A literature search was conducted in CINAHL, Cochrane Databases, MED-LINE, ProQuest XML, PsycINFO, Scopus, and Web of Science. Grey literature databases, references lists of the retrieved articles and specialized journals in the field were also inspected. Job placement, job tenure and wages earned were tested. Risk ratios were extracted for job placement and standardized mean differences were calculated for job tenure and wages earned. Twenty-five randomized controlled trials published between 1986 and December 2015 were analyzed. Engaging in a vocational intervention increases the likelihood of obtaining a competitive job (risk ratio (RR) = 2.31, 95% confidence interval (CI): 1.85-2.88) and has a positive impact on hours worked in any job (standardized mean difference (SMD) = 0.42, 95% CI: 0.16-0.68). There was no evidence of intervention efficacy with regard to wages earned from competitive employment. Participation in rehabilitative vocational treatment is not sufficient to ensure work participation for people with schizophrenia. Comprehensive treatments are necessary to address functional deficits that hinder labor stability and job performance for people with schizophrenia. Int J Occup Med Environ Health 2017;30(3):345-366

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The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial

Abstract: Our demonstration of the effectiveness of IPS in widely differing labour market and welfare contexts confirms this service to be an effective approach for vocational rehabilitation in mental health that deserves investment and further investigation.

Cited by 527 publications

References 22 publications

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Barriers to and facilitators of employment for people with psychiatric disabilities in Africa: a scoping review

Supported Employment and Social Inclusion – Experiences of Workers with Disabilities in Wage Subsidized Employment in Sweden

Employment outcomes for people with schizophrenia spectrum disorder: A meta-analysis of randomized controlled trials

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