Article Details

Research Database: Article Details

Citation:  Killackey, E., Jackson, H.J., & McGorry, P.D. (2008). Vocational intervention in first-episode psychosis: Individual placement and support v. treatment as usual. The British Journal of Psychiatry, 193 114-120.
Title:  Vocational intervention in first-episode psychosis: Individual placement and support v. treatment as usual
Authors:  Killackey, E., Jackson, H.J., & McGorry, P.D.
Year:  2008
Journal/Publication:  The British Journal of Psychiatry
Publisher:  Royal College of Psychiatrists
DOI:  https://doi.org/10.1192/bjp.bp.107.043109
Full text:  https://www.ncbi.nlm.nih.gov/pubmed/18669993   
Peer-reviewed?  Yes
NIDILRR-funded?  No
Research design:  Randomized controlled trial

Structured abstract:

Background:  Unemployment has economic, social and health implications for individuals with first episode psychosis and schizophrenia. The Individual Placement and Support model of supported employment shows promise for individuals with chronic mental illness. However, there are no randomized controlled trials on use of this approach to assist individuals with first episode psychosis with employment.
Purpose:  The aim of this study was to look at the effectiveness of the Individual Placement and Support model of supported employment for young people with first episode psychosis.
Setting:  The setting included a variety of places of employment.
Study sample:  The study sample was made up of 41 individuals, between the ages of 15 and 25 years, with first-episode psychosis.
Intervention:  The intervention was six months of the Individual Placement and Support model of supported employment along with typical treatment as usual.
Control or comparison condition:  The control condition was typical treatment as usual.
Data collection and analysis:  Both groups were assessed at baseline and 6 months follow the conclusion of the intervention. Data about demographics, symptoms, diagnosis and functioning was collected for all participants using a variety of measures. These included the Brief Psychiatric Rating Scale, Structured Clinical Interview for the DSM-IV Axis One Disorders, The Quality of Life Scale and Social and Occupational Functioning Assessment Scale. The Supported Employment Fidelity Scale Implementation questions were used to assess the fidelity of the program. Statistical analysis was conducted using SPSS version 14 for Windows.
Findings:  Participants in the Individual Placement and Support group had better outcomes. These included level of employment, hours worked per week, jobs acquired, and length of time employed. Twenty three participants in the intervention group went to work as compared to only 3 in the control group. The intervention group also reduced reliance on welfare benefits.
Conclusions:  The Individual Placement and Support Model has the potential to assist individuals with first episode psychosis with employment. More research is needed.

Disabilities served:  Schizophrenia
Populations served:  Other
Interventions:  Individual Placement and Support (IPS) model of supported employment
Outcomes:  Wages
Other