Article Details

Research Database: Article Details

Citation:  Tsang HW, Fung KM, Leung AY, Li SM, Cheung WM (2010). Three year follow-up study of an integrated supported employment for individuals with severe mental illness. Australian and New Zealand Journal of Psychiatry, 44 (1), 49-58.
Title:  Three year follow-up study of an integrated supported employment for individuals with severe mental illness
Authors:  Tsang HW, Fung KM, Leung AY, Li SM, Cheung WM
Year:  2010
Journal/Publication:  Australian and New Zealand Journal of Psychiatry
Publisher:  PubMed
DOI:  https://doi.org/10.3109/00048670903393613
Full text:  http://proxy.library.vcu.edu/login?url=http://www.ncbi.nlm.nih.gov/...   
Peer-reviewed?  Yes
NIDILRR-funded?  No
Research design:  Randomized controlled trial

Structured abstract:

Background:  Persons experiencing severe mental have traditionally experienced high rates of unemployment. The Individual Placement and Support model is an evidenced based practice effective in assisting persons with severe mental illness achieve employment outcomes at a rate higher than traditional approaches.
Purpose:  The aim of the present study was to examine and compare the long-term effectiveness of the Integrated Supported Employment (ISE) program, which consists of individual placement and support (IPS) and work-related social skills training, with the IPS program on the vocational and non-vocational outcomes among individuals with severe mental illness (SMI) over a period of 3 years.
Setting:  Non government organizations and day hospitals in Hong Kong in association with the Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
Study sample:  One hundred and eighty-nine participants with SMI were recruited from two non-government organizations and three day hospitals in Hong Kong.
Intervention:  Individual Placement and Support (IPS) is a systematic approach to helping people with severe mental illness achieve competitive employment. It is based on eight principles: eligibility based on client choice, focus on competitive employment, integration of mental health and employment services, attention to client preferences, work incentives planning, rapid job search, systematic job development, and individualized job supports. Systematic reviews have concluded that IPS is an evidence-based practice
Control or comparison condition:  The comparison condition was traditional vocational rehabilitation.
Data collection and analysis:  Study participants were randomly assigned into the ISE (n = 58), IPS (n = 65) and traditional vocational rehabilitation (TVR) (n = 66) groups. Vocational and non-vocational outcomes of the ISE and IPS participants were collected by a blind and independent assessor at 7 11, 15, 21, 27, 33 and 39 months after their admission, whereas the TVR groups were assessed only up to the 15th month follow up.
Findings:  After 39 months of service provision, ISE participants obtained higher employment rate (82.8% vs 61.5%) and longer job tenure (46.94 weeks vs 36.17 weeks) than the IPS participants. Only 6.1% of TVR participants were able to obtain employment before the 15th month follow up. Fewer interpersonal conflicts at the workplace were reported for the ISE participants. Advantages of the ISE participants over IPS participants on non-vocational outcomes were not conclusive.
Conclusions:  The long-term effectiveness of the ISE program in enhancing employment rates and job tenures among individuals with SMI was demonstrated by this randomized controlled trial.

Disabilities served:  Bi-polar
Chronic mental illness
Depression
Schizophrenia
Populations served:  Race: Asian
Interventions:  Individual Placement and Support (IPS) model of supported employment
Vocational rehabilitation
Outcomes:  Employment acquisition
Increase in tenure