A Phase 2 interventional study of Individual Placement and Support-vocational rehabilitation and Vocational rehabilitation available in Psychosis, sponsored by Vardalinstitutet The Swedish Institute for Health Sciences. Status unknown at 1 site in Sweden. Open to participants aged 20 Years to 65 Years. Per ClinicalTrials.gov, last updated 2009-08-17.
Sponsored by Vardalinstitutet The Swedish Institute for Health Sciences · Phase 2, Interventional, and Supportive care
This project aims at generating evidence of a work-rehabilitation strategy that benefits the people with severe mental illness (SMI) who want to work, increase their sense of well-being and integration in society, decrease their financial dependence and experiences of stigma and discrimination. The project is likely to help form the basis of how to implement the evidence based supported employment (SE)-model, Individual Placement and Support model (IPS), in a Swedish work-rehabilitation context. In the long run, evidence of SE in a Swedish context could help to decrease the period of sick-leave and increase fulfilling and productive lifestyles among people with severe mental illness. In all, the effectiveness of SE can improve the quality of life for the target group, the quality in mental health care rehabilitation and decrease the costs of treatment and care.
Evidence-based mental health treatment and scientific support has gained increased attention in Sweden. The Swedish National Board of Health and Welfare emphasizes the importance of Supported Employment. Especially since there are no study in Sweden that has an RCT-design, and that fully take on the responsibility of implementing a SE- intervention in concordance with the evidence based version of SE in mental health care, the Individual Placement and Support model, IPS. Internationally, SE according to IPS is an evidence-based approach to help people with SMI find and keep employment. RCT and quasi-experimental studies showed that IPS (Place-Then-Train), is more effective than the traditional stepwise vocational rehabilitation model(Train-Then-Place. However, there is no research evidence if the SE/IPS will function in relation to a Swedish benefit and health system and work-rehabilitation context. This intervention project will therefore not only study the effects of vocational and health-related outcomes and experiences, but also study the implementation of SE/IPS, its feasibility and level of fidelity in a Swedish context.
1,626 studies on the registry are indexed under Psychotic Disorders; 293 are open to participants now.
This study's enrollment of 120 is above the median of 70 across 1,333 interventional studies indexed under Psychotic Disorders.
Browse Psychotic Disorders studies →Vardalinstitutet The Swedish Institute for Health Sciences is the lead sponsor of 7 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Behavioral: Individual Placement and Support-vocational rehabilitation
Behavioral: Vocational rehabilitation available
Individual contact with an employment specialist, who works according to 7 core principles according to SE/IPS. 1) competitive employment as primary goal, 2) rapid job search, 3) eligibility based on client choice, 4) job search based on to client preferences, 5) integration with the mental health care team, 6) availability of time unlimited support at work 7) benefits counseling.
The participants are offered vocational rehabilitation available at site
To determine the effectiveness of SE/IPS in terms of vocational outcomes, such as employment rate, monthly income, job-tenure and working hours compared to stepwise rehabilitation available, for people with SMI in a Swedish context
Time frame: 6 months, 18 months, and 24 months (6 months after end of intervention)
To determine the effectiveness of a SE in terms health-related and functional outcomes, such as symptoms, perceived discrimination, empowerment, work-readiness, self-image, level of social and community participation, and quality of life
Time frame: 6 months, 18 months, and 24 months (6 months after end of intervention)
This study is status unknown, as verified in Aug 2009. You cannot join it, but the record below documents what was studied.
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Vardalinstitutet The Swedish Institute for Health Sciences