An interventional study of IPS in Severe Mental Disorder, sponsored by Norwegian Institute of Public Health. Status unknown at 1 site in Norway. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2019-11-27.
Sponsored by Norwegian Institute of Public Health · Not applicable, Interventional, and Health services research
The investigators aim to test the effectiveness of Individual Placement and Support (IPS) on
This is a naturalistic controlled trial, where one municipality (Bodø in Norway) with about 50000 inhabitants get access to IPS services in public sector mental health services during the period 2013-2016. The target group for the intervention is patients with severe mental illness (SMI) in the age group 18-40 at time of treatment. Patients already receiving lifelong disability benefits will be excluded.
The control group will be an average of 10 municipalities in Norway without IPS services.
Data for outcomes will be based on public registries available for research.
The investigators aim test the hypotheses that Individual Placement and Support (IPS) is effective in
This is a naturalistic controlled trial, where one municipality (Bodø in Norway) with about 50000 inhabitants get access to IPS services in public sector mental health services during the period 2013-2016. The follow-up period will last until 2022. The target group for the intervention is patients with severe mental illness (SMI) in the age group 18-40 at time of treatment, with an ambition of 200 received IPS services. The investigators aim to study the effectiveness on the societal (not individual) level, assuming spill-over effects within Bodø municipality as a result of system changes in the treatment municipality (Bodø). Patients already receiving lifelong disability benefits will be excluded. The control group will be 10 similar municipalities in Norway without IPS services and will be chosen on the basis of similarities in economy, demography and geography and collected from publicly available information. Approximately 77000 subjects will be enrolled in this study; 7000 subjects from Bodø municipality and 70000 from the other 10 municipalities (the control group).
Data for outcomes will be based on public registries available for research. Outcome operationalizations are:
The data will be analyzed in two rounds; first in 2019, and a follow-up analysis in 2022. A difference-in-difference approach will be used to measure the effects.
2,148 studies on the registry are indexed under Mental Disorders; 425 are open to participants now.
This study's planned enrollment of 77,000 is above the median of 96 across 1,607 interventional studies indexed under Mental Disorders.
Browse Mental Disorders studies →Norwegian Institute of Public Health is the lead sponsor of 51 studies on the registry; 10 are open to participants now.
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Exclusion Criteria:
Group of patients receiving IPS to increase workforce participation.
Behavioral: IPS
Group of patients receiving treatment as usual.
Occupational rehabilitation and support Integrated with clinical treatment
Long-term welfare dependency
Rates of welfare dependency (rehabilitation benefits, disability benefits, sickness absence, unemployment benefits, and social benefits) in Bodø (intervention municipality) will be compared to rates of welfare dependency in 10 resembling municipalities (Kongsberg, Lier, Røyken, Horten, Tønsberg, Larvik, Færder, Porsgrunn, Grimstad og Steinkjer) without IPS-services (control municipalities) using Norwegian registry data.
Time frame: 15 years after implementation of IPS-services in Bodø (intervention municipality)
Employment rate
Rates of employment in Bodø (intervention municipality) will be compared to employment rates in 10 resembling municipalities (Kongsberg, Lier, Røyken, Horten, Tønsberg, Larvik, Færder, Porsgrunn, Grimstad og Steinkjer) without IPS-services (control municipalities). The measurement tool will be Norwegian registry data from tax records with information both on employment (yes/no and time period) and taxable income (NOK).
Time frame: 3 years after implementation of IPS-services in Bodø, Norway
Employment rate
Rates of employment in Bodø (intervention municipality) will be compared to employment rates in 10 resembling municipalities (Kongsberg, Lier, Røyken, Horten, Tønsberg, Larvik, Færder, Porsgrunn, Grimstad og Steinkjer) without IPS-services (control municipalities). The measurement tool will be Norwegian registry data from tax records with information both on employment (yes/no and time period) and taxable income (NOK).
Time frame: 7 years after implementation of IPS-services in Bodø, Norway (intervention municipality)
Welfare dependency rate
Welfare dependency rates (rehabilitation benefits, disability benefits, sickness absence, unemployment benefits, and social benefits) in Bodø (intervention group/municipality) will be compared to 10 similar municipalities without IPS-services (control groups/municipalities).
Time frame: 3 years after implementation of IPS-services in Bodø (intervention municipality)
Welfare dependency rate
Rates of welfare dependency (rehabilitation benefits, disability benefits, sickness absence, unemployment benefits, and social benefits) in Bodø (intervention municipality) will be compared to rates of welfare dependency in 10 resembling municipalities (Kongsberg, Lier, Røyken, Horten, Tønsberg, Larvik, Færder, Porsgrunn, Grimstad og Steinkjer) without IPS-services (control municipalities) using Norwegian registry data.
Time frame: 7 years after implementation of IPS-services in Bodø (intervention municipality)
Rates of treatments for mental illness
Rates of health care utilization in Bodø (intervention municipality) will be compared to health care utilization rates in 10 resembling municipalities (Kongsberg, Lier, Røyken, Horten, Tønsberg, Larvik, Færder, Porsgrunn, Grimstad og Steinkjer) without IPS-services (control municipalities). Health care utilization will be based on data from the Norwegian Patient Register. We will use data for in-patient and out-patients treatments for mental illness and other (separate analyses), collected from the Norwegian Patient Register as a measurement tool. These will be analysed separate and combined, and the main hypothesis will be based on the first.
Time frame: 3 years after implementation of IPS-services in Bodø (intervention municipality)
Rates of treatments for mental illness
Rates of health care utilization in Bodø (intervention municipality) will be compared to health care utilization rates in 10 resembling municipalities (Kongsberg, Lier, Røyken, Horten, Tønsberg, Larvik, Færder, Porsgrunn, Grimstad og Steinkjer) without IPS-services (control municipalities). Health care utilization will be based on data from the Norwegian Patient Register. We will use data for in-patient and out-patients treatments for mental illness and other (separate analyses), collected from the Norwegian Patient Register as a measurement tool. These will be analysed separate and combined, and the main hypothesis will be based on the first.
Time frame: 7 years after implementation of IPS-services in Bodø (intervention municipality)
Plan to share: No
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Norwegian Institute of Public Health