Predictors of Employment for People With Mental Illness
Results of a Multicenter Randomized Trial on the Effectiveness of Placement Budgets for Supported Employment
Bibliographic Data
| ID | 15520199 |
|---|---|
| Authors | Wulf Rössler (0000-0003-0049-4533, Charité - Universitätsmedizin Berlin, corresponding author), M Ujeyl (Charité - Universitätsmedizin Berlin), Wolfram Kawohl (0000-0002-5224-4563), Carlos Nordt (0000-0002-1156-152X, University of Zurich), Antonio Lasalvia (0000-0001-9963-6081, University of Verona), Helene Haker (ETH Zurich), Michael P Hengartner (0000-0002-2956-2969, ZHAW Zurich University of Applied Sciences) |
| Year | 2019 |
| Volume | 10 |
| Pages | 518-518 |
| Publication date | 2019-07-19 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2019.00518 |
| PMID | 31379630 |
| OpenAlex | W2964046553 |
| Language | EN |
| Citations received | 1 |
| References cited | 6 |
Background: Individual placement and support (IPS) has proven to be effective for vocational outcomes in people with mental illness. The original concept of IPS requires temporally unlimited provision of support. Using limited placement budgets and investigating factors that predict their effectiveness may inform decisions about resource allocation. Methods: A range of patient characteristics were tested as predictors of employment outcomes in participants who attended six outpatient psychiatric clinics in Switzerland between June 2010 and May 2011. Overall, 116 patients with the full spectrum of psychiatric conditions were randomly assigned and started an IPS intervention, which was provided by three different placement budgets. Support lasted 2 years for those who found a job, and outcomes were repeatedly assessed over 3 years. The intervention ended for those who failed to find competitive employment by the time their placement budget had run out. Results: Of the 15 variables tested, only Global Assessment of Functioning (GAF) and Clinical Global Impression (CGI) scores were predictors for obtaining work (for ≥1 day) and for maintaining it over a longer period (>3 months). Higher GAF and lower CGI scores increased the odds of obtaining employment and keeping it for at least 3 months. Functional role impairment, quality of life, self-esteem, or education level did not predict employment. Conclusion: Our data suggest that, if time-restricted budgets are offered to a wide range of patients, such as those included in this study, better functioning and lower symptom severity at baseline are predictive of better employment outcomes (finding and maintaining work) on the first (competitive) labor market in Switzerland. It remains to be investigated whether this holds true under different environmental factors. Clinical Trial Registration: ISRCTN, trial number: ISRCTN89670872
Global Assessment of Functioning · Intervention (counseling · Logistic regression · Mental health · Mental illness · Odds · Physical therapy · Psychiatry · Psychological intervention · Quality of life (healthcare · Randomized controlled trial · Schizophrenia (object-oriented programming · Supported employment · Work (physics · Medicine · Mental Health Treatment and Access · Nursing · Psychiatric care and mental health services · Schizophrenia research and treatment
The effectiveness of supported employment for people with severe mental illness
Depression and Quality of Life in Older Persons
Internalized stigma of mental illness
Measuring Global Self-Esteem
Placement Budgets” for Supported Employment—Impact on Quality of Life in a Multicenter Randomized Controlled Trial
The World Health Organization quality of life assessment (WHOQOL)
| Citations per year | 0.17 |
|---|---|
| Citation span | 2020 - 2020 (1) |
| Highly cited | No |