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Barriers in implementation of evidence-based practice: Supported employment in Swedish context

Hasson, Henna LU ; Fred, Mats LU orcid and Bejerholm, Ulrika LU (2011) In Journal of Health Organisation & Management 25(3). p.332-345
Abstract
PURPOSE:

The aim of this paper is to identify initial barriers influencing implementation of supported employment (SE). SE, according to the individual placement and support (IPS) approach, has been recognised as an evidence-based method to help people with severe mental illness to find regular employment.



DESIGN/METHODOLOGY/APPROACH:

A systematic implementation evaluation of the first randomised controlled SE (IPS) trial in Sweden was conducted in August 2008 and August 2009. Data were collected on a regular basis from SE employment specialists, process heads, clients and representatives from mental health care units and vocational services (social insurance and public employment offices) using... (More)
PURPOSE:

The aim of this paper is to identify initial barriers influencing implementation of supported employment (SE). SE, according to the individual placement and support (IPS) approach, has been recognised as an evidence-based method to help people with severe mental illness to find regular employment.



DESIGN/METHODOLOGY/APPROACH:

A systematic implementation evaluation of the first randomised controlled SE (IPS) trial in Sweden was conducted in August 2008 and August 2009. Data were collected on a regular basis from SE employment specialists, process heads, clients and representatives from mental health care units and vocational services (social insurance and public employment offices) using interviews, non-participant observations and document analysis.



FINDINGS:

SE employment specialists reported that existing regulations for social insurance and employment regulations presented major obstacles to implementation. Difficulties were reported in cooperation with handling officers at the vocational services. Scepticism towards persons with mental illness was common and employers expected to receive subsidies if they hired a person with mental illness. SE participants expressed fear of losing their social benefits.



ORIGINALITY/VALUE:

The results illuminate a collision between an innovative evidence-based practice and the existing systems for social benefits and work rehabilitation. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Health Organisation & Management
volume
25
issue
3
pages
332 - 345
publisher
Emerald Group Publishing Limited
external identifiers
  • pmid:21845986
  • scopus:79959596891
  • pmid:21845986
ISSN
1758-7247
DOI
10.1108/14777261111143563
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000), The VĂ¥rdal Institute (016540000), Department of Business Administration (012003000)
id
913c511d-5cc9-4e18-b932-3bbaec3362fe (old id 2151016)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21845986?dopt=Abstract
date added to LUP
2016-04-04 08:55:08
date last changed
2021-08-25 02:10:20
@article{913c511d-5cc9-4e18-b932-3bbaec3362fe,
  abstract     = {PURPOSE:<br/><br>
The aim of this paper is to identify initial barriers influencing implementation of supported employment (SE). SE, according to the individual placement and support (IPS) approach, has been recognised as an evidence-based method to help people with severe mental illness to find regular employment.<br/><br>
<br/><br>
DESIGN/METHODOLOGY/APPROACH:<br/><br>
A systematic implementation evaluation of the first randomised controlled SE (IPS) trial in Sweden was conducted in August 2008 and August 2009. Data were collected on a regular basis from SE employment specialists, process heads, clients and representatives from mental health care units and vocational services (social insurance and public employment offices) using interviews, non-participant observations and document analysis.<br/><br>
<br/><br>
FINDINGS:<br/><br>
SE employment specialists reported that existing regulations for social insurance and employment regulations presented major obstacles to implementation. Difficulties were reported in cooperation with handling officers at the vocational services. Scepticism towards persons with mental illness was common and employers expected to receive subsidies if they hired a person with mental illness. SE participants expressed fear of losing their social benefits.<br/><br>
<br/><br>
ORIGINALITY/VALUE:<br/><br>
The results illuminate a collision between an innovative evidence-based practice and the existing systems for social benefits and work rehabilitation.},
  author       = {Hasson, Henna and Fred, Mats and Bejerholm, Ulrika},
  issn         = {1758-7247},
  language     = {eng},
  number       = {3},
  pages        = {332--345},
  publisher    = {Emerald Group Publishing Limited},
  series       = {Journal of Health Organisation & Management},
  title        = {Barriers in implementation of evidence-based practice: Supported employment in Swedish context},
  url          = {http://dx.doi.org/10.1108/14777261111143563},
  doi          = {10.1108/14777261111143563},
  volume       = {25},
  year         = {2011},
}