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Predictors of vocational outcomes using Individual Placement and Support for people with mental illness

Nygren, Ulla; Markstrom, Urban; Bernspang, Birgitta; Svensson, Bengt LU ; Hansson, Lars LU and Sandlund, Mikael (2013) In Work: A Journal of Prevention, Assessment & Rehabilitation 45(1). p.31-39
Abstract
OBJECTIVE: People with disabilities find it harder to enter the labour market than people without disabilities and those with a mental illness are, in relation to people with other disabilities, employed at an essentially lower extent. Many are effectively helped by the vocational rehabilitation model Individual Placement and Support (IPS), but there are still many individuals left in undesired unemployment. This study investigates potential predictors of the vocational outcomes of a one-year follow up of IPS in the north of Sweden. PARTICIPANTS: The participants were 65 men and women, mostly younger than 30 years of age diagnosed with a mental illness (predominantly with a diagnosis of anxiety and/or depression). METHODS: Baseline data... (More)
OBJECTIVE: People with disabilities find it harder to enter the labour market than people without disabilities and those with a mental illness are, in relation to people with other disabilities, employed at an essentially lower extent. Many are effectively helped by the vocational rehabilitation model Individual Placement and Support (IPS), but there are still many individuals left in undesired unemployment. This study investigates potential predictors of the vocational outcomes of a one-year follow up of IPS in the north of Sweden. PARTICIPANTS: The participants were 65 men and women, mostly younger than 30 years of age diagnosed with a mental illness (predominantly with a diagnosis of anxiety and/or depression). METHODS: Baseline data related to sociodemographic and clinical characteristics of the client, the client's own perceptions of every day living and participation, self-esteem and quality of life, as well as the quantity of employment support, were investigated using analyses of logistic regression. RESULTS: Of three identified potential predictors, only psychiatric symptoms remained significant in the multivariate logistic regression analyses. A lower level of symptoms increased the odds with 5.5 for gaining employment during one year. CONCLUSIONS: Careful investigation of how psychiatric symptoms influence clients' occupational performance is of importance. By understanding essential aspects of the relationships between the clients' individual characteristics, the rehabilitation context and the vocational outcomes, more appropriate and effective interventions may be offered to the individual client. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Psychiatric rehabilitation, social psychiatry, psychiatric symptoms, clients' perceptions, vocational rehabilitation
in
Work: A Journal of Prevention, Assessment & Rehabilitation
volume
45
issue
1
pages
31 - 39
publisher
IOS Press
external identifiers
  • wos:000318769600006
  • scopus:84880213857
ISSN
1875-9270
DOI
10.3233/WOR-131598
language
English
LU publication?
yes
id
276d3501-0230-492c-9402-71cabfa7f062 (old id 3935694)
date added to LUP
2013-08-01 07:42:14
date last changed
2019-08-28 02:24:33
@article{276d3501-0230-492c-9402-71cabfa7f062,
  abstract     = {OBJECTIVE: People with disabilities find it harder to enter the labour market than people without disabilities and those with a mental illness are, in relation to people with other disabilities, employed at an essentially lower extent. Many are effectively helped by the vocational rehabilitation model Individual Placement and Support (IPS), but there are still many individuals left in undesired unemployment. This study investigates potential predictors of the vocational outcomes of a one-year follow up of IPS in the north of Sweden. PARTICIPANTS: The participants were 65 men and women, mostly younger than 30 years of age diagnosed with a mental illness (predominantly with a diagnosis of anxiety and/or depression). METHODS: Baseline data related to sociodemographic and clinical characteristics of the client, the client's own perceptions of every day living and participation, self-esteem and quality of life, as well as the quantity of employment support, were investigated using analyses of logistic regression. RESULTS: Of three identified potential predictors, only psychiatric symptoms remained significant in the multivariate logistic regression analyses. A lower level of symptoms increased the odds with 5.5 for gaining employment during one year. CONCLUSIONS: Careful investigation of how psychiatric symptoms influence clients' occupational performance is of importance. By understanding essential aspects of the relationships between the clients' individual characteristics, the rehabilitation context and the vocational outcomes, more appropriate and effective interventions may be offered to the individual client.},
  author       = {Nygren, Ulla and Markstrom, Urban and Bernspang, Birgitta and Svensson, Bengt and Hansson, Lars and Sandlund, Mikael},
  issn         = {1875-9270},
  keyword      = {Psychiatric rehabilitation,social psychiatry,psychiatric symptoms,clients' perceptions,vocational rehabilitation},
  language     = {eng},
  number       = {1},
  pages        = {31--39},
  publisher    = {IOS Press},
  series       = {Work: A Journal of Prevention, Assessment & Rehabilitation},
  title        = {Predictors of vocational outcomes using Individual Placement and Support for people with mental illness},
  url          = {http://dx.doi.org/10.3233/WOR-131598},
  volume       = {45},
  year         = {2013},
}