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A Systematic review of individual Placement and Support, Employment, and Personal and Clinical recovery

Gammelgaard Wallstroem, Iben ; Pedersen, Pernille ; Nordahl Christensen, Thomas ; Hellström, Lone ; Bojesen, Anders Bo ; Stenager, Elsebeth ; White, Sarah ; Mueser, Kim T ; Bejerholm, Ulrika LU and van Busschbach, Jooske Tanna , et al. (2021) In Psychiatric Services 72(9). p.1040-1047
Abstract
Objective:
The objective of this review was to assess associations between Individual Placement and Support (IPS), employment, and personal and clinical recovery among persons with severe mental illness at 18-month follow-up.
Methods:
A systematic literature search identified randomized controlled trials (RCTs) comparing IPS with services as usual. Outcomes were self-esteem, empowerment, quality of life, symptoms of depression, negative or psychotic symptoms, anxiety, and level of functioning. A total of six RCTs reported data suitable for meta-analyses, and pooled original data from five studies were also analyzed.
Results:
Meta-analyses and analyses of pooled original data indicated that receipt of the IPS... (More)
Objective:
The objective of this review was to assess associations between Individual Placement and Support (IPS), employment, and personal and clinical recovery among persons with severe mental illness at 18-month follow-up.
Methods:
A systematic literature search identified randomized controlled trials (RCTs) comparing IPS with services as usual. Outcomes were self-esteem, empowerment, quality of life, symptoms of depression, negative or psychotic symptoms, anxiety, and level of functioning. A total of six RCTs reported data suitable for meta-analyses, and pooled original data from five studies were also analyzed.
Results:
Meta-analyses and analyses of pooled original data indicated that receipt of the IPS intervention alone did not improve any of the recovery outcomes. Participants who worked during the study period, whether or not they were IPS participants, experienced improved negative symptoms, compared with those who did not work (standardized mean difference [SMD]=−0.41, 95% confidence interval [CI]=−0.56, –0.26). For participants who worked, whether or not they were IPS participants, improvements were also found in level of functioning and quality of life (SMD=0.59, 95% CI=0.42, 0.77 and SMD=0.34, 95% CI=0.14, 0.54, respectively).
Conclusions:
Employment was associated with improvements in negative symptoms, level of functioning, and quality of life. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Recovery, Rehabilitation/psychosocial
in
Psychiatric Services
volume
72
issue
9
pages
1040 - 1047
publisher
American Psychiatric Association
external identifiers
  • pmid:33940948
  • scopus:85110377812
DOI
10.1176/appi.ps.202000070
language
English
LU publication?
yes
id
bd6667fc-c035-4a04-b8dd-53f4c2b8b499
date added to LUP
2021-08-19 16:06:02
date last changed
2025-04-04 15:23:33
@article{bd6667fc-c035-4a04-b8dd-53f4c2b8b499,
  abstract     = {{Objective:<br/>The objective of this review was to assess associations between Individual Placement and Support (IPS), employment, and personal and clinical recovery among persons with severe mental illness at 18-month follow-up.<br/>Methods:<br/>A systematic literature search identified randomized controlled trials (RCTs) comparing IPS with services as usual. Outcomes were self-esteem, empowerment, quality of life, symptoms of depression, negative or psychotic symptoms, anxiety, and level of functioning. A total of six RCTs reported data suitable for meta-analyses, and pooled original data from five studies were also analyzed.<br/>Results:<br/>Meta-analyses and analyses of pooled original data indicated that receipt of the IPS intervention alone did not improve any of the recovery outcomes. Participants who worked during the study period, whether or not they were IPS participants, experienced improved negative symptoms, compared with those who did not work (standardized mean difference [SMD]=−0.41, 95% confidence interval [CI]=−0.56, –0.26). For participants who worked, whether or not they were IPS participants, improvements were also found in level of functioning and quality of life (SMD=0.59, 95% CI=0.42, 0.77 and SMD=0.34, 95% CI=0.14, 0.54, respectively).<br/>Conclusions:<br/>Employment was associated with improvements in negative symptoms, level of functioning, and quality of life.}},
  author       = {{Gammelgaard Wallstroem, Iben and Pedersen, Pernille and Nordahl Christensen, Thomas and Hellström, Lone and Bojesen, Anders Bo and Stenager, Elsebeth and White, Sarah and Mueser, Kim T and Bejerholm, Ulrika and van Busschbach, Jooske Tanna and Michon, Harry and Falgaard Eplov, Lene}},
  keywords     = {{Recovery; Rehabilitation/psychosocial}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{1040--1047}},
  publisher    = {{American Psychiatric Association}},
  series       = {{Psychiatric Services}},
  title        = {{A Systematic review of individual Placement and Support, Employment, and Personal and Clinical recovery}},
  url          = {{http://dx.doi.org/10.1176/appi.ps.202000070}},
  doi          = {{10.1176/appi.ps.202000070}},
  volume       = {{72}},
  year         = {{2021}},
}