Presentation T P29

T P29 (Poster Presentation):
Evaluation of an implementation strategy for Individual Placement and Support for adults with severe mental illness

Presented by: Frederieke Geraldine Schaafsma

Authors

Suijkerbuijk YB1, Schaafsma FG1, Anema JR1, Michon HWC2

  1. Research Center for Insurance Medicine, AMC UMCG UWV VUmc. VU Medical Center EMGO+ Institute, Department of Public and Occupational Health, Amsterdam
  2. Trimbos Institute, The Netherlands Institute of Mental Health and Addiction, Utrecht, The Netherlands

Abstract

Background

People with severe mental illness show high rates of unemployment and work disability. However, these people often have a desire to work. Individual Placement and Support (IPS) is an effective vocational rehabilitation method for people with severe mental illness. IPS is characterized by rapid placement in competitive employment with prolonged intensive supervision by an IPS trained coach who is a member of a multidisciplinary mental health care team. Despite the demonstrated effectiveness IPS proves difficult to implement in daily practice. Organizational and financial barriers play a major role. Therefore, a mental health institution, the Dutch Social Security Agency (SSA) and the municipality of Amsterdam took the initiative to develop an implementation strategy focusing on the removal of financial and organizational barriers to apply IPS for people with severe mental illness. This study evaluates the (cost)effectiveness and the process of implementation of this implementation strategy for IPS for people with severe mental illness who wish to acquire regular paid work.

Methods

In a longitudinal quasi-experimental implementation study the organizational and financial implementation strategy is being compared to usual implementation of IPS. The study population consist of adults with severe mental illness who are treated in an Function Assertive Community Treatment (FACT) team of a mental health institution. These people all have a wish to perform regular paid work and receive social assistance benefits from the municipality or benefits for work disability from the SSA. There will be a (cost)effectiveness analysis of the implementation strategy. A qualitative process evaluation of the implementation strategy will also be conducted.

Results

The primary outcome measure is the proportion of participants who have performed at least 1 day of regular paid work during the follow-up period. Secondary outcome measures include other forms of work, quality of life, mental health, self-esteem and job satisfaction. All outcome measures are assessed using questionnaires at baseline and after 6, 18 and 30 months.The cost-effectiveness analysis will be performed from societal perspective.

Conclusions

This study has started in February 2014 with including participants. First results are expected in 2016.

Schedule Details

Tuesday September 30
12:45 - 13:45 Poster Viewing
Session: Mental disorders