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The British Journal of Psychiatry (2006) 189: 65-73. doi: 10.1192/bjp.bp.105.012641
© 2006 The Royal College of Psychiatrists
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Generalisability of the individual placement and support model of supported employment: results of a Canadian randomised controlled trial

Eric A. Latimer, PhD

Douglas Hospital Research Centre and McGill University

Tania Lecomte, PhD

University of British Columbia, Canada

Deborah R. Becker, MEd and Robert E. Drake, MD, PhD

New Hampshire-Dartmouth Psychiatric Research Center, USA

Isabelle Duclos, PsEd

Douglas Hospital Research Centre

Myra Piat, PhD

Douglas Hospital Research Centre and McGill University

Nicole Lahaie, MSc, Marie-Sylvie St-Pierre, MA and Claude Therrien, BSc

Douglas Hospital, Canada

Haiyi Xie

New Hampshire-Dartmouth Psychiatric Research Centre, USA

Correspondence: Eric A. Latimer, PhD, Director, Services, Policy and Population Health Research Theme, Douglas Hospital Research Centre, Assistant Professor, Department of Psychiatry, McGill University, 6875 LaSalle Blvd, Verdun, Québec, Canada H4H1R3. Tel: +1 514 761 6131 x2351; Fax: +1 514 762 3049; email: eric.latimer{at}douglas.mcgill.can

Declaration of interest None.

Funding detailed in Acknowledgements.

Background Studies conducted in the USA have found the individual placement and support model of supported employment to be more effective than traditional vocational rehabilitation at helping people with severe mental illness to find and maintain competitive employment.

Aims To determine the effectiveness of the individual placement and support (supported employment) model in a Canadian setting.

Method A total of 150 adults with severe mental illness, who were not currently employed and who desired competitive employment, were randomly assigned to receive either supported employment (n=75) or traditional vocational services (n=75).

Results Over the 12 months of followup, 47% of clients in the supported employment group obtained at least some competitive employment, v. 18% of the control group (P < 0.001). They averaged 126 h of competitive work, v. 72 in the control group (P < 0.001).

Conclusions Supported employment proved more effective than traditional vocational servicesin a setting significantly different from settings in the USA, and may therefore be generalised to settings in other countries.


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