The British Journal of Psychiatry (2008) 192: 224-231. doi: 10.1192/bjp.bp.107.041475
© 2008 The Royal College of Psychiatrists
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit an eLetter
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Related articles in BJP
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Catty, J.
Right arrow Articles by Burns, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Catty, J.
Right arrow Articles by Burns, T.

Predictors of employment for people with severe mental illness: results of an international six-centre randomised controlled trial

Jocelyn Catty, DPhil, Pascale Lissouba, MSc and Sarah White, MsC

Division of Mental Health, St George’s, University of London, UK

Thomas Becker, MD

Department of Psychiatry II, University of Ulm, BKH Gunzburg, Germany

Robert E. Drake, MD

New Hampshire-Dartmouth Psychiatric Research Centre, Lebanon, New Hampshire, USA

Angelo Fioritti, MD

Programma Salute Mentale, Azienda USL Rimini, Italy

Martin Knapp, PhD

Department of Health and Social Care, London School of Economics, London, UK

Christoph Lauber, MD and Wulf Rössler, MD

Psychiatric University Hospital, Zurich, Switzerland

Toma Tomov, MD, PhD

Bulgarian Institute of Human Relations, Sofia, Bulgaria

Jooske van Busschbach, PhD and Durk Wiersma, PhD

University Medical Centre, Groningen, The Netherlands

Tom Burns, DSc

University Department of Psychiatry, Warneford Hospital, Oxford, UK

Correspondence: Tom Burns, University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX, UK. Email: Tom.Burns{at}psych.ox.ac.uk

Declaration of interest

None. Funding detailed in Acknowledgements.

Background

An international six-centre randomised controlled trial comparing individual placement and support (IPS) with usual vocational rehabilitation for people with serious mental illness found IPS to be more effective for all vocational outcomes.

Aims

To determine which patients with severe mental illness do well in vocational services and which process and service factors are associated with better outcomes.

Method

Patient characteristics and early process variables were tested as predictors of employment outcomes. Service characteristics were explored as predictors of the effectiveness of IPS.

Results

Patients with previous work history, fewer met social needs and better relationships with their vocational workers were more likely to obtain employment and work for longer. Remission and swifter service uptake were associated with working more. Having an IPS service closer to the original IPS model was the only service characteristic associated with greater effectiveness.

Conclusions

The IPS service was found to be more effective for all vocational outcomes. In addition, maintaining high IPS fidelity and targeting relational skills would be a valuable focus for all vocational interventions, leading to improved employment outcomes. Motivation to find work may be decreased by satisfaction with current life circumstances.


Related articles in BJP:

From The Editor's Desk
Peter Tyrer
BJP 2008 192: 242. [Full Text]  

Highlights of this issue
Sukhwinder S. Shergill
BJP 2008 192: A10. [Full Text]  



This article has been cited by other articles:


Home page
 Schizophr BullHome page
T. Burns, J. Catty, S. White, T. Becker, M. Koletsi, A. Fioritti, W. Rossler, T. Tomov, J. van Busschbach, D. Wiersma, et al.
The Impact of Supported Employment and Working on Clinical and Social Functioning: Results of an International Study of Individual Placement and Support
Schizophr Bull, September 1, 2009; 35(5): 949 - 958.
[Abstract] [Full Text] [PDF]

Home page
 Schizophr BullHome page
K. Campbell, G. R. Bond, and R. E. Drake
Who Benefits From Supported Employment: A Meta-analytic Study
Schizophr Bull, August 6, 2009; (2009) sbp066v1.
[Abstract] [Full Text] [PDF]

Home page
 Schizophr BullHome page
R. E. Drake, G. R. Bond, and S. M. Essock
Implementing Evidence-Based Practices for People With Schizophrenia
Schizophr Bull, July 1, 2009; 35(4): 704 - 713.
[Abstract] [Full Text] [PDF]

Home page
 Schizophr BullHome page
S. R. McGurk, K. T. Mueser, T. J. DeRosa, and R. Wolfe
Work, Recovery, and Comorbidity in Schizophrenia
Schizophr Bull, March 5, 2009; (2009) sbn182v1.
[Abstract] [Full Text] [PDF]