| 1. |
- Areberg, Cecilia, et al.
(författare)
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Experiences of the individual placement and support approach in persons with severe mental illness.
- 2013
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 27:3, s. 589-596
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Tidskriftsartikel (refereegranskat)abstract
- Scand J Caring Sci; 2012; Experiences of the individual placement and support approach in persons with severe mental illness Background: Across several research studies comparing the individual placement and support (IPS) approach to traditional vocational services, the approach has achieved employment outcomes superior to comparison conditions. However, to understand the efficacy of IPS, it is equally important to consider what is more or less effective as viewed by the IPS participants. Aim: To investigate participants' experiences of IPS participation and their experiences of receiving support from an employment specialist (ES). Method: Interviews were conducted with 17 persons with severe mental illness. The interviews were subjected to qualitative content analysis. The principles of informed consent and the voluntary nature of participation were included as ethical considerations. Results: Participation in IPS was associated with hope, meaning and an individualized support provided by the ES. The skills of the ES facilitated the relationship with the participant and the contact with the labour market. However, to make a change happen, everybody involved in IPS had to contribute. Conclusion: These findings have endorsed the guiding principles of IPS and emphasized the ES's role and skills during IPS as well as the participant's motivation.
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| 2. |
- Areberg, Cecilia
(författare)
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Individual Placement and Support (IPS) for persons with severe mental illness -Outcomes of a randomised controlled trial in Sweden
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In the light of the limited research on the subject of Individual Placement and Support (IPS) in a Swedish context, this thesis has contributed with knowledge of the effectiveness and experiences of IPS among persons with severe mental illness (SMI) living in Sweden. The thesis has also provided information about the work motivation among those persons with SMI who seek vocational support by IPS. The results revealed that IPS participation can provide a means for obtaining competitive employment, becoming integrated in the community and promoting personal recovery among the participants. The findings indicated that IPS was five times faster in supporting persons with SMI to obtain a competitive employment, as compared to traditional vocational rehabilitation (TVR). The IPS participants were also found to work significantly more hours and weeks, to have longer job tenure periods and better income in comparison to the TVR participants. In addition to obtaining competitive employment, the IPS group became more integrated in community mainstream settings by their gaining internship or studies. By the end of the trial the IPS group perceived higher quality of life and was more empowered than the TVR group. During IPS, the participants were shown to have maintained their work motivation. Furthermore, it was shown amongst the participants that a higher level of occupational engagement was found to be the most important factor for having a high work motivation. Having the motivation to work was also experienced, by the participants as a facilitator during IPS along with the particular skills and empowering approach of the employment specialist. Thus, participating in IPS and having support from an employment specialist brought feelings of hope and meaning to the participants who experienced their relationship with the employment specialist to be a partnership and something beyond the ordinary. To achieve their goals of obtaining competitive employment however, the participants also stated that they needed the parallel support of significant others in the IPS support network. The results in the present thesis support the earlier research findings of the advantage of IPS over TVR and further underpin the recommendation by the Swedish National Board of Health and Welfare to implement IPS in the country’s mental health care and municipality services.
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| 3. |
- Areberg, Cecilia, et al.
(författare)
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The effect of IPS on participants' engagement, quality of life, empowerment, and motivation: a randomized controlled trial.
- 2013
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Ingår i: Scandinavian Journal of Occupational Therapy. - : Informa UK Limited. - 1651-2014 .- 1103-8128. ; 20:6, s. 420-428
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Objective: To investigate the effectiveness of Individual Placement and Support (IPS) with regard to non-vocational outcomes among individuals with severe mental illness. Methods: A randomized controlled trial was carried out, comparing IPS with traditional vocational rehabilitation. The Empowerment Scale, the Worker Role Interview, the Profile of Occupational Engagement, and the Manchester Short Assessment of Quality of Life were administered to 120 clients, at baseline, six, and 18 months. Results: IPS participants showed higher scores in quality of life (p = 0.002), empowerment (p = 0.047), and work motivation (p = 0.033) at 18 months. Within the IPS group, a significant change in QOL was shown at six (p = 0.002) and 18 months (p = 0.000), and in occupational engagement (p = 0.003; p = 0.012). Conclusions: IPS can be part of a recovery process as individuals may increase their life satisfaction and time spent in daily occupations and community life.
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