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Individual Placemen...
Individual Placement and Support in Sweden-A randomized controlled trial
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- Bejerholm, Ulrika (författare)
- Lund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Psykisk hälsa, aktivitet och delaktighet,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Mental Health, Activity and Participation,Lund University Research Groups
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- Areberg, Cecilia (författare)
- Lund University,Lunds universitet,Psykisk hälsa och psykiatrisk hälso- och sjukvårdsforskning,Forskargrupper vid Lunds universitet,Mental Health Services Research,Lund University Research Groups
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- Hofgren, Caisa, 1952 (författare)
- Lund University,Lunds universitet,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine
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- Sandlund, Mikael (författare)
- Umeå universitet,Psykiatri
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Rinaldi, M. (författare)
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(creator_code:org_t)
- 2014-07
- 2015
- Engelska.
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 69:1, s. 57-66
- Relaterad länk:
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http://www.ncbi.nlm....
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http://dx.doi.org/10... (free)
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https://gup.ub.gu.se...
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https://doi.org/10.3...
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https://lup.lub.lu.s...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Currently there is no evidence on the effectiveness of Individual Placement and Support (IPS) in Sweden. Aims: To determine the effectiveness of IPS on vocational outcomes among people with severe mental illness (SMI) in a Swedish context. A secondary aim was to evaluate a community integration effect. Methods: A randomized controlled trial with a parallel design was used. Mental health outpatients with SMI were randomized to IPS or traditional vocational rehabilitation (TVR) services. The allocation status was assessor-blinded. The primary outcome was competitive employment. All vocational outcomes were collected continuously, and socio-demographic and clinical variables at baseline, 6 and 18 months. The trial is registered with ClinicalTrials.gov: NCT00960024. Results: One hundred and twenty participants were randomized. Eighty seven per cent were assessed after 6 months, and 73% after 18 months. IPS was more effective than TVR in terms of gaining employment at 18-month follow-up (46% vs. 11%; difference 36%, 95% CI 18-54), along with the amount of working hours and weeks, longer job tenure periods and income. Cox regression analysis showed that IPS participants gained employment five times quicker than those in TVR. Ninety per cent of the IPS participants became involved in work, internships or education, i.e. activities integrated in mainstream community settings, while 24% in the TVR group achieved this. Conclusions: IPS is effective in a Swedish context in terms of gaining employment and becoming integrated within the local community. The welfare system presented obstacles for gaining competitive employment directly and it was indicated that internships delayed time to first competitive employment.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- Community integration
- Severe mental illness
- Supported employment
- Vocational rehabilitation
- adult
- Article
- clinical effectiveness
- clinical evaluation
- community program
- comparative effectiveness
- controlled study
- depression
- disease severity
- employment
- evidence based practice
- female
- follow up
- human
- immigrant
- individual placement and support
- major clinical study
- male
- mental disease
- mental health service
- outcome assessment
- outpatient
- parallel design
- patient dropouts
- patient participation
- program development
- psychosocial rehabilitation
- randomized controlled trial
- social support
- Sweden
- treatment outcome
- work capacity
- Community integration
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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