PT Journal AU Reme, SE Monstad, K Fyhn, T Sveinsdottir, V Løvvik, C Lie, SA Øverland, S TI A randomized controlled multicenter trial of individual placement and support for patients with moderate-to-severe mental illness SO Scandinavian Journal of Work, Environment & Health PD 1VL PY 2019 BP 33 EP 41 IS 1 DI 10.5271/sjweh.3753 WP https://www.sjweh.fi/show_abstract.php?abstract_id=3753 DE depression; employment; individual placement; mental health; mental illness; occupational rehabilitation; patient; psychosis; randomized controlled multicenter trial; randomized controlled trial; RCT; rehabilitation; severe mental illness; supported employment SN 0355-3140 AB '

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OBJECTIVES ': 'The aim of this study was to evaluate the effectiveness of individual placement and support (IPS) for people struggling with work participation due to moderate-to-severe mental illness. The study was conducted in Norway, a setting characterized by a comprehensive welfare system and strong employment protection legislation.

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METHODS ': 'A randomized controlled multicenter trial including 410 participants was conducted. The intervention group received IPS according to the IPS manual. The control group received high-quality usual care. The main outcome was competitive employment at 12- and 18-months follow-up, based on objective registry data. Changes in mental health and health-related quality of life were secondary outcomes.

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RESULTS ': 'At 12-months follow-up, 36.6% of participants in the IPS group and 27.1% of participants in the control group were in competitive employment, while the difference was slightly higher (37.4% versus 27.1%) at 18-months follow-up. Furthermore, IPS yielded positive effects on all the secondary outcomes compared to the control group (all P<0.05).

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CONCLUSIONS ': 'The IPS model of supported employment was superior to high-quality usual care on both vocational and non-vocational outcomes for people with moderate-to-severe mental illness, even in a policy context characterized by high job security and a comprehensive welfare system.

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