Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support

PloS One
Donald E Frederick, Tyler J VanderWeele

Abstract

Supported employment is a treatment whereby those with severe mental illness (or other disabilities) receive aid searching for competitive employment and mental health (or other) treatments concurrently. The most popular implementation of supported employment is individual placement and support (IPS). We conducted meta-analytic analyses of the randomized controlled trials of IPS. We found that subjects in IPS, compared to usual treatment conditions, had better vocational outcomes (obtained any competitive employment: RR = 1.63, 95%CI = [1.46, 1.82]; job tenure: d = 0.55, 95%CI = [0.33, 0.79]; job length: d = 0.46, 95%CI = [0.35, 0.57]; income: d = 0.48, 95%CI = [0.36, 0.59]) Non-vocational outcomes estimates, while favoring IPS, included the null (quality of life: d = 0.30, 95%CI = [-0.07, 0.67]; global functioning: d = 0.09, 95%CI = [-0.09, 0.27]; mental health: d = 0.03, 95%CI = [-0.15, 0.21]). Analysis of the expected proportion of studies with a true effect on non-vocational outcomes with d>0.2 showed some reason to expect a possible improvement for quality of life for at least some settings (Prop = 0.57, 95%CI = [0.30, 0.84]).

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Citations

May 20, 2020·Current Opinion in Psychiatry·Uta GühneThomas Becker
Sep 16, 2020·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Gary R BondDeborah R Becker
May 13, 2020·The Journal of Behavioral Health Services & Research·Vanessa V KlodnickJose Viruet
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Oct 5, 2021·European Archives of Psychiatry and Clinical Neuroscience·Till WagnerEva Fassbinder
Jan 18, 2022·Administration and Policy in Mental Health·Katherine ZhengCiaran N Kohli-Lynch

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