Skip to main content
×
×
Home

What are the benefits of evidence-based supported employment for patients with first-episode psychosis?

  • Miles Rinaldi (a1), Karen Mcneil (a2), Mike Firn (a2), Marsha Koletsi (a3), Rachel Perkins (a4) and Swaran P. Singh (a5)...
Abstract
Aims and Method

To examine the effectiveness of integrating evidence-based supported employment into an early intervention service for young people with first-episode psychosis. Demographic, clinical and vocational data were collected over a 12-month period to evaluate the effect on vocational outcomes at 6 months and 12 months of the employment of a vocational specialist, and to assess model fidelity.

Results

Following vocational profiling and input from the vocational specialist and the team, there were significant increases in the proportion of clients engaged in work or educational activity over the first 6 months of the intervention, and in a subsample over a second 6-month period. The evidence-based Supported Employment Fidelity Scale was used to measure the degree of implementation, which scored 71, signifying ‘good implementation’.

Clinical Implications

The results suggest that implementing evidence-based supported employment within an early intervention service increases employment and education opportunities for patients within the service.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      What are the benefits of evidence-based supported employment for patients with first-episode psychosis?
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      What are the benefits of evidence-based supported employment for patients with first-episode psychosis?
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      What are the benefits of evidence-based supported employment for patients with first-episode psychosis?
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Birchwood, M., Mcgorry, P. & Jackson, H. (1997) Early intervention in schizophrenia. British Journal of Psychiatry, 170, 25.
Birchwood, M., Iqbal, Z., Chadwick, P., et al (2000) Cognitive approach to depression and suicidal thinking in psychosis: I. Ontogeny of post-psychotic depression. British Journal of Psychiatry, 177, 516528.
Bond, G. R., Becker, D. R., Drake, R. E., et al (1997) A fidelity scale for the Individual Placement and Support model of supported employment. Rehabilitation Counselling Bullet in, 40, 265284.
Bond, G. R., Becker, D. R., Drake, R. E., et al (2001a) Implementing supported employment as an evidence-based practice. Psychiatric Services, 52, 313322
Bond, G. R., Vogler, K. M., Resnick, S. G., et al (2001b) Dimensions of supported employment: factor structure of the IPS fidelity scale. Journal of Mental Health, 10, 383393.
Cook, A. & Razzano, L. (2000) Vocational rehabilitation for persons with schizophrenia: recent research and implications for practice. Schizophrenia Bulletin, 26, 87103.
Department of Health (2001) The Mental Health Policy Implementation Guide. London: Department of Health.
Drake, R. & Becker, D. (1996) The Individual Placement and Support Model of Supported Employment. Psychiatric Services, 47, 473475.
Galloway, J. (1991) The Trick is to Keep Breathing. London: Minerva.
Gupta, S., Anderson, N. C. & Arndt, S. (1997) The Iowa longitudinal study of recent onset psychoses one year follow-up of first episode patients. Schizophrenia Research, 23, 113.
Mason, P., Harrison, G., Glazebrook, C., et al (1995) Characteristics of outcome in schizophrenia at 13 years. British Journal of Psychiatry, 167, 596603.
National Institute for Clinical Excellence (2002) Schizophrenia: Core Interventions in the Treatment and Management of Schizophrenia in Primary and Secondary Care. Clinical Guideline 1. London: NICE.
O'Brien, A., Price, C., Burns, T., et al (2003) Improving the vocational status of patients with long-term mental illness: a randomised controlled trial of staff training. Community Mental Health Journal, 39, 333347.
Perkins, R. & Rinaldi, M. (2002) Unemployment rates among patients with long-term mental health problems: a decade of rising unemployment. Psychiatric Bulletin, 26, 295298.
Reker, T., Hornung, W. P., Schonauer, K., et al (2000) Long-term psychiatric patients in vocational rehabilitation programmes: a naturalistic follow-up study over 3 years. Acta Psychiatrica Scandinavica, 101, 457463.
Secker, J. & Membrey, H. (2000) ‘The Wicked Issues’ Conference in Wales. Research Paper for Care Programme to Work Conference. London: Centre for Mental Health Services Development
Singh, S. P., Croudace, T., Amin, S., et al (2000) Three-year outcome of first-episode psychoses in an established community psychiatric service. British Journal of Psychiatry, 176, 210216.
Shepherd, G. (1989) The value of work in the 1980s. Psychiatric Bulletin, 13, 231233.
Warner, R. (1994) Recovery from Schizophrenia: Psychiatry and Political Economy (2nd edn). New York: Routledge.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 46 *
Loading metrics...

Abstract views

Total abstract views: 109 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 26th May 2018. This data will be updated every 24 hours.

What are the benefits of evidence-based supported employment for patients with first-episode psychosis?

  • Miles Rinaldi (a1), Karen Mcneil (a2), Mike Firn (a2), Marsha Koletsi (a3), Rachel Perkins (a4) and Swaran P. Singh (a5)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *