Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial

Introduction: Employment is a key goal for many people with long-term mental health issues. Evidence-based individual placement and support is a widely advocated approach. This study explored whether individual placement and support outcomes could be enhanced with work-focused counselling. Method:...

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Main Authors: Schneider, Justine M., Akhtar, Athfah, Boycott, Naomi, Guo, Boliang, Latimer, Eric, Cao, Zhirong, McMurran, Mary
Format: Article
Published: SAGE 2016
Subjects:
Online Access:https://eprints.nottingham.ac.uk/33614/
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author Schneider, Justine M.
Akhtar, Athfah
Boycott, Naomi
Guo, Boliang
Latimer, Eric
Cao, Zhirong
McMurran, Mary
author_facet Schneider, Justine M.
Akhtar, Athfah
Boycott, Naomi
Guo, Boliang
Latimer, Eric
Cao, Zhirong
McMurran, Mary
author_sort Schneider, Justine M.
building Nottingham Research Data Repository
collection Online Access
description Introduction: Employment is a key goal for many people with long-term mental health issues. Evidence-based individual placement and support is a widely advocated approach. This study explored whether individual placement and support outcomes could be enhanced with work-focused counselling. Method: The study was designed as a pragmatic randomised controlled trial comparing the cost-effectiveness, in severe mental illness, of work-focused intervention (intervention) as an adjunct to individual placement and support compared to individual placement and support alone (control). Results: The original sample (330) proved impossible to attain so the design was revised to a pilot study from which information on feasibility of a full trial could be drawn. Twenty-five individuals out of 74 found paid work but no difference was found in the mean number of hours in paid employment between the intervention and control groups. Conclusion: Results demonstrate that delivering work-focused counselling in tandem with individual placement and support is feasible and acceptable to service users. The study observed that, even during a period of recession (2010–13), individuals with mental health problems succeeded in obtaining paid employment. Any additional benefit of counselling over individual placement and support alone could not be ascertained, due mainly to the high drop-out rate from this study.
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spelling nottingham-336142020-05-04T20:02:53Z https://eprints.nottingham.ac.uk/33614/ Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial Schneider, Justine M. Akhtar, Athfah Boycott, Naomi Guo, Boliang Latimer, Eric Cao, Zhirong McMurran, Mary Introduction: Employment is a key goal for many people with long-term mental health issues. Evidence-based individual placement and support is a widely advocated approach. This study explored whether individual placement and support outcomes could be enhanced with work-focused counselling. Method: The study was designed as a pragmatic randomised controlled trial comparing the cost-effectiveness, in severe mental illness, of work-focused intervention (intervention) as an adjunct to individual placement and support compared to individual placement and support alone (control). Results: The original sample (330) proved impossible to attain so the design was revised to a pilot study from which information on feasibility of a full trial could be drawn. Twenty-five individuals out of 74 found paid work but no difference was found in the mean number of hours in paid employment between the intervention and control groups. Conclusion: Results demonstrate that delivering work-focused counselling in tandem with individual placement and support is feasible and acceptable to service users. The study observed that, even during a period of recession (2010–13), individuals with mental health problems succeeded in obtaining paid employment. Any additional benefit of counselling over individual placement and support alone could not be ascertained, due mainly to the high drop-out rate from this study. SAGE 2016-05 Article PeerReviewed Schneider, Justine M., Akhtar, Athfah, Boycott, Naomi, Guo, Boliang, Latimer, Eric, Cao, Zhirong and McMurran, Mary (2016) Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial. British Journal of Occupational Therapy, 79 (5). pp. 257-269. ISSN 1477-6006 Individual placement and support (IPS) employment pragmatic trial CBT cognitive behaviour therapy http://bjo.sagepub.com/content/79/5/257 doi:10.1177/0308022615619184 doi:10.1177/0308022615619184
spellingShingle Individual placement and support (IPS)
employment
pragmatic trial
CBT
cognitive behaviour therapy
Schneider, Justine M.
Akhtar, Athfah
Boycott, Naomi
Guo, Boliang
Latimer, Eric
Cao, Zhirong
McMurran, Mary
Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial
title Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial
title_full Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial
title_fullStr Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial
title_full_unstemmed Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial
title_short Individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial
title_sort individual placement and support versus individual placement and support enhanced with work-focused cognitive behaviour therapy: feasibility study for a randomised controlled trial
topic Individual placement and support (IPS)
employment
pragmatic trial
CBT
cognitive behaviour therapy
url https://eprints.nottingham.ac.uk/33614/
https://eprints.nottingham.ac.uk/33614/
https://eprints.nottingham.ac.uk/33614/