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. and Akhtar, Athfah and Boycott, Naomi and Guo, Boliang and Latimer, Eric and 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

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Abstract

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.

Item Type: Article
Keywords: Individual placement and support (IPS), employment, pragmatic trial, CBT, cognitive behaviour therapy
Schools/Departments: University of Nottingham, UK > Faculty of Social Sciences > School of Sociology and Social Policy
Identification Number: https://doi.org/10.1177/0308022615619184
Depositing User: Schneider, Professor Justine
Date Deposited: 06 Dec 2016 09:11
Last Modified: 20 Jan 2017 16:03
URI: http://eprints.nottingham.ac.uk/id/eprint/33614

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