Extended individual placement and support (IPS) contributed to participation in job and education

With an expanded model for IPS, 63% of people with severe mental illness who were unemployed found a job or started education. This is a higher rate than what earlier research on IPS-programs have achieved in the past.

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Both IPS-Lite and IPS-Standard have previously been developed, however research has recently focused on the fact that some people may need a more extended IPS model. Knowledge about which model is more beneficial for whom is also needed. In this study, we tested a completely new extended IPS model, where IPS is supplemented with methodology from the American Model for Human Occupation (MoHO).

Researchers from Scotland, Canada, South Africa, Sweden and PARTAKE in Norway met in Edinburgh two years ago, to discuss the topic of IPS and MoHO. The first scientific article from this collaboration was recently published. It is about the most effective work-oriented rehabilitation service for people with severe mental illness (SMI), known as Individual Placement and Support or IPS.

A total of 202 Scottish patients (61.3% men) received the extended IPS-MoHO intervention. A total of 63 per cent gained employment or started education. This reveals that our study had a higher success rate compared to previous studies.

The following factors were shown to be important in achieving education or work in an adjusted regression analysis; ability to adapt to routines, as well as having clear work-oriented goals. MoHO instrument, known as Worker Role Interview was used to assess this. In addition, living in an impoverished area had a adverse impact on achieving participation in education or work.

There is a significant focus on IPS in Norway and other countries, for several target groups. Being able to offer IPS to varying degrees and intensity will be important in the future to meet different groups better, and to reduce the use of vulnerable public resources to achieve participation in school and work.

Read full text article:

 Prior, S., Maciver, D., Aas, R.W., Kirsh, B., Lexen, A., Van Niekerk, L., Irvine Fitzpatrick, L., Forsyth, K., 2020. An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study. BMC Psychiatry. doi:10.1186/s12888-020-02745-3

The review was made by the research group PARTAKE - Participation in school, working life and treatment at the University of Stavanger together with the authors. For more research news, feel free to follow us on our website or Facebook page.