Individual placement and support (IPS): duration of employment support and equity of access and outcome in routine clinical practice.

IF 2.2 Q3 PSYCHIATRY

BJPsych Bulletin Pub Date : 2024-10-11 DOI:10.1192/bjb.2024.68

Miles Rinaldi, Rachel Perkins, Robert Baxter, Paul Dorrington, Kat Saville

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Abstract

Aims and method: To explore the duration of support, reach, effectiveness and equity in access to and outcome of individual placement and support (IPS) in routine clinical practice. A retrospective analysis of routine cross-sectional administrative data was performed for people using the IPS service (N = 539).

Results: A total of 46.2% gained or retained employment, or were supported in education. The median time to gaining employment was 132 days (4.3 months). Further, 84.7% did not require time-unlimited in-work support, and received in-work support for a median of 146 days (4.8 months). There was a significant overrepresentation of people from Black and minority ethnic communities accessing IPS, but no significant differences in outcomes by diagnosis, ethnicity, age or gender.

Clinical implications: Most people using IPS services do not appear to need time-unlimited in-work support. Community teams with integrated IPS employment specialists can be optimistic when addressing people's recovery goals of gaining and retaining employment.

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个人安置和支持（IPS）：就业支持的持续时间以及在常规临床实践中获得就业的机会和结果的公平性。

目的和方法：探讨在常规临床实践中，个人安置和支持（IPS）的支持时间、覆盖范围、有效性和公平性以及结果。对使用 IPS 服务的人员（N = 539）的常规横截面行政数据进行回顾性分析：结果：共有 46.2% 的人获得或保留了工作，或获得了教育支持。获得就业的时间中位数为 132 天（4.3 个月）。此外，84.7%的人不需要无时间限制的在职支持，接受在职支持的时间中位数为 146 天（4.8 个月）。接受IPS服务的黑人和少数族裔群体比例明显偏高，但不同诊断、种族、年龄或性别的结果没有明显差异：临床影响：大多数使用 IPS 服务的人似乎并不需要无时间限制的在职支持。拥有综合 IPS 就业专家的社区团队在实现人们获得和保留工作的康复目标时，可以采取乐观的态度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BJPsych Bulletin PSYCHIATRY-

CiteScore

4.30

自引率

3.80%

发文量

审稿时长

15 weeks

期刊介绍： BJPsych Bulletin prioritises research, opinion and informed reflection on the state of psychiatry, management of psychiatric services, and education and training in psychiatry. It provides essential reading and practical value to psychiatrists and anyone involved in the management and provision of mental healthcare.