Jacqueline A Pogue, Noah Lipton, I-Chin Chiang, Gary Scannevin, Tania Hameed, Helle Thorning, Paul J Margolies
{"title":"康复是有效的：试点个人安置和支持果断的社区治疗团队。","authors":"Jacqueline A Pogue, Noah Lipton, I-Chin Chiang, Gary Scannevin, Tania Hameed, Helle Thorning, Paul J Margolies","doi":"10.1176/appi.ps.20240221","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Employment rates are low among individuals receiving assertive community treatment (ACT) services in New York State (9% of approximately 6,400 individuals in 2023). This project aimed to increase employment rates by implementing the individual placement and support (IPS) model of supported employment within ACT services.</p><p><strong>Methods: </strong>To assess the effectiveness of IPS for ACT participants and what adaptations might be needed, IPS was piloted with six ACT teams from October 2021 to October 2022. The teams received live IPS training and monthly consultation. They took part in pre-post fidelity assessments, provided monthly performance data, and engaged in semistructured interviews at the conclusion of the pilot.</p><p><strong>Results: </strong>During the pilot, 109 ACT participants received IPS services. The monthly employment rate ranged from 25% to 46% and fluctuated over time. ACT participants receiving IPS started 71 jobs during the pilot. ACT teams demonstrated a culture shift that embraced employment and IPS principles such as zero exclusion. They dedicated a mean of 0.5 full-time equivalent (FTE) hours to providing IPS services, divided among one to six team members. The total IPS fidelity score increased (i.e., improved) by an adjusted mean of approximately 14 points from the start (77.5 points) to the end (91.8 points) of the pilot.</p><p><strong>Conclusions: </strong>Future efforts to implement IPS within ACT teams may need to incorporate extended or additional supports and ways to dedicate vocational specialist time to IPS service provision in order to achieve better employment outcomes.</p>","PeriodicalId":20878,"journal":{"name":"Psychiatric services","volume":" ","pages":"appips20240221"},"PeriodicalIF":3.3000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Recovery Is Working: Piloting Individual Placement and Support With Assertive Community Treatment Teams.\",\"authors\":\"Jacqueline A Pogue, Noah Lipton, I-Chin Chiang, Gary Scannevin, Tania Hameed, Helle Thorning, Paul J Margolies\",\"doi\":\"10.1176/appi.ps.20240221\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Employment rates are low among individuals receiving assertive community treatment (ACT) services in New York State (9% of approximately 6,400 individuals in 2023). This project aimed to increase employment rates by implementing the individual placement and support (IPS) model of supported employment within ACT services.</p><p><strong>Methods: </strong>To assess the effectiveness of IPS for ACT participants and what adaptations might be needed, IPS was piloted with six ACT teams from October 2021 to October 2022. The teams received live IPS training and monthly consultation. They took part in pre-post fidelity assessments, provided monthly performance data, and engaged in semistructured interviews at the conclusion of the pilot.</p><p><strong>Results: </strong>During the pilot, 109 ACT participants received IPS services. The monthly employment rate ranged from 25% to 46% and fluctuated over time. ACT participants receiving IPS started 71 jobs during the pilot. ACT teams demonstrated a culture shift that embraced employment and IPS principles such as zero exclusion. They dedicated a mean of 0.5 full-time equivalent (FTE) hours to providing IPS services, divided among one to six team members. The total IPS fidelity score increased (i.e., improved) by an adjusted mean of approximately 14 points from the start (77.5 points) to the end (91.8 points) of the pilot.</p><p><strong>Conclusions: </strong>Future efforts to implement IPS within ACT teams may need to incorporate extended or additional supports and ways to dedicate vocational specialist time to IPS service provision in order to achieve better employment outcomes.</p>\",\"PeriodicalId\":20878,\"journal\":{\"name\":\"Psychiatric services\",\"volume\":\" \",\"pages\":\"appips20240221\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-05-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychiatric services\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1176/appi.ps.20240221\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatric services","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1176/appi.ps.20240221","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
Recovery Is Working: Piloting Individual Placement and Support With Assertive Community Treatment Teams.
Objective: Employment rates are low among individuals receiving assertive community treatment (ACT) services in New York State (9% of approximately 6,400 individuals in 2023). This project aimed to increase employment rates by implementing the individual placement and support (IPS) model of supported employment within ACT services.
Methods: To assess the effectiveness of IPS for ACT participants and what adaptations might be needed, IPS was piloted with six ACT teams from October 2021 to October 2022. The teams received live IPS training and monthly consultation. They took part in pre-post fidelity assessments, provided monthly performance data, and engaged in semistructured interviews at the conclusion of the pilot.
Results: During the pilot, 109 ACT participants received IPS services. The monthly employment rate ranged from 25% to 46% and fluctuated over time. ACT participants receiving IPS started 71 jobs during the pilot. ACT teams demonstrated a culture shift that embraced employment and IPS principles such as zero exclusion. They dedicated a mean of 0.5 full-time equivalent (FTE) hours to providing IPS services, divided among one to six team members. The total IPS fidelity score increased (i.e., improved) by an adjusted mean of approximately 14 points from the start (77.5 points) to the end (91.8 points) of the pilot.
Conclusions: Future efforts to implement IPS within ACT teams may need to incorporate extended or additional supports and ways to dedicate vocational specialist time to IPS service provision in order to achieve better employment outcomes.
期刊介绍：
Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
