"Placement budgets" for supported employment : impact on employment rates in a multicentre randomised controlled trial

Rössler, Wulf; Kawohl, Wolfram; Nordt, Carlos; Haker, Helene; Rüsch, Nicolas; Hengartner, Michael P.

doi:10.1192/bjp.2019.154

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	"Placement budgets" for supported employment : impact on employment rates in a multicentre randomised controlled trial
Authors:	Rössler, Wulf Kawohl, Wolfram Nordt, Carlos Haker, Helene Rüsch, Nicolas Hengartner, Michael P.
et. al:	No
DOI:	10.1192/bjp.2019.154
Published in:	The British Journal of Psychiatry
Volume(Issue):	2019
Page(s):	1
Pages to:	6
Issue Date:	Jul-2019
Publisher / Ed. Institution:	Cambridge University Press
ISSN:	0007-1250 1472-1465
Language:	English
Subjects:	Supported employment; Individual placement and support; Placement budget; Serious mental illness; Unemployment rates
Subject (DDC):	331: Labor economics
Abstract:	Background: The most effective rehabilitation model for job (re)-entry of people with mental illness is supported employment (SE). A barrier to introducing SE into standard care in European countries is its temporally unlimited provision, which conflicts with health and social legislation in many European countries. Aims: To test the impact of different ‘placement budgets’, i.e. a pre-defined maximum time budget (25h, 40h or 55h) for job finding until take-up of competitive employment. Method: The 116 participants were randomly assigned to either 25h, 40h or 55h placement budgets and were included in an intent-to-treat analysis. The intervention applied the individual placement and support (IPS) model and lasted up to 24 months, while participants were followed for a total duration of 36 months. Primary outcome was employment in the competitive labour market for at least three months. Results: The proportion of patients who obtained competitive employment was 55.1% in the 25h group, 37.8% in the 40h group, and 35.8% in the 55h group. According to Cox regression analysis, the time to employment was slightly lower in the 25h group relative to the 40h (HR=1.78, 95%-CI=0.88-3.57; p=0.107) and the 55h group (HR=1.74, 95%-CI=0.86-3.49; p=0.122), but that difference was not statistically significant. Irrespective of the assigned placement budget, the vast majority of participants who found a job did so within the first 12 months (80.4%). Conclusion: A restricted time budget for job finding and placement does not impact the rate of successful employment. In accordance with health and social service legislation in most European countries, a restriction of care provision seems justified and enhances the chances of SE being introduced in statutory services.
URI:	https://digitalcollection.zhaw.ch/handle/11475/17786
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	Applied Psychology
Organisational Unit:	Psychological Institute (PI)
Appears in collections:	Publikationen Angewandte Psychologie

Files in This Item:

There are no files associated with this item.

Show full item record

Rössler, W., Kawohl, W., Nordt, C., Haker, H., Rüsch, N., & Hengartner, M. P. (2019). “Placement budgets” for supported employment : impact on employment rates in a multicentre randomised controlled trial. The British Journal of Psychiatry, 2019, 1–6. https://doi.org/10.1192/bjp.2019.154

Rössler, W. et al. (2019) ‘‘Placement budgets’ for supported employment : impact on employment rates in a multicentre randomised controlled trial’, The British Journal of Psychiatry, 2019, pp. 1–6. Available at: https://doi.org/10.1192/bjp.2019.154.

W. Rössler, W. Kawohl, C. Nordt, H. Haker, N. Rüsch, and M. P. Hengartner, ““Placement budgets” for supported employment : impact on employment rates in a multicentre randomised controlled trial,” The British Journal of Psychiatry, vol. 2019, pp. 1–6, Jul. 2019, doi: 10.1192/bjp.2019.154.

RÖSSLER, Wulf, Wolfram KAWOHL, Carlos NORDT, Helene HAKER, Nicolas RÜSCH und Michael P. HENGARTNER, 2019. „Placement budgets“ for supported employment : impact on employment rates in a multicentre randomised controlled trial. The British Journal of Psychiatry. Juli 2019. Bd. 2019, S. 1–6. DOI 10.1192/bjp.2019.154

Rössler, Wulf, Wolfram Kawohl, Carlos Nordt, Helene Haker, Nicolas Rüsch, and Michael P. Hengartner. 2019. ““Placement Budgets” for Supported Employment : Impact on Employment Rates in a Multicentre Randomised Controlled Trial.” The British Journal of Psychiatry 2019 (July): 1–6. https://doi.org/10.1192/bjp.2019.154.

Rössler, Wulf, et al. ““Placement Budgets” for Supported Employment : Impact on Employment Rates in a Multicentre Randomised Controlled Trial.” The British Journal of Psychiatry, vol. 2019, July 2019, pp. 1–6, https://doi.org/10.1192/bjp.2019.154.