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
Published in : The British journal of psychiatry
Volume(Issue) : 2019
Pages : 1
Pages to: 6
Publisher / Ed. Institution : Cambridge University Press
Issue Date: Jul-2019
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
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.
Departement: Applied Psychology
Organisational Unit: Psychological Institute (PI)
Publication type: Article in scientific Journal
DOI : 10.1192/bjp.2019.154
ISSN: 0007-1250
1472-1465
URI: https://digitalcollection.zhaw.ch/handle/11475/17786
Appears in Collections:Publikationen Angewandte Psychologie

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