|Title:||"Placement budgets" for supported employment : impact on employment rates in a multicentre randomised controlled trial|
|Authors :||Rössler, Wulf|
Hengartner, Michael P.
|et. al :||No|
|Published in :||The British Journal of Psychiatry|
|Publisher / Ed. Institution :||Cambridge University Press|
|License (according to publishing contract) :||Licence according to publishing contract|
|Type of review:||Peer review (publication)|
|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.|
|Organisational Unit:||Psychological Institute (PI)|
|Publication type:||Article in scientific journal|
|Appears in Collections:||Publikationen Angewandte Psychologie|
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