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dc.contributor.authorRössler, Wulf-
dc.contributor.authorKawohl, Wolfram-
dc.contributor.authorNordt, Carlos-
dc.contributor.authorHaker, Helene-
dc.contributor.authorRüsch, Nicolas-
dc.contributor.authorHengartner, Michael P.-
dc.description.abstractBackground: 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.de_CH
dc.publisherCambridge University Pressde_CH
dc.relation.ispartofThe British Journal of Psychiatryde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectSupported employmentde_CH
dc.subjectIndividual placement and supportde_CH
dc.subjectPlacement budgetde_CH
dc.subjectSerious mental illnessde_CH
dc.subjectUnemployment ratesde_CH
dc.subject.ddc331: Arbeitsökonomiede_CH
dc.title"Placement budgets" for supported employment : impact on employment rates in a multicentre randomised controlled trialde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
zhaw.departementAngewandte Psychologiede_CH
zhaw.organisationalunitPsychologisches Institut (PI)de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedKlinische Psychologiede_CH
Appears in Collections:Publikationen Angewandte Psychologie

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