PMID- 31379630
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 10
DP  - 2019
TI  - Predictors of Employment for People With Mental Illness: Results of a Multicenter 
      Randomized Trial on the Effectiveness of Placement Budgets for Supported 
      Employment.
PG  - 518
LID - 10.3389/fpsyt.2019.00518 [doi]
LID - 518
AB  - Background: Individual placement and support (IPS) has proven to be effective for 
      vocational outcomes in people with mental illness. The original concept of IPS 
      requires temporally unlimited provision of support. Using limited placement 
      budgets and investigating factors that predict their effectiveness may inform 
      decisions about resource allocation. Methods: A range of patient characteristics 
      were tested as predictors of employment outcomes in participants who attended six 
      outpatient psychiatric clinics in Switzerland between June 2010 and May 2011. 
      Overall, 116 patients with the full spectrum of psychiatric conditions were 
      randomly assigned and started an IPS intervention, which was provided by three 
      different placement budgets. Support lasted 2 years for those who found a job, 
      and outcomes were repeatedly assessed over 3 years. The intervention ended for 
      those who failed to find competitive employment by the time their placement 
      budget had run out. Results: Of the 15 variables tested, only Global Assessment 
      of Functioning (GAF) and Clinical Global Impression (CGI) scores were predictors 
      for obtaining work (for >/=1 day) and for maintaining it over a longer period (>3 
      months). Higher GAF and lower CGI scores increased the odds of obtaining 
      employment and keeping it for at least 3 months. Functional role impairment, 
      quality of life, self-esteem, or education level did not predict employment. 
      Conclusion: Our data suggest that, if time-restricted budgets are offered to a 
      wide range of patients, such as those included in this study, better functioning 
      and lower symptom severity at baseline are predictive of better employment 
      outcomes (finding and maintaining work) on the first (competitive) labor market 
      in Switzerland. It remains to be investigated whether this holds true under 
      different environmental factors. Clinical Trial Registration: ISRCTN, trial 
      number: ISRCTN89670872.
FAU - Rossler, Wulf
AU  - Rossler W
AD  - Department of Psychiatry and Psychotherapy, Charite University Medicine Berlin, 
      Berlin, Germany.
FAU - Ujeyl, Mariam
AU  - Ujeyl M
AD  - Department of Psychiatry and Psychotherapy, Charite University Medicine Berlin, 
      Berlin, Germany.
FAU - Kawohl, Wolfram
AU  - Kawohl W
AD  - Psychiatric Services Aargau, Windisch, Switzerland.
FAU - Nordt, Carlos
AU  - Nordt C
AD  - Department of Psychiatry, Psychotherapy, and Psychosomatics, University of 
      Zurich, Zurich, Switzerland.
FAU - Lasalvia, Antonio
AU  - Lasalvia A
AD  - Department of Neuroscience, Biomedicine, and Movement Sciences, University of 
      Verona, Verona, Italy.
FAU - Haker, Helene
AU  - Haker H
AD  - Translational Neuromodeling Unit, ETH Zurich, Zurich, Switzerland.
FAU - Hengartner, Michael P
AU  - Hengartner MP
AD  - Department of Applied Psychology, Zurich University of Applied Sciences, Zurich, 
      Switzerland.
LA  - eng
PT  - Journal Article
DEP - 20190719
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC6659611
OTO - NOTNLM
OT  - placement budget
OT  - predictors
OT  - prognosis
OT  - serious mental illness
OT  - supported employment
OT  - vocational rehabilitation
EDAT- 2019/08/06 06:00
MHDA- 2019/08/06 06:01
PMCR- 2019/07/19
CRDT- 2019/08/06 06:00
PHST- 2019/01/29 00:00 [received]
PHST- 2019/07/01 00:00 [accepted]
PHST- 2019/08/06 06:00 [entrez]
PHST- 2019/08/06 06:00 [pubmed]
PHST- 2019/08/06 06:01 [medline]
PHST- 2019/07/19 00:00 [pmc-release]
AID - 10.3389/fpsyt.2019.00518 [doi]
PST - epublish
SO  - Front Psychiatry. 2019 Jul 19;10:518. doi: 10.3389/fpsyt.2019.00518. eCollection 
      2019.