PMID- 37917465
OWN - NLM
STAT- MEDLINE
DCOM- 20240305
LR  - 20240305
IS  - 1559-3126 (Electronic)
IS  - 1095-158X (Linking)
VI  - 47
IP  - 1
DP  - 2024 Mar
TI  - Individual placement and support focusing on employment and education for young 
      people at clinical high risk of psychosis: A feasibility study.
PG  - 56-63
LID - 10.1037/prj0000585 [doi]
AB  - OBJECTIVE: This study aimed to assess the feasibility of implementing Individual 
      Placement and Support (IPS) with a focus on educational and employment goals, 
      within a clinical service for the early detection of individuals at clinical high 
      risk (CHR) of psychosis. METHOD: Between June 2019 and April 2021, participants 
      were recruited and received up to 6 (+/- 2) months support. Primary outcome: 
      Enrolled participants, attended sessions, and disengagement rates were analyzed 
      to assess feasibility. SECONDARY OUTCOMES: Enrollment in mainstream education 
      or/and employment, hours spent working or/and studying, salary, level of 
      functioning, and self-efficacy at baseline and follow-up were compared. RESULTS: 
      Thirty-one participants were recruited, 13 of whom were remotely recruited after 
      the first COVID-19 lockdown. Dropout rates were relatively low (16.1%), and 26 
      participants (83.9%) completed the program. Each participant received on average 
      nine sessions (M = 9.65; SD = 4.92). Secondary outcomes: At follow-up, 73.1% 
      participants were employed, working on average more hours per week, t(25) = 
      -2.725; p = .012, and were earning significantly more money, t(25) = -3.702; p = 
      .001, compared to baseline. Gains in educational outcomes were less clear. Global 
      Assessment of Functioning, t = 248.50; p = .001, and Social Occupational 
      Functioning, t(25) = -3.273; p = .003, were significantly higher at 6-month 
      follow-up compared to baseline. No differences were found in participants' 
      self-efficacy. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Findings indicate that 
      research procedures are appropriate and that IPS implementation within a CHR 
      clinical team is feasible. Secondary outcomes also suggest that IPS may be a 
      beneficial intervention for young people at CHR. A longer follow-up might be 
      needed to assess its impact on educational outcomes. (PsycInfo Database Record 
      (c) 2024 APA, all rights reserved).
FAU - Del Piccolo, Maria Chiara
AU  - Del Piccolo MC
AD  - Department of Psychosis Studies, Institute of Psychiatry, Psychology and 
      Neuroscience, King's College London.
FAU - Valmaggia, Lucia
AU  - Valmaggia L
AUID- ORCID: 0000-0001-6099-8464
AD  - Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, 
      King's College London.
FAU - Henderson, Claire
AU  - Henderson C
AD  - South London and Maudsley National Health Service Foundation Trust.
FAU - Spencer, Tom J
AU  - Spencer TJ
AUID- ORCID: 0000-0001-5661-3293
AD  - Department of Psychosis Studies, Institute of Psychiatry, Psychology and 
      Neuroscience, King's College London.
FAU - Lewis, David
AU  - Lewis D
FAU - Fitzell, Sharon
AU  - Fitzell S
AD  - Outreach and Support in South London Service, South London and Maudsley National 
      Health Service Foundation Trust.
FAU - Edwards, Sara
AU  - Edwards S
AD  - Department of Psychosis Studies, Institute of Psychiatry, Psychology and 
      Neuroscience, King's College London.
FAU - Evans, Carys
AU  - Evans C
AD  - Department of Psychosis Studies, Institute of Psychiatry, Psychology and 
      Neuroscience, King's College London.
FAU - Tognin, Stefania
AU  - Tognin S
AUID- ORCID: 0000-0002-1983-9135
AD  - Department of Psychosis Studies, Institute of Psychiatry, Psychology and 
      Neuroscience, King's College London.
LA  - eng
GR  - Maudsley Charity/
GR  - National Institute for Health Research; Biomedical Research Centre for Mental 
      Health/
PT  - Journal Article
DEP - 20231102
PL  - United States
TA  - Psychiatr Rehabil J
JT  - Psychiatric rehabilitation journal
JID - 9601800
SB  - IM
MH  - Humans
MH  - Adolescent
MH  - Feasibility Studies
MH  - *Psychotic Disorders/epidemiology
MH  - Educational Status
MH  - Self Efficacy
MH  - Employment
EDAT- 2023/11/02 18:43
MHDA- 2024/03/05 06:47
CRDT- 2023/11/02 12:23
PHST- 2024/03/05 06:47 [medline]
PHST- 2023/11/02 18:43 [pubmed]
PHST- 2023/11/02 12:23 [entrez]
AID - 2024-21489-001 [pii]
AID - 10.1037/prj0000585 [doi]
PST - ppublish
SO  - Psychiatr Rehabil J. 2024 Mar;47(1):56-63. doi: 10.1037/prj0000585. Epub 2023 Nov 
      2.