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Updated 8/13/14 by Gary Bond

Evidence for the Effectiveness of Individual Placement and Support Model of Supported Employment. Updated 8/13/14 by Gary Bond. Expressed Interest in Employment Reported in 8 Surveys. Need. 2/3 clients with severe mental illness want to work, but only ~10% employed.

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Updated 8/13/14 by Gary Bond

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  1. Evidence for the Effectiveness of Individual Placement and Support Model of Supported Employment Updated 8/13/14 by Gary Bond

  2. Expressed Interest in Employment Reported in 8 Surveys

  3. Need • 2/3 clients with severe mental illness want to work, but only ~10% employed. • Until the 1990s, no effective models for helping clients achieve stable competitive employment.

  4. Day Treatment Conversions to IPS: Common Study Design • Discontinued day treatment • Reassigned day treatment staff to new positions • Implemented new IPS program • Compared to 3 sites not converting Sources: Drake and Becker

  5. Day Treatment Conversion Studies: 6 Sites Converting to IPSvs. 4 Control Sites (Not Converting)

  6. Similar Results in All Day Treatment Conversions • Large increase in employment rates • No negative outcomes (e.g., relapses) • Clients, families, staff liked change • Most former day treatment clients spent more time in community, even those not working • Resulted in cost savings

  7. 22 Randomized Controlled Trials of Individual Placement and Support (IPS) • Best evidence available on effectiveness • RCTs are gold standard in medical research

  8. Competitive Employment Rates in 22 Randomized Controlled Trials of IPS

  9. Overall Findings for 22 RCTs • All 22 studies showed a significant advantage for IPS • Mean competitive employment rates for the 22 studies: • 56% for IPS • 23% for controls (Each study weighted equally in calculating mean rates)

  10. Four Measurement Domains of Employment Outcomes • Job acquisition (% employed) • Hours worked per week • Total hours worked/earnings • Job duration (months worked) (Bond, Campbell, & Drake, 2012)

  11. 18-Month Competitive Employment Outcomes in 4 Controlled Trials of IPS (Bond, Drake & Campbell, 2012)

  12. Mean Tenure of Longest-Held Job in Two IPS Studies Job tenure for IPS was triple that for usual services in Hoffman study.

  13. Steady Worker Rate in Three Long-Term Follow-up Studies

  14. IPS Is Effective in a Wide Variety of Target Populations • PTSD diagnosis • Frequently hospitalized • Mental illness + substance use • Older adults • Homeless • Criminal justice history • On disability benefits • African American • Hispanic

  15. Johnson & Johnson-Dartmouth IPS Learning Collaborative 16 states/regions in US (over 150 sites) 3 European countries (as of August 2014)

  16. IPS Fidelity and Outcomes in 88 Sites in Learning Collaborative (Bond et al., 2012)

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