Predictors of employment for people with mental illness : results of a multicenter randomized trial on the effectiveness of placement budgets for supported employment

Rössler, Wulf; Ujeyl, Mariam; Kawohl, Wolfram; Nordt, Carlos; Lasalvia, Antonio; Haker, Helene; Hengartner, Michael P.

doi:10.3389/fpsyt.2019.00518

Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-17787

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Predictors of employment for people with mental illness : results of a multicenter randomized trial on the effectiveness of placement budgets for supported employment
Authors:	Rössler, Wulf Ujeyl, Mariam Kawohl, Wolfram Nordt, Carlos Lasalvia, Antonio Haker, Helene Hengartner, Michael P.
et. al:	No
DOI:	10.3389/fpsyt.2019.00518 10.21256/zhaw-17787
Published in:	Frontiers in Psychiatry
Issue Date:	19-Jul-2019
Publisher / Ed. Institution:	Frontiers Research Foundation
ISSN:	1664-0640
Language:	German
Subject (DDC):	331: Labor economics
Abstract:	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.
URI:	https://digitalcollection.zhaw.ch/handle/11475/17787
Fulltext version:	Published version
License (according to publishing contract):	CC BY 4.0: Attribution 4.0 International
Departement:	Applied Psychology
Organisational Unit:	Psychological Institute (PI)
Appears in collections:	Publikationen Angewandte Psychologie

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Rössler, W., Ujeyl, M., Kawohl, W., Nordt, C., Lasalvia, A., Haker, H., & Hengartner, M. P. (2019). Predictors of employment for people with mental illness : results of a multicenter randomized trial on the effectiveness of placement budgets for supported employment. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2019.00518

Rössler, W. et al. (2019) ‘Predictors of employment for people with mental illness : results of a multicenter randomized trial on the effectiveness of placement budgets for supported employment’, Frontiers in Psychiatry [Preprint]. Available at: https://doi.org/10.3389/fpsyt.2019.00518.

W. Rössler et al., “Predictors of employment for people with mental illness : results of a multicenter randomized trial on the effectiveness of placement budgets for supported employment,” Frontiers in Psychiatry, Jul. 2019, doi: 10.3389/fpsyt.2019.00518.

RÖSSLER, Wulf, Mariam UJEYL, Wolfram KAWOHL, Carlos NORDT, Antonio LASALVIA, Helene HAKER und Michael P. HENGARTNER, 2019. Predictors of employment for people with mental illness : results of a multicenter randomized trial on the effectiveness of placement budgets for supported employment. Frontiers in Psychiatry. 19 Juli 2019. DOI 10.3389/fpsyt.2019.00518

Rössler, Wulf, Mariam Ujeyl, Wolfram Kawohl, Carlos Nordt, Antonio Lasalvia, Helene Haker, and Michael P. Hengartner. 2019. “Predictors of employment for people with mental illness : results of a multicenter randomized trial on the effectiveness of placement budgets for supported employment.” Frontiers in Psychiatry, July. https://doi.org/10.3389/fpsyt.2019.00518.

Rössler, Wulf, et al. “Predictors of employment for people with mental illness : results of a multicenter randomized trial on the effectiveness of placement budgets for supported employment.” Frontiers in Psychiatry, July 2019, https://doi.org/10.3389/fpsyt.2019.00518.