Psychosis, Substance Abuse, Depression, Anxiety
Conditions
Keywords
Disability, Individual placement and support, Mental health, Quality of life, Randomized controlled trial, Rehabilitation, Return to work, Supported employment
Brief summary
Roughly one third of disability pensions issued in Norway are classified as mental and behavioral disorders. The proposed study aims to evaluate the effect of an innovative intervention for returning people with moderate to severe mental health disorders to work: Individual Placement and Support (IPS).
Detailed description
The current employment schemes offered to this diagnostic group are primarily based on a train-and-place principle with assisted or sheltered employment. Building on a place-and-train principle, rather, the IPS model of supported employment in real-life competitive work settings has proven largely successful in previous studies, but has never been tested in this group in the Norwegian context.
Interventions
BEHAVIORALIndividual Placement and Support
BEHAVIORALOrdinary employment schemes
Sponsors
Norwegian Labour and Welfare Administration
NORCE Norwegian Research Centre AS
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 67 Years
Healthy volunteers
No
Inclusion criteria
* Participants must be undergoing treatment for moderate to severe mental health problems. * Participants must have an expressed desire to work. * Participants must have sufficient Norwegian reading and writing skills.
Exclusion criteria
* Participants are not undergoing treatment for moderate to severe mental health problems. * Participants do not have an expressed desire to work. * Participants do not have sufficient Norwegian reading and writing skills.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Labor Market Participation in Ordinary Paid Employment, or Education. | 1 year (2016) | Labor market participation is operationalized as being registered in the Norwegian Labour and Welfare Administrations (NAV) State Register of Employers and Employees, and not as a recipient of unemployment or sickness benefits, not receiving work assessment allowance or disability pension with a higher degree of disability than by study inclusion, and registered yearly income. |
Countries
Norway
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Individual Placement and Support Individual Placement and Support (IPS) is a well-defined intervention aiming to help people with disabilities participate in the competitive labor market by working in jobs they prefer with the professional help that they need. IPS actively facilitates job acquisition and provides ongoing support once the client is employed.
Individual Placement and Support | 229 |
| Ordinary Employment Schemes The control group will receive treatment as usual in terms of the ordinary employment schemes offered to this group, primarily Work with assistance and/or Traineeship in a sheltered business.
Ordinary employment schemes | 181 |
| Total | 410 |
Baseline characteristics
| Characteristic | Ordinary Employment Schemes | Individual Placement and Support | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 181 Participants | 229 Participants | 410 Participants |
| Age, Continuous | 34.77 years STANDARD_DEVIATION 10.76 | 35.86 years STANDARD_DEVIATION 10.81 | 34.82 years STANDARD_DEVIATION 10.77 |
| Region of Enrollment Norway | 181 participants | 229 participants | 410 participants |
| Sex: Female, Male Female | 85 Participants | 114 Participants | 199 Participants |
| Sex: Female, Male Male | 96 Participants | 115 Participants | 211 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 2 / 227 | 0 / 181 |
| other Total, other adverse events | 0 / 227 | 0 / 181 |
| serious Total, serious adverse events | 0 / 227 | 0 / 181 |
Outcome results
Primary
Labor Market Participation in Ordinary Paid Employment, or Education.
Labor market participation is operationalized as being registered in the Norwegian Labour and Welfare Administrations (NAV) State Register of Employers and Employees, and not as a recipient of unemployment or sickness benefits, not receiving work assessment allowance or disability pension with a higher degree of disability than by study inclusion, and registered yearly income.
Time frame: 1 year (2016)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Individual Placement and Support | Labor Market Participation in Ordinary Paid Employment, or Education. | 83 Participants |
| Ordinary Employment Schemes | Labor Market Participation in Ordinary Paid Employment, or Education. | 49 Participants |