Substance Use Disorders
Conditions
Brief summary
Patients with substance use disorders have low employment rates and are to a large extent on the outside of the ordinary labor market. Individual Placement and Support (IPS) is an evidence based method developed to aid persons with severe mental disorders in obtaining ordinary work. IPS has been used clinically in the addiction field, but has been subject to little research. The trial From addiction to employment is a randomized controlled trial to investigate the effect of an IPS intervention on employment outcome among substance use disorder patients in specialized health care treatment in Oslo, Norway. The study is conducted at the Department for Substance Use Disorder Treatment at Oslo University Hospital. The trial begins to include patients March 1st 2020 and will include for two years, until February 28th 2022.
Detailed description
The target population in this project is patients in SUD treatment who wish to gain employment. The goal of the study is to determine the effectiveness of IPS in helping persons with SUD obtain ordinary employment. A pragmatic, two-arm, parallel, superiority, randomized controlled trial will be conducted. The project is financed through innovation funding from the South Eastern Norway Regional Health Authority, the Norwegian Directorate of Health and internal resources from OUS. Participants will be allocated randomly to either an employment specialist whom they will have individual contact with for the coming 13 months or shorter (intervention), or to a self-help and four-sessions work shop intervention (control comparison). The intervention fidelity will be assessed by external evaluators according to the Norwegian translation of the IPS Fidelity Scale. Patients will be recruited to the study over a period of two years, and followed for 18 months my data collection and up until 10 years in national registries.
Interventions
BEHAVIORALIndividual Placement and Support
Employment specialist will work together with the participants in accordance to the method IPS in order to help the participant obtain competitive employment
Sponsors
South-Eastern Norway Regional Health Authority
Norwegian Directorate of Health
Oslo University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Pragmatic, two-arm, parallel, superiority, randomised controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* In treatment, unemployed, want to obtain ordinary, competitive employment
Exclusion criteria
* coercive treatment that disables the patient to engage in the intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Any employment | From inclusion in the trial to 18 month after inclusion in the trial | At least 1 day of competitive employment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total time worked | From inclusion in the trial to 18 month after inclusion in the trial | Number of days/hours worked |
| Time to employment | From inclusion in the trial to 18 month after inclusion in the trial | Time from inclusion in the trial to first employment |
| Number of jobs | From inclusion in the trial to 18 month after inclusion in the trial | Number of different jobs kept |
| Job duration | From inclusion in the trial to 18 month after inclusion in the trial | Duration of longest employment |
| Employment relevant activity | From inclusion in the trial to 18 month after inclusion in the trial | Whether the participant is engaged in education, training or other job-preparing activity |
| Participants' quality of life | From inclusion in the trial and at different time points up until 12 month after inclusion in the trial | Information obtained from the EQ-5D-5L |
| Participants' work related quality of life | From inclusion in the trial and at different time points up until 12 month after inclusion in the trial | Information obtained from the Work and Social Adjustment Scale (minimum score is 0, maximum score is 40, higher score means more impairment) |
| Mental distress | From inclusion in the trial and at different time points up until 12 month after inclusion in the trial | Information obtained from the Hospital Anxiety and Depression Scale (minumum score is 0, maximum score is 42, higher score means worse outcome) |
| Past month substance use | From inclusion in the trial and at different time points up until 12 month after inclusion in the trial | Information obtained from the European Addiction Severity Index |
Other
| Measure | Time frame | Description |
|---|---|---|
| Current employment status and employment during the period | From inclusion in the trial and up until 10 years after inclusion in the trial | Information obtained from the State Register of Employers and Employees |
| Health Economic Cost-Benefit Assessment | From inclusion in the trial and up until 10 years after inclusion in the trial | The assessment will include contacts with the specialized health care system (information from the National Patient Registry), contacts with the community and municipal health care and substance use treatment system (information obtained from the Municipal Patient and User Registry), reception of welfare benefits (information obtained from the FD-trygd Database) and employment (information obtained from the State Register of Employers and Employees) |
Countries
Norway
Outcome results
None listed