Implementing evidence-based supported employment in Sussex for people with severe mental illness

van Veggel, Rhonda, Waghorn, Geoffrey and Dias, Shannon (2015) Implementing evidence-based supported employment in Sussex for people with severe mental illness. British Journal of Occupational Therapy, 78 5: 286-294. doi:10.1177/0308022614567667

Author van Veggel, Rhonda
Waghorn, Geoffrey
Dias, Shannon
Title Implementing evidence-based supported employment in Sussex for people with severe mental illness
Journal name British Journal of Occupational Therapy   Check publisher's open access policy
ISSN 1477-6006
Publication date 2015-05-01
Year available 2015
Sub-type Article (original research)
DOI 10.1177/0308022614567667
Open Access Status Not Open Access
Volume 78
Issue 5
Start page 286
End page 294
Total pages 9
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Formatted abstract
Introduction: The aim of this research was to evaluate a large-scale implementation of evidence-based supported employment for people with severe mental illness, at 17 locations throughout Sussex, England.

Method: A parallel group observational design was used to evaluate an implementation of the individual placement and support approach to supported employment. Three sites provided both a comparison pre-individual placement and support cohort (n = 140), and a new post-individual placement and support cohort (n = 107) as part of the individual placement and support implementation (n = 446). All individual placement and support sites involved community mental health teams forming partnerships with Southdown Supported Employment to co-locate an employment specialist into each mental health team. The primary outcome was the proportion of participants commencing competitive employment during the follow-up period.

Results: The new individual placement and support sites attained higher fidelity with respect to individual placement and support principles and practices (mean 97 of 125) than the pre-individual placement and support sites (mean 77 of 125). Significantly more individual placement and support participants commenced competitive employment than pre-individual placement and support participants (24.9% vs 14.3%). Individual placement and support participants experienced less delay before commencing their first job (153 vs 371 days), and when employed, worked more hours per week (24.3 vs 15.4 hours).

Conclusion: This implementation of individual placement and support in Sussex improved on the previous vocational services. Although progress is encouraging there is much room for improvement. More resources appear needed to support programme development, specifically to strengthen site-level management, training, technical support, fidelity assessment, programme monitoring, and outcome evaluation.
Keyword Severe mental illness
Vocational rehabilitation
Evidence-based practice
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
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Created: Thu, 15 Oct 2015, 22:48:03 EST by Ms Kate Rowe on behalf of Learning and Research Services (UQ Library)