Condition category
Mental and Behavioural Disorders
Date applied
Date assigned
Last edited
Retrospectively registered
Overall trial status
Recruitment status
No longer recruiting
Publication status

Plain English Summary

Background and study aims
Having a job is important to a person’s identity and self-esteem. People who are unemployed are more likely to suffer from a wide range of mental and physical ill health as a consequence. It is widely recognised that people with severe mental health problems (such as schizophrenia or bipolar disorder) benefit socially, psychologically and economically from being employed. Government policy is geared towards encouraging people into work, and in recent years some of the barriers in the benefits system have been overcome. We have also learned about the most effective ways to support people with severe mental health problems who wish to work. An approach called Individual Placement and Support (IPS) is recommended by Department of Health guidelines. However, employment rates remain low, in Nottinghamshire no higher than 15%. Traditional vocational rehabilitation involved people first being treated to control their symptoms followed by training or work experience in a sheltered environment. However, in IPS clinical treatment and employment support are integrated and occur at the same time. The focus here is to help people get a job corresponding with their interests and then providing all the support they need for as long as necessary. This study aims to increase the number of people with mental health problems who are in paid work in Nottinghamshire. Besides boosting the supply of high-quality employment support, it will look at alternative ways of providing this, both with and without work-focused psychological counseling.

Who can participate?
Participants of working age (18-65) will be recruited from the caseloads of community mental health teams (CMHTs) and early intervention in psychosis (EIP) teams in Nottinghamshire.

What does the study involve?
Participants are randomly allocated to receive either IPS alone or IPS with work-focused psychological support, to see which approach has the best outcome. Participants complete questionnaires at the start of the study and after 6 and 12 months, and are also contacted via phone after 3, 9 and 18 months.

What are the possible benefits and risks of participating?
Not provided at time of registration.

Where is the study run from?
NIHR CLAHRC Nottinghamshire (UK).

When is the study starting and how long is it expected to run for?
August 2010 to July 2013.

Who is funding the study?
National Institute for Health Research (NIHR) (UK).

Who is the main contact?
Prof. Justine Schneider

Trial website

Contact information



Primary contact

Prof Justine Schneider


Contact details

NIHR CLAHRC Nottinghamshire
Lincolnshire and Derbyshire
The Sir Colin Campbell Building
University of Nottingham Innovation Park
Triumph Road
United Kingdom

Additional identifiers

EudraCT number number

Protocol/serial number


Study information

Scientific title

Individual placement and support for people with severe mental health problems: an implementation study of IPS with and without individual counselling as access routes to paid employment


Study hypothesis

Psychological therapy as an adjunct to IPS will prove more successful in helping people with schizophrenia and related disorders into work than IPS alone

Ethics approval

Derbyshire Research Ethics Committee, 28/04/2010, ref: 10/H0401/18

Study design

Single-centre randomised controlled trial

Primary study design


Secondary study design

Randomised controlled trial

Trial setting


Trial type

Quality of life

Patient information sheet

Not available in web format, please contact Ms Athfah Akhtar ( to request a patient information sheet


Severe mental Illness


Individual Placement and Support (IPS) alone versus IPS + work - focussed psychological therapy

Intervention type



Not Applicable

Drug names

Primary outcome measure

1. The total number of working hours completed within six months of entering the trial. We will measure this by monitoring job start and end dates and paid hours worked per week.
2. Type of employment and wage levels will be recorded

Secondary outcome measures

1. Changes in self-esteem, experienced stigma, work limitations, quality of life and changes in costs, service utilisation, income and related matters
2. We will also monitor other vocational activities such as education, training and volunteering that participants may have done while looking for paid work

Overall trial start date


Overall trial end date


Reason abandoned (if study stopped)


Participant inclusion criteria

1. Community Mental Health Teams and Early Intervention in Psychosis teams' clients of working age (18-60)
2. People with dual diagnosis (substance use problems and mental health issues) will also be included

Participant type


Age group




Target number of participants

56 people to be recruited to the trial

Participant exclusion criteria

1. Inpatients at the time of invitation to participate
2. People currently in work or in education and not wishing to work
3. Individuals who are unwilling or unable to give informed consent
4. Participants who are already receiving cognitive based therapy (CBT)

Recruitment start date


Recruitment end date



Countries of recruitment

United Kingdom

Trial participating centre

NIHR CLAHRC Nottinghamshire
United Kingdom

Sponsor information


University of Nottingham (UK)

Sponsor details

Research Innovation Services
King's Meadow Campus
Lenton Lane
United Kingdom

Sponsor type




Funder type


Funder name

National Institute for Health Research (NIHR) (UK) - Collaboration for Leadership in Applied Health Research and Care (CLAHRC)

Alternative name(s)

Funding Body Type

Funding Body Subtype


Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Basic results (scientific)

Publication list

2016 results in

Publication citations

Additional files

Editorial Notes

19/01/2018: Publication reference added.