Condition category
Mental and Behavioural Disorders
Date applied
02/04/2012
Date assigned
16/05/2012
Last edited
17/03/2017
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims
People in Switzerland suffering from a mental or physical disorder and therefore not able to work receive an IV-pension (the “Invalid pension”). Before they receive the IV there are several possibilities to get integrated into the competitive employment market. To date a sheltered workplace is the only possibility of employment after granting of the IV-Pension. Frontline services to incorporate pensioners into the competitive job market do not exist. This creates two main problems for the IV-pensioners. First it is not easy for the IV-pensioners to find a way back into a competitive job as most of the pensioners are not familiar with the legal framework. Secondly, pensioners grow accustomed with not working. Aside from these problems, a previous study pointed out that working in a protected working environment does not lead to a sufficient stabilization of the affected pensioners. Instead a better state of health and especially a more successful integration into the competitive job market was demonstrated by using the approach of Supported Employment (SE). The Supported Employment approach, which has already shown huge success as well in the USA as in Switzerland and other European countries, involves a direct integration of mentally ill people into the competitive job market with the close advice of job coaches. Job coaches support the client by searching for vacant jobs, assisting applications, as well as coaching the client in working situations. If the employer and client approve, job coaches can support the employer as well. This study uses the approach 'Individual Placement and Support' (IPS). The aim of this study is to find out whether job coaching according to the IPS approach enables IV-pensioners to be successfully integrated into the competitive job market and hence improves their quality of life, mental health and self-esteem.

Who can participate?
People of a working age (18-60) who have an IV pension because of a mental illness, not approved for longer than one year, and who are motivated to work in the competitive employment market

What does the study involve?
Participants are randomly allocated into one of two groups. One group receives the support of the job coaches who are working according to the IPS model and are interviewed every 6 months. The job coaches support them by searching for job vacancies, and support them while applying and working. The other group does not receive the support and are interviewed every 6 months. Quality of life, motivation, job satisfaction, health, job preferences, self-esteem, and job satisfaction are assessed in both groups.

What are the possible benefits and risks of participating?
Participants may benefit from the support with their integration into competitive job market. There are no risks for participants.

Where is the study run from?
University of Zurich (Switzerland)

When is the study starting and how long is it expected to run for?
January 2011 to September 2014

Who is funding the study?
Swiss Federal Social Insurance Office (Switzerland)

Who is the main contact?
Dr Wolfram Kawohl

Trial website

http://www.zhepp.ch/supported-employment

Contact information

Type

Scientific

Primary contact

Dr Wolfram Kawohl

ORCID ID

Contact details

University of Zurich
Militärstrasse 8
Zurich
8021
Switzerland

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Integration/rehabilitation of purchasers of a social contribution (named IV-pensioners) according to the approach of Individual Placement Support - the Zurich Integration - Pilot Project [Zürcher Eingliederungs-Pilot Projekt (ZhEPP)]

Acronym

ZhEPP

Study hypothesis

1. Job coaching according to the approach of IPS enables IV-pensioners, who are fully or part time retired due to a mental disorder to be successfully integrated into the open job market
2. For the intervention group (as opposed to the control group) we hypothesize the following:
2.1. Enhancement of state of health
2.2. Enhancement of quality of life
2.3. Increased self-esteem
2.4. Enhancement of recovery orientation
2.5. Reduction of costs
2.6. Reduction of self-stigma
2.7. Education of cognitive appraisal of stigma as a stressor

Ethics approval

Zurich Cantonal Ethics Committee (CEC), 20/10/2010, ref: KEK-ZH-NR: 2010-0311/0

Study design

Randomized controlled study

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Treatment

Patient information sheet

Not available in web format, please use the contact details to request a patient information sheet

Condition

Mental disorders

Intervention

Supported Employment according to the IPS (Individual Placement and Support) model lasts up to two years for each participant. The job coaches support for the participants of the Intervention group by searching for job vacancies, supporting them while applying and working.

125 of the 250 persons are randomised to an Intervention group (who receive the approach of IPS) and the other 125 to the control group. For the efficiency control of that intervention a two-factor analysis of variance is conducted with the two factors group affiliation“ (Intervention and control group) and outcome (employment yes/no).

To test the impact of the intervention some interview-based instrument are surveyed.

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

The possibility to integrate IV-pensioners with a mental disorder with the aid of IPS by the end of this study

Secondary outcome measures

1. Quality of life, motivation, job satisfaction, health condition, job preferences, self-esteem, job satisfaction/ termination, social disability, global assessment of functioning as a baseline (T0-T5)
2. Every year (T0, T2, T4): perceived devaluation-discrimination, stigma, cognitive appraisal of stigma as a stressor, depressive mood

Overall trial start date

01/01/2011

Overall trial end date

30/09/2014

Reason abandoned

Eligibility

Participant inclusion criteria

1. IV-pension caused by a mental illness (full- or parttime pension)
2. The pension is not approved longer than one year
3. Voluntariness
4. The IV- retirees goal is to work in the first employment market
5. Participants have to sign a consent about the study
6. Working age (18-60)

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

250

Participant exclusion criteria

1. Mental retardation [International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10)]
2. Organic mental disorder (ICD-10)

Recruitment start date

01/01/2011

Recruitment end date

30/09/2014

Locations

Countries of recruitment

Switzerland

Trial participating centre

University of Zurich
Zurich
8021
Switzerland

Sponsor information

Organisation

University of Zurich (Switzerland)

Sponsor details

c/o Prof Wulf Rössler
Research Unit Clinic for General and Social Psychiatry
Militärstrasse 8
Zurich
8021
Switzerland

Sponsor type

University/education

Website

http://www.uzh.ch/

Funders

Funder type

Government

Funder name

Swiss Federal Social Insurance Office [Schweizerisches BSV (Bundesamt für Sozialversicherungen] (Switzerland)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

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

Results - basic reporting

Publication summary

2013 protocol in: http://www.ncbi.nlm.nih.gov/pubmed/23883137

Publication citations

  1. Protocol

    Viering S, Bärtsch B, Obermann C, Rüsch N, Rössler W, Kawohl W, The effectiveness of individual placement and support for people with mental illness new on social benefits: a study protocol., BMC Psychiatry, 2013, 13, 195, doi: 10.1186/1471-244X-13-195.

Additional files

Editorial Notes

17/03/2017: Plain English summary added. 20/03/2013: The anticipated end date for this trial was changed from 30/06/2012 to 30/09/2014.