SCION - Study on Cost-effectiveness of individual placement and support (IPS regarding Open employment in the Netherlands.
| ISRCTN | ISRCTN87339610 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN87339610 |
| Secondary identifying numbers | NTR292 |
- Submission date
- 20/12/2005
- Registration date
- 20/12/2005
- Last edited
- 11/12/2019
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr H. Michon
Scientific
Scientific
Trimbos Institute - Netherlands Institute for Mental Health and Addiction
P.O. Box 725
Utrecht
3500 AS
Netherlands
| Phone | +31 (0)30 295 9217 |
|---|---|
| hmichon@trimbos.nl |
Study information
| Study design | Multicentre randomised single-blind active-controlled parallel-group trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Quality of life |
| Scientific title | Effects and costs of the individual placement and support program for people with severe mental illness: a multi-site randomised clinical trial |
| Study acronym | SCION |
| Study objectives | 1. Clients in individual placement and support (IPS) will get more competitive jobs, work more hours, and earn more wages than clients in standard services 2. IPS will be more cost-effective than standard services in terms of combined medical and non-medical costs |
| Ethics approval(s) | Received from the local medical ethics committee |
| Health condition(s) or problem(s) studied | Psychiatric, mental disorders/illness |
| Intervention | The study is located at four mental health agencies. IPS (experimental condition) is integrated within case management teams. These teams (staff patient ratio of 1:20 to 30) deliver comprehensive treatment and care for severely mentally ill clients in their respective catchment areas. An employment specialist (or IPS worker) is added to the team to offer IPS. The employment specialist assists people in getting jobs, offers follow-along support after job placement, and spends most of the time in the community. The employment specialist works in close collaboration with the other team members and attends team meetings. Clients in the control condition use the same treatment and care facilities. In this condition the mental health staff or a counsellor links eligible clients to separate vocational services, based on individual competencies and preferences. These services range from vocational services offered by the mental health agency (in a separate rehabilitation center), a sheltered workshop and/or reintegration companies. In general these services focus more on getting people ready for competitive employment (by assessment, training, prevocational activities and voluntary jobs) instead of the rapid job search of IPS. The primary difference with IPS is that staff from the these control rehabilitation services are not part of the case management teams. |
| Intervention type | Behavioural |
| Primary outcome measure | 1. Proportion entering competitive employment during the follow-up period. Competitive employment is defined as part or full-time work in competitive job market at prevailing wages with supervision provided by personnel employed by the business and in integrated work settings. 2. In a secondary analysis we will also include subsidised work in regular job settings (including temporary competitive work without loss of benefits rights |
| Secondary outcome measures | 1. Vocational: 1.1. Hours in competitive employment 1.2. Jobs held 1.3. Duration of each job in days 1.4. Days from baseline to entering first job 1.5. Total earnings 1.6. Job satisfaction (Indiana Job Satisfaction Scale) 1.7. Generic work behaviour (Generic Work Behaviour Questionnaire) 2. Hospitalisation: 2.1. Admissions 2.2. Days in hospital 3. Clinical: 3.1. Psychiatric symptoms 3.2. Global functioning (Global Assessment of Functioning Scale S-D) 3.3. Self-esteem 3.4. Quality of life 4. Costs: based on Client Socio-demographic and Service Receipt Inventory |
| Overall study start date | 01/09/2005 |
| Completion date | 01/10/2008 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 150 |
| Key inclusion criteria | 1. Clients of mental health teams specifically focused at people with severe mental illness (e.g., diagnosis of a serious mental illness (schizophrenia and schizophrenia-like disorders, bipolar disorder, depression with psychotic features) 2. Aged 18 - 65 years (i.e., age of retirement) 3. Living in the community at baseline (i.e. not hospitalised) 4. Clear interest in competitive; employment as a short- or long-term goal 5. No competitive work at inclusion 6. Willing to give informed consent |
| Key exclusion criteria | Does not meet inclusion criteria |
| Date of first enrolment | 01/09/2005 |
| Date of final enrolment | 01/10/2008 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Trimbos Institute - Netherlands Institute for Mental Health and Addiction
Utrecht
3500 AS
Netherlands
3500 AS
Netherlands
Sponsor information
Trimbos Institute - Netherlands Institute of Mental Health and Addiction (Netherlands)
Research organisation
Research organisation
Da Costakade 45
P.O. Box 725
Utrecht
3500 AS
Netherlands
| Phone | +31 (0)30 297 1100 |
|---|---|
| info@trimbos.nl | |
| Website | http://www.trimbos.nl/default2.html |
"ROR" |
https://ror.org/02amggm23 |
Funders
Funder type
Research organisation
Rob Giel Research Centre (Netherlands)
No information available
Trimbos Institute - Netherlands Institute of Mental Health and Addiction (Netherlands)
No information available
UWV (Workers Insurance Authority) (Netherlands)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/06/2014 | Yes | No | |
| Other publications | secondary data analysis | 01/06/2020 | 11/12/2019 | Yes | No |
Editorial Notes
11/12/2019: Publication reference added.
