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

Trimbos Institute - Netherlands Institute for Mental Health and Addiction
P.O. Box 725
Utrecht
3500 AS
Netherlands

Phone +31 (0)30 295 9217
Email hmichon@trimbos.nl

Study information

Study designMulticentre randomised single-blind active-controlled parallel-group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeQuality of life
Scientific titleEffects and costs of the individual placement and support program for people with severe mental illness: a multi-site randomised clinical trial
Study acronymSCION
Study objectives1. 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) studiedPsychiatric, mental disorders/illness
InterventionThe 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 typeBehavioural
Primary outcome measure1. 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 measures1. 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 date01/09/2005
Completion date01/10/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants150
Key inclusion criteria1. 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 criteriaDoes not meet inclusion criteria
Date of first enrolment01/09/2005
Date of final enrolment01/10/2008

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Trimbos Institute - Netherlands Institute for Mental Health and Addiction
Utrecht
3500 AS
Netherlands

Sponsor information

Trimbos Institute - Netherlands Institute of Mental Health and Addiction (Netherlands)
Research organisation

Da Costakade 45
P.O. Box 725
Utrecht
3500 AS
Netherlands

Phone +31 (0)30 297 1100
Email info@trimbos.nl
Website http://www.trimbos.nl/default2.html
ROR logo "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 shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot 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.