Contact information
Type
Scientific
Primary contact
Dr H. Michon
ORCID ID
Contact details
Trimbos Institute - Netherlands Institute for Mental Health and Addiction
P.O. Box 725
Utrecht
3500 AS
Netherlands
+31 (0)30 295 9217
hmichon@trimbos.nl
Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
NTR292
Study information
Scientific title
Effects and costs of the individual placement and support program for people with severe mental illness: a multi-site randomised clinical trial
Acronym
SCION
Study hypothesis
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
Received from the local medical ethics committee
Study design
Multicentre randomised single-blind active-controlled parallel-group trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Other
Trial type
Quality of life
Patient information sheet
Condition
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
Phase
Drug names
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 trial start date
01/09/2005
Overall trial end date
01/10/2008
Reason abandoned (if study stopped)
Eligibility
Participant 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
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
150
Participant exclusion criteria
Does not meet inclusion criteria
Recruitment start date
01/09/2005
Recruitment end date
01/10/2008
Locations
Countries of recruitment
Netherlands
Trial participating centre
Trimbos Institute - Netherlands Institute for Mental Health and Addiction
Utrecht
3500 AS
Netherlands
Sponsor information
Organisation
Trimbos Institute - Netherlands Institute of Mental Health and Addiction (Netherlands)
Sponsor details
Da Costakade 45
P.O. Box 725
Utrecht
3500 AS
Netherlands
+31 (0)30 297 1100
info@trimbos.nl
Sponsor type
Research organisation
Website
Funders
Funder type
Research organisation
Funder name
Rob Giel Research Centre (Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
Trimbos Institute - Netherlands Institute of Mental Health and Addiction (Netherlands)
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Funder name
UWV (Workers Insurance Authority) (Netherlands)
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
Basic results (scientific)
Publication list
2014 results in: http://www.ncbi.nlm.nih.gov/pubmed/24912062
2019 secondary data analysis in: https://www.ncbi.nlm.nih.gov/pubmed/31820219 (added 11/12/2019)