Individual placement and support (IPS) to improve occupational outcomes for people with severe mental illness

ISRCTN ISRCTN96677673
DOI https://doi.org/10.1186/ISRCTN96677673
Secondary identifying numbers 071272/Z/03/Z
Submission date
27/05/2004
Registration date
21/07/2004
Last edited
03/12/2012
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

Prof Graham Thornicroft
Scientific

Health Services Research
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
United Kingdom

Phone +44 (0)20 7848 0735
Email G.Thornicroft@iop.kcl.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Can be found at: http://www.iop.kcl.ac.uk/departments/?locator=342&project=10132
Scientific titleRandomised controlled trial of individual placement and support (IPS) to improve the occupational outcomes for people with severe mental illness in South London
Study acronymSWAN - Supported Work And Needs
Study objectivesAfter receiving the supported employment intervention, a significantly greater percentage of individuals in the experimental group will be working at all compared to those in the control group.

Secondary hypotheses are that the individuals in the experimental group will be more likely to be:
1. Working competitively
2. Working more hours each week
3. Earning a higher net income
4. Making greater contributions to the national economy
5. Having a higher quality of life
6. Having more of their needs met
Ethics approval(s)The Joint South London and Maudsley and the Institute of Psychiatry NHS Research Ethics Committee gave approval on the 26th March 2004 (ref: 319/03)
Health condition(s) or problem(s) studiedUnemployed patients with severe mental illness
InterventionExperimental group:
The experimental condition will be Individual Placement and Support (IPS), a supported employment programme integrated within community mental health teams. The IPS model involves integrating an employment specialist into the community mental health team. This model focuses on rapid placement with continued follow-up support. The IPS model also seeks to find employment opportunities that are consistent with participants' preferences, skills, and abilities. Ongoing supervision and consultation will be provided by local experts in the use of supported employment models (status employment). The duration of the treatment is up to two years.

Control group:
The comparison condition consists of existing psychosocial rehabilitation and day care programmes available in the local area, which use a sheltered vocational rehabilitation approach. Unlike IPS, the comparison services are coordinated with, but not integrated into the community mental health teams. This is therefore a Treatment As Usual (TAU) control, which we have selected after considering options for a control matched for staff intensity of input, but we have ruled this out as current day care and voctional rehabilitation options are multiple and often intensive in the study areas (Croydon and Lambeth).


Further information (as of 23rd January 2007):
An adjunctive qualitative study is due to commence in November 2006. A semi-structured questionnaire will ask clients their views on any support they may have received to help them look for work, barriers to finding work, state benefits, positive and negative aspects of working and disclosure of mental health problems at work. It is planned to interview approximately 20 participants, with the project taking approximately one year to complete.
Intervention typeOther
Primary outcome measure1. Work status (all work, competitive work)
2. Total income, net income
Secondary outcome measures1. Service use, service costs and societal costs
2. Quality of life
3. Unmet needs
4. Mental state
Overall study start date17/10/2004
Completion date01/10/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants240
Key inclusion criteriaAmended as of 30/01/2009: point one has been amended as follows:
1. Severe mental illness (duration of illness over two years, Global Assessment of Functioning score of 60 or less, and psychotic or chronic affective disorder)

Initial information at time of registration:
1. Severe mental illness (duration of illness over two years, Global Assessment of Functioning score of 50 or less, and psychotic or chronic affective disorder)
2. Receiving outpatient or community psychiatric care from local mental health services
3. Aged 18 to 65 years, either sex
4. Able to read and speak English
5. Giving informed written consent
6. Unemployed for at least three months before enrolment into the study
Key exclusion criteria1. Relapse in last three months
2. Cannot read or speak English
3. Employed in previous three months
Date of first enrolment17/10/2004
Date of final enrolment01/10/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Health Services Research
London
SE5 8AF
United Kingdom

Sponsor information

King's College London (UK)
University/education

Research and Development Office, Room W1.08
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
England
United Kingdom

Phone +44 (0)20 7848 0251
Email G.Dale@iop.kcl.ac.uk
Website http://www.kcl.ac.uk/
ROR logo "ROR" https://ror.org/0220mzb33

Funders

Funder type

Charity

The Wellcome Trust (UK) (grant ref: 071272)

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 recruitment difficulties results 01/01/2009 Yes No
Results article results 01/05/2010 Yes No