Individual placement and support (IPS) for people with severe mental health problems
| ISRCTN | ISRCTN18240558 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN18240558 |
| Protocol serial number | 10017 |
| Sponsor | University of Nottingham (UK) |
| Funder | National Institute for Health Research (NIHR) (UK) - Collaboration for Leadership in Applied Health Research and Care (CLAHRC) |
- Submission date
- 04/08/2011
- Registration date
- 27/09/2011
- Last edited
- 19/01/2018
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims
Having a job is important to a person’s identity and self-esteem. People who are unemployed are more likely to suffer from a wide range of mental and physical ill health as a consequence. It is widely recognised that people with severe mental health problems (such as schizophrenia or bipolar disorder) benefit socially, psychologically and economically from being employed. Government policy is geared towards encouraging people into work, and in recent years some of the barriers in the benefits system have been overcome. We have also learned about the most effective ways to support people with severe mental health problems who wish to work. An approach called Individual Placement and Support (IPS) is recommended by Department of Health guidelines. However, employment rates remain low, in Nottinghamshire no higher than 15%. Traditional vocational rehabilitation involved people first being treated to control their symptoms followed by training or work experience in a sheltered environment. However, in IPS clinical treatment and employment support are integrated and occur at the same time. The focus here is to help people get a job corresponding with their interests and then providing all the support they need for as long as necessary. This study aims to increase the number of people with mental health problems who are in paid work in Nottinghamshire. Besides boosting the supply of high-quality employment support, it will look at alternative ways of providing this, both with and without work-focused psychological counseling.
Who can participate?
Participants of working age (18-65) will be recruited from the caseloads of community mental health teams (CMHTs) and early intervention in psychosis (EIP) teams in Nottinghamshire.
What does the study involve?
Participants are randomly allocated to receive either IPS alone or IPS with work-focused psychological support, to see which approach has the best outcome. Participants complete questionnaires at the start of the study and after 6 and 12 months, and are also contacted via phone after 3, 9 and 18 months.
What are the possible benefits and risks of participating?
Not provided at time of registration.
Where is the study run from?
NIHR CLAHRC Nottinghamshire (UK).
When is the study starting and how long is it expected to run for?
August 2010 to July 2013.
Who is funding the study?
National Institute for Health Research (NIHR) (UK).
Who is the main contact?
Prof. Justine Schneider
Justine.Schneider@nottingham.ac.uk
Contact information
Scientific
NIHR CLAHRC Nottinghamshire
Lincolnshire and Derbyshire
The Sir Colin Campbell Building
University of Nottingham Innovation Park
Triumph Road
Nottingham
NG7 2TU
United Kingdom
| Justine.Schneider@nottingham.ac.uk |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Single-centre randomised controlled trial |
| Secondary study design | Randomised controlled trial |
| Study type | Participant information sheet |
| Scientific title | Individual placement and support for people with severe mental health problems: an implementation study of IPS with and without individual counselling as access routes to paid employment |
| Study objectives | Psychological therapy as an adjunct to IPS will prove more successful in helping people with schizophrenia and related disorders into work than IPS alone |
| Ethics approval(s) | Derbyshire Research Ethics Committee, 28/04/2010, ref: 10/H0401/18 |
| Health condition(s) or problem(s) studied | Severe mental Illness |
| Intervention | Individual Placement and Support (IPS) alone versus IPS + work - focussed psychological therapy |
| Intervention type | Other |
| Primary outcome measure(s) | 1. The total number of working hours completed within six months of entering the trial. We will measure this by monitoring job start and end dates and paid hours worked per week. 2. Type of employment and wage levels will be recorded |
| Key secondary outcome measure(s) | 1. Changes in self-esteem, experienced stigma, work limitations, quality of life and changes in costs, service utilisation, income and related matters 2. We will also monitor other vocational activities such as education, training and volunteering that participants may have done while looking for paid work |
| Completion date | 01/07/2013 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Upper age limit | 60 Years |
| Sex | All |
| Target sample size at registration | 56 |
| Key inclusion criteria | 1. Community Mental Health Teams and Early Intervention in Psychosis teams' clients of working age (18-60) 2. People with dual diagnosis (substance use problems and mental health issues) will also be included |
| Key exclusion criteria | 1. Inpatients at the time of invitation to participate 2. People currently in work or in education and not wishing to work 3. Individuals who are unwilling or unable to give informed consent 4. Participants who are already receiving cognitive based therapy (CBT) |
| Date of first enrolment | 01/08/2010 |
| Date of final enrolment | 01/12/2011 |
Locations
Countries of recruitment
- United Kingdom
- England
Study participating centre
NG7 2TU
United Kingdom
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | 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 | 09/05/2016 | Yes | No | |
| Participant information sheet | Participant information sheet | 11/11/2025 | 11/11/2025 | No | Yes |
| Study website | Study website | 11/11/2025 | 11/11/2025 | No | Yes |
Editorial Notes
19/01/2018: Publication reference added.
