Individual placement and support (IPS) to improve occupational outcomes for people with severe mental illness
| ISRCTN | ISRCTN96677673 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN96677673 |
| Protocol serial number | 071272/Z/03/Z |
| Sponsor | King's College London (UK) |
| Funder | The Wellcome Trust (UK) (grant ref: 071272) |
- 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
Scientific
Health Services Research
Institute of Psychiatry
De Crespigny Park
London
SE5 8AF
United Kingdom
| Phone | +44 (0)20 7848 0735 |
|---|---|
| G.Thornicroft@iop.kcl.ac.uk |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Randomised controlled trial |
| Secondary study design | Randomised controlled trial |
| Study type | Participant information sheet |
| Scientific title | Randomised controlled trial of individual placement and support (IPS) to improve the occupational outcomes for people with severe mental illness in South London |
| Study acronym | SWAN - Supported Work And Needs |
| Study objectives | After 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) studied | Unemployed patients with severe mental illness |
| Intervention | Experimental 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 type | Other |
| Primary outcome measure(s) |
1. Work status (all work, competitive work) |
| Key secondary outcome measure(s) |
1. Service use, service costs and societal costs |
| Completion date | 01/10/2008 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | All |
| Target sample size at registration | 240 |
| Key inclusion criteria | Amended 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 criteria | 1. Relapse in last three months 2. Cannot read or speak English 3. Employed in previous three months |
| Date of first enrolment | 17/10/2004 |
| Date of final enrolment | 01/10/2008 |
Locations
Countries of recruitment
- United Kingdom
- England
Study participating centre
Health Services Research
London
SE5 8AF
United Kingdom
SE5 8AF
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 | recruitment difficulties results | 01/01/2009 | Yes | No | |
| Results article | results | 01/05/2010 | Yes | No | |
| Participant information sheet | Participant information sheet | 11/11/2025 | 11/11/2025 | No | Yes |
