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Supported Employment in a Swedish Context

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ClinicalTrials.gov Identifier: NCT00960024
Recruitment Status : Unknown
Verified August 2009 by Vardalinstitutet The Swedish Institute for Health Sciences.
Recruitment status was:  Active, not recruiting
First Posted : August 17, 2009
Last Update Posted : August 17, 2009
Sponsor:
Information provided by:
Vardalinstitutet The Swedish Institute for Health Sciences

Brief Summary:
This project aims at generating evidence of a work-rehabilitation strategy that benefits the people with severe mental illness (SMI) who want to work, increase their sense of well-being and integration in society, decrease their financial dependence and experiences of stigma and discrimination. The project is likely to help form the basis of how to implement the evidence based supported employment (SE)-model, Individual Placement and Support model (IPS), in a Swedish work-rehabilitation context. In the long run, evidence of SE in a Swedish context could help to decrease the period of sick-leave and increase fulfilling and productive lifestyles among people with severe mental illness. In all, the effectiveness of SE can improve the quality of life for the target group, the quality in mental health care rehabilitation and decrease the costs of treatment and care.

Condition or disease Intervention/treatment Phase
Psychosis Behavioral: Individual Placement and Support-vocational rehabilitation Behavioral: Vocational rehabilitation available Phase 2

Detailed Description:
Evidence-based mental health treatment and scientific support has gained increased attention in Sweden. The Swedish National Board of Health and Welfare emphasizes the importance of Supported Employment. Especially since there are no study in Sweden that has an RCT-design, and that fully take on the responsibility of implementing a SE- intervention in concordance with the evidence based version of SE in mental health care, the Individual Placement and Support model, IPS. Internationally, SE according to IPS is an evidence-based approach to help people with SMI find and keep employment. RCT and quasi-experimental studies showed that IPS (Place-Then-Train), is more effective than the traditional stepwise vocational rehabilitation model(Train-Then-Place. However, there is no research evidence if the SE/IPS will function in relation to a Swedish benefit and health system and work-rehabilitation context. This intervention project will therefore not only study the effects of vocational and health-related outcomes and experiences, but also study the implementation of SE/IPS, its feasibility and level of fidelity in a Swedish context.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 120 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: Supported Employment for People With Severe Mental Illness in a Swedish Context- A Randomised Controlled Trial
Study Start Date : April 2008
Estimated Primary Completion Date : February 2011
Estimated Study Completion Date : December 2015

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Individual Placement and Support-vocational rehabilitation Behavioral: Individual Placement and Support-vocational rehabilitation
Individual contact with an employment specialist, who works according to 7 core principles according to SE/IPS. 1) competitive employment as primary goal, 2) rapid job search, 3) eligibility based on client choice, 4) job search based on to client preferences, 5) integration with the mental health care team, 6) availability of time unlimited support at work 7) benefits counseling.

Active Comparator: Vocational rehabilitation available at study site Behavioral: Vocational rehabilitation available
The participants are offered vocational rehabilitation available at site




Primary Outcome Measures :
  1. To determine the effectiveness of SE/IPS in terms of vocational outcomes, such as employment rate, monthly income, job-tenure and working hours compared to stepwise rehabilitation available, for people with SMI in a Swedish context [ Time Frame: 6 months, 18 months, and 24 months (6 months after end of intervention) ]

Secondary Outcome Measures :
  1. To determine the effectiveness of a SE in terms health-related and functional outcomes, such as symptoms, perceived discrimination, empowerment, work-readiness, self-image, level of social and community participation, and quality of life [ Time Frame: 6 months, 18 months, and 24 months (6 months after end of intervention) ]


Information from the National Library of Medicine

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Ages Eligible for Study:   20 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • People with Severe mental illness, which mostly means having a diagnosis of psychosis
  • Communicate in Swedish
  • Express interest in working in the near future
  • Have professional care or support from psychiatric clinic
  • Attend to a SE-introductory meeting

Exclusion Criteria:

  • Additional organic or physical disability to having psychosis

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00960024


Locations
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Sweden
The Vardal Institute, Medical Faculty, Lund University
Lund, Sweden, 221 00
Sponsors and Collaborators
Vardalinstitutet The Swedish Institute for Health Sciences
Investigators
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Study Director: Staffan Johansson, Assoc Prof Vardalinstitutet The Swedish Institute for Health Sciences
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Ulrika Bejerholm, the Vardal Institute, Medical Faculty, Lund University
ClinicalTrials.gov Identifier: NCT00960024    
Other Study ID Numbers: ulrika
First Posted: August 17, 2009    Key Record Dates
Last Update Posted: August 17, 2009
Last Verified: August 2009
Keywords provided by Vardalinstitutet The Swedish Institute for Health Sciences:
Vocational rehabilitation
Severe mental illness
Psychosis
Mental Health
Additional relevant MeSH terms:
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Psychotic Disorders
Mental Disorders
Schizophrenia Spectrum and Other Psychotic Disorders