| Title: |
A meta-regression of the impact of policy on the efficacy of individual placement and support |
| Authors: |
Brinchmann, Beate; Widding-Havneraas, Tarjei; Modini, Matthew; Rinaldi, Miles; Moe, Cathrine Fredriksen; McDaid, David; Park, A-la; Killackey, Eoin; Harvey, Samuel B; Mykletun, Arnstein |
| Publisher Information: |
Wiley |
| Publication Year: |
2019 |
| Collection: |
University of Tromsø: Munin Open Research Archive |
| Subject Terms: |
VDP::Social science: 200; VDP::Samfunnsvitenskap: 200; VDP::Medical disciplines: 700; VDP::Medisinske Fag: 700 |
| Description: |
Objective - Individual placement and support (IPS) has shown consistently better outcomes on competitive employment for patients with severe mental illness than traditional vocational rehabilitation. The evidence for efficacy originates from few countries, and generalization to different countries has been questioned. This has delayed implementation of IPS and led to requests for country‐specific RCTs. This meta‐analysis examines if evidence for IPS efficacy can be generalized between rather different countries. Methods - A systematic search was conducted according to PRISMA guidelines to identify RCTs. Overall efficacy was established by meta‐analysis. The generalizability of IPS efficacy between countries was analysed by random‐effects meta‐regression, employing country‐ and date‐specific contextual data obtained from the OECD and the World Bank. Results - The systematic review identified 27 RCTs. Employment rates are more than doubled in IPS compared with standard vocational rehabilitation (RR 2.07 95% CI 1.82–2.35). The efficacy of IPS was marginally moderated by strong legal protection against dismissals. It was not moderated by regulation of temporary employment, generosity of disability benefits, type of integration policies, GDP, unemployment rate or employment rate for those with low education. Conclusions - The evidence for efficacy of IPS is very strong. The efficacy of IPS can be generalized between countries. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
Brinchmann, B. (2025). Can Individual Placement and Support (IPS) contribute to change the life of individuals experiencing mental health problems? Challenges related to Efficacy, Effectiveness, and Implementation. (Doctoral thesis). https://hdl.handle.net/10037/36455; Acta Psychiatrica Scandinavica; info:eu-repo/grantAgreement/RCN/VAM/280589/Norway/There is strong evidence that patients with severe mental illness can be successfully employed. Is the effect sustainable long-term?//; info:eu-repo/grantAgreement/RCN/HELSEVEL-V/273665/Norway/We know Individual Placement and Support (IPS) works in clinical trials. Can it improve outcomes for patients in the real world?//; info:eu-repo/grantAgreement/RCN/SYKEFRAVÆR/227097/Norway/Interventions for reduced sickness absence and disability benefits//; FRIDAID 1782251; https://hdl.handle.net/10037/17267 |
| DOI: |
10.1111/acps.13129 |
| Availability: |
https://hdl.handle.net/10037/17267; https://doi.org/10.1111/acps.13129 |
| Rights: |
openAccess ; Copyright 2019 The Author(s) |
| Accession Number: |
edsbas.D407FC96 |
| Database: |
BASE |