Transcript x - Kentucky IPS Supported Employment

Evidence for the
Effectiveness of
Individual Placement and
Support Model of
Supported Employment
Updated 8/13/14 by Gary Bond
Expressed Interest in Employment
Reported in 8 Surveys
Need
 2/3 clients with severe mental
illness want to work, but only
~10% employed.
 Until the 1990s, no effective
models for helping clients
achieve stable competitive
employment.
Day Treatment Conversions to
IPS: Common Study Design
 Discontinued day treatment
 Reassigned day treatment staff to
new positions
 Implemented new IPS program
 Compared to 3 sites not converting
Sources: Drake and Becker
Day Treatment Conversion Studies:
6 Sites Converting to IPS
vs. 4 Control Sites (Not Converting)
40%
35%
30%
Percentage 25%
Competitively20%
Employed
15%
10%
5%
0%
37.5%
13.4%
Sites Converting to
IPS (n = 317)
15.2%
12.4%
Control Sites
(n = 184)
Before
After
Similar Results in All
Day Treatment Conversions
 Large increase in employment rates
 No negative outcomes (e.g., relapses)
 Clients, families, staff liked change
 Most former day treatment clients
spent more time in community, even
those not working
 Resulted in cost savings
22 Randomized Controlled
Trials of Individual
Placement and Support (IPS)
 Best evidence available on
effectiveness
 RCTs are gold standard in medical
research
Competitive Employment Rates in 22
Randomized Controlled Trials of IPS
Overall Findings for 22 RCTs
 All 22 studies showed a significant
advantage for IPS
 Mean competitive employment rates
for the 22 studies:
56% for IPS
23% for controls
(Each study weighted equally in
calculating mean rates)
Four Measurement Domains
of Employment Outcomes
 Job acquisition (% employed)
 Hours worked per week
 Total hours worked/earnings
 Job duration (months worked)
(Bond, Campbell, & Drake, 2012)
18-Month Competitive Employment
Outcomes in 4 Controlled Trials of IPS
(Bond, Drake & Campbell, 2012)
Mean Tenure of Longest-Held Job
in Two IPS Studies
Job tenure for IPS was triple that for usual
services in Hoffman study.
Steady Worker Rate in Three LongTerm Follow-up Studies
IPS Is Effective in a Wide
Variety of Target Populations

Homeless
 PTSD
 Criminal justice
diagnosis
history
 Frequently
 On disability
hospitalized
benefits
 Mental illness +
 African American
substance use
 Hispanic
 Older adults
Johnson & Johnson-Dartmouth
IPS Learning Collaborative
16 states/regions in US
(over 150 sites)
3 European countries
(as of August 2014)
IPS Fidelity and Outcomes
in 88 Sites in Learning Collaborative
(Bond et al., 2012)