Making the Case for IPS Supported Employment

POINT OF VIEW

Abstract

Individual Placement and Support (IPS) is an evidence-based practice for helping people with severe mental illness (SMI) gain competitive employment, yet those who could benefit often find it difficult to obtain IPS services. We summarize the evidence supporting the effectiveness of IPS and the benefits of working, discuss the barriers to implementing IPS in the U.S., and suggest policy changes that could expand its access.

References

  1. Álvarez-Jiménez, M., Gleeson, J. F., Henry, L. P., Harrigan, S. M., Harris, M. G., Killackey, E., et al. (2012). Road to full recovery: Longitudinal relationship between symptomatic remission and psychosocial recovery in first episode psychosis over 7.5 years. Psychological Medicine, 42, 595–606.PubMedCrossRefGoogle Scholar
  2. Bailey, J. (1998). I’m just an ordinary person. Psychiatric Rehabilitation Journal, 22(1), 8–10.CrossRefGoogle Scholar
  3. Becker, D. R., Baker, S. R., Carlson, L., Flint, L., Howell, R., Lindsay, S., et al. (2007a). Critical strategies for implementing supported employment. Journal of Vocational Rehabilitation, 27, 13–20.Google Scholar
  4. Becker, D. R., Drake, R. E., & Bond, G. R. (2011a). Benchmark outcomes in supported employment. American Journal of Psychiatric Rehabilitation, 14, 230–236.CrossRefGoogle Scholar
  5. Becker, D. R., Drake, R. E., Bond, G. R., Nawaz, S., Haslett, W. R., & Martinez, R. A. (2011b). A mental health learning collaborative on supported employment. Psychiatric Services, 62, 704–706.PubMedCrossRefGoogle Scholar
  6. Becker, D. R., Whitley, R., Bailey, E. L., & Drake, R. E. (2007b). Long-term employment outcomes of supported employment for people with severe mental illness. Psychiatric Services, 58, 922–928.PubMedCrossRefGoogle Scholar
  7. Bedell, J. R., Draving, D., Parrish, A., Gervey, R., & Guastadisegni, P. (1998). A description and comparison of experiences of people with mental disorders in supported employment and paid prevocational training. Psychiatric Rehabilitation Journal, 21(3), 279–283.CrossRefGoogle Scholar
  8. Bond, G. R. (2004). Supported employment: Evidence for an evidence-based practice. Psychiatric Rehabilitation Journal, 27, 345–359.PubMedCrossRefGoogle Scholar
  9. Bond, G. R., Campbell, K., & Drake, R. E. (2012a). Standardizing measures in four domains of employment outcome for Individual Placement and Support. Psychiatric Services, 63, 751–757.PubMedGoogle Scholar
  10. Bond, G. R., Dietzen, L. L., Vogler, K. M., Katuin, C. H., McGrew, J. H., & Miller, L. D. (1995). Toward a framework for evaluating costs and benefits of psychiatric rehabilitation: Three case examples. Journal of Vocational Rehabilitation, 5, 75–88.CrossRefGoogle Scholar
  11. Bond, G. R., Drake, R. E., & Becker, D. R. (2008a). An update on randomized controlled trials of evidence-based supported employment. Psychiatric Rehabilitation Journal, 31, 280–290.PubMedCrossRefGoogle Scholar
  12. Bond, G. R., Drake, R. E., & Campbell, K. (2012b). The effectiveness of the Individual Placement and Support model of supported employment for young adults: Results from four randomized controlled trials. Early Intervention in Psychiatry, 6(Suppl. 1), 30.Google Scholar
  13. Bond, G. R., McHugo, G. J., Becker, D. R., Rapp, C. A., & Whitley, R. (2008b). Fidelity of supported employment: lessons learned from the National Evidence-Based Practices Project. Psychiatric Rehabilitation Journal, 31, 300–305.PubMedCrossRefGoogle Scholar
  14. Bond, G. R., Peterson, A. E., Drake, R. E., McHugo, G. J., Jones, A. M., & Williams, J. (submitted). Long-term sustainability of evidence-based practices in community mental health agencies.Google Scholar
  15. Bond, G. R., Resnick, S. G., Drake, R. E., Xie, H., McHugo, G. J., & Bebout, R. R. (2001). Does competitive employment improve nonvocational outcomes for people with severe mental illness? Journal of Consulting and Clinical Psychology, 69, 489–501.PubMedCrossRefGoogle Scholar
  16. Brown, J. D., Barrett, A., Ireys, H., Caffery, E., & Hourihan, K. (2012). Evidence-based practices for Medicaid beneficiaries with schizophrenia and bipolar disorder. Washington, DC: Office of Disability, Aging and Long-Term Care Policy, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.Google Scholar
  17. Burns, T., Catty, J., Becker, T., Drake, R. E., Fioritti, A., Knapp, M., et al. (2007). The effectiveness of supported employment for people with severe mental illness: A randomised controlled trial. Lancet, 370, 1146–1152.PubMedCrossRefGoogle Scholar
  18. Burns, T., Catty, J., White, S., Becker, T., Koletsi, M., Fioritti, A., et al. (2009). The impact of supported employment and working on clinical and social functioning: results of an international study of Individual Placement and Support. Schizophrenia Bulletin, 35, 949–958.PubMedCrossRefGoogle Scholar
  19. Bush, P. W., Drake, R. E., Xie, H., McHugo, G. J., & Haslett, W. R. (2009). The long-term impact of employment on mental health service use and costs. Psychiatric Services, 60, 1024–1031.PubMedCrossRefGoogle Scholar
  20. Campbell, K., Bond, G. R., & Drake, R. E. (2011). Who benefits from supported employment: A meta-analytic study. Schizophrenia Bulletin, 37, 370–380.PubMedCrossRefGoogle Scholar
  21. Clark, R. E. (1998). Supported employment and managed care: can they coexist? Psychiatric Rehabilitation Journal, 22(1), 62–68.CrossRefGoogle Scholar
  22. Cougnard, A., Goumilloux, R., Monello, F., & Verdoux, H. (2007). Time between schizophrenia onset and first request for disability status in France and associated patient characteristics. Psychiatric Services, 58, 1427–1432.PubMedCrossRefGoogle Scholar
  23. Crowther, R. E., Marshall, M., Bond, G. R., & Huxley, P. (2001). Helping people with severe mental illness to obtain work: Systematic review. British Medical Journal, 322, 204–208.PubMedCrossRefGoogle Scholar
  24. Danziger, S., Frank, R. G., & Meara, E. (2009). Mental illness, work, and income support programs. American Journal of Psychiatry, 166, 398–404.PubMedCentralPubMedCrossRefGoogle Scholar
  25. Davis, L. L., Leon, A. C., Toscano, R., Drebing, C. E., Ward, L. C., Parker, P. E., et al. (2012). A randomized controlled trial of supported employment among veterans with posttraumatic stress disorder. Psychiatric Services, 63, 464–470.PubMedCrossRefGoogle Scholar
  26. Dixon, L. B., Dickerson, F. B., Bellack, A. S., Bennett, M., Dickinson, D., Goldberg, R. W., et al. (2010). The 2009 Schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophrenia Bulletin, 36, 48–70.PubMedCrossRefGoogle Scholar
  27. Drake, R. E., Bond, G. R., & Becker, D. R. (2012a). IPS supported employment: An evidence-based approach to supported employment. New York: Oxford University Press.Google Scholar
  28. Drake, R. E., Bond, G. R., Thornicroft, G., Knapp, M., & Goldman, H. H. (2012b). Mental health disability: an international perspective. Journal of Disability Policy Studies, 23, 110–120.CrossRefGoogle Scholar
  29. Drake, R. E., Caton, C. L., McHugo, G. J., Xie, H., & Bond, G. R. (submitted). Early psychosis and employment.Google Scholar
  30. Drake, R. E., Skinner, J. S., Bond, G. R., & Goldman, H. H. (2009). Social Security and mental illness: Reducing disability with supported employment. Health Affairs, 28, 761–770.PubMedCentralPubMedCrossRefGoogle Scholar
  31. Estroff, S. E., Patrick, D. L., Zimmer, C. R., & Lachicotte, W. S. (1997). Pathways to disability income among persons with severe, persistent psychiatric disorders. Milbank Quarterly, 75, 495–532.PubMedCrossRefGoogle Scholar
  32. Finnerty, M. T., Rapp, C. A., Bond, G. R., Lynde, D. W., Ganju, V. J., & Goldman, H. H. (2009). The State Health Authority Yardstick (SHAY). Community Mental Health Journal, 45, 228–236.PubMedCrossRefGoogle Scholar
  33. Frey, W. D., Drake, R. E., Bond, G. R., Miller, A. L., Goldman, H. H., Salkever, D. S., et al. (2011). Mental Health Treatment Study: Final report to social security administration. Rockville: Westat. (http://socialsecurity.gov/disabilityresearch/mentalhealth.htm).
  34. Frounfelker, R. L., Wilkniss, S. M., Bond, G. R., Devitt, T. S., & Drake, R. E. (2011). Enrollment in supported employment services for clients with a co-occurring disorder. Psychiatric Services, 62, 545–547.PubMedCrossRefGoogle Scholar
  35. Health Management Consultants. (2006). Evaluation of the adequacy of the rates for evidence based best practice supported employment services in the public mental health system. Columbia: State of Maryland Department of Health and Mental Hygiene, Mental Hygiene Administration and Medicaid Administrations.Google Scholar
  36. Henry, A. D., Lucca, A. M., Banks, S., Simon, L., & Page, S. (2004). Inpatient hospitalizations and emergency service visits among participants in an Individual Placement and Support (IPS) model program. Mental Health Services Research, 6, 227–237.PubMedCrossRefGoogle Scholar
  37. Herinckx, H. (2011). Oregon supported employment center for excellence final evaluation report. Portland: Regional Research Institute for Human Services, Portland State University.Google Scholar
  38. Hu, T. W. (2006). An international review of the national cost estimates of mental illness, 1990–2003. Journal of Mental Health Policy and Economics, 9, 3–13.PubMedGoogle Scholar
  39. Karakus, M., Frey, W., Goldman, H., Fields, S., & Drake, R. (2011). Federal financing of supported employment and customized employment for people with mental illnesses: Final report (Prepared for Office of Disability, Aging and Long-Term Care Policy Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Contract #HHSP23320095655WC). Rockville: Westat.Google Scholar
  40. Kessler, R. C., Akiskal, H. S., Ames, M., Birnbaum, H., Greenberg, P., Hirschfeld, R., et al. (2006). Prevalence and effects of mood disorders on work performance in a nationally representative sample of U.S. workers. American Journal of Psychiatry, 163, 1561–1568.PubMedCentralPubMedCrossRefGoogle Scholar
  41. Knapp, M., Mangalore, R., & Simon, J. (2004). The global costs of schizophrenia. Schizophrenia Bulletin, 30, 279–293.PubMedCrossRefGoogle Scholar
  42. Krupa, T., Oyewumi, K., Archie, S., Lawson, J. S., Nandlal, J., & Conrad, G. (2012). Early intervention services for psychosis and time until application for disability income support: a survival analysis. Community Mental Health Journal, 48, 535–546.PubMedCrossRefGoogle Scholar
  43. Kukla, M., Bond, G. R., & Xie, H. (2012). A prospective investigation of work and nonvocational outcomes in adults with severe mental illness. Journal of Nervous and Mental Disease, 200, 214–222.PubMedCrossRefGoogle Scholar
  44. Latimer, E. (2001). Economic impacts of supported employment for the severely mentally ill. Canadian Journal of Psychiatry, 46, 496–505.Google Scholar
  45. Latimer, E., Bush, P., Becker, D. R., Drake, R. E., & Bond, G. R. (2004). How much does supported employment for the severely mentally ill cost? An exploratory survey of high-fidelity programs. Psychiatric Services, 55, 401–406.PubMedCrossRefGoogle Scholar
  46. Lim, D., Sanderson, K., & Andrew, G. (2001). Lost productivity among full-time workers with mental disorders. Journal of Mental Health Policy and Economics, 4, 139–146.Google Scholar
  47. Lindamer, L. A., Bailey, A., Hawthorne, W., Folsom, D. P., Gilmer, T. P., Garcia, P., et al. (2003). Gender differences in characteristics and service use of public mental health patients with schizophrenia. Psychiatric Services, 54, 1407–1409.PubMedCrossRefGoogle Scholar
  48. Livermore, G., Stapleton, D. C., & O’Toole, M. (2011). Health care costs are a key driver of growth in federal and state assistance to working-age people with disabilities. Health Affairs, 30, 1664–1672.PubMedCrossRefGoogle Scholar
  49. MacDonald-Wilson, K. L., Rogers, E. S., Ellison, M. L., & Lyass, A. (2003). A study of the Social Security work incentives and their relation to perceived barriers to work among persons with psychiatric disability. Rehabilitation Psychology, 48, 301–309.CrossRefGoogle Scholar
  50. McAlpine, D. D., & Warner, L. (2000). Barriers to employment among persons with mental illness: A review of the literature. New Brunswick: Center for Research on the Organization and Financing of Care for the Severely Mentally Ill Institute for Health, Health Care Policy and Aging Research Rutgers, The State University.Google Scholar
  51. McQuilken, M., Zahniser, J. H., Novak, J., Starks, R. D., Olmos, A., & Bond, G. R. (2003). The work project survey: Consumer perspectives on work. Journal of Vocational Rehabilitation, 18, 59–68.Google Scholar
  52. Mental Health Commission of Canada. (2012). Changing directions, changing lives: The mental health strategy for Canada. Alberta: Mental Health Commission of Canada.Google Scholar
  53. Michalopoulos, C., Wittenburg, D., Israel, D. A., & Warren, A. (2012). The effects of health care benefits on health care use and health: A randomized trial for disability insurance beneficiaries. Medical Care, 50, 764–771.PubMedCrossRefGoogle Scholar
  54. Mueser, K. T., Becker, D. R., Torrey, W. C., Xie, H., Bond, G. R., Drake, R. E., et al. (1997). Work and nonvocational domains of functioning in persons with severe mental illness: a longitudinal analysis. Journal of Nervous and Mental Disease, 185, 419–426.PubMedCrossRefGoogle Scholar
  55. Mueser, K. T., Campbell, K., & Drake, R. E. (2011). The effectiveness of supported employment in people with dual disorders. Journal of Dual Disorders, 7, 90–102.Google Scholar
  56. Mueser, K. T., Salyers, M. P., & Mueser, P. R. (2001). A prospective analysis of work in schizophrenia. Schizophrenia Bulletin, 27, 281–296.PubMedCrossRefGoogle Scholar
  57. Nazarov, Z., Golden, T., & von Schrader, S. (2012). Prevocational services and supported employment wages. Journal of Vocational Rehabilitation, 37, 119–129.Google Scholar
  58. Norman, R. M., Mallal, A. K., Manchanda, R., Windell, D., Harricharan, R., Takhar, J., et al. (2007). Does treatment delay predict occupational functioning in first-episode psychosis? Schizophrenia Research, 91, 259–262.PubMedCrossRefGoogle Scholar
  59. O’Day, B. L., & Killeen, M. (2002). Does U.S. federal disability policy support employment and recovery for people with psychiatric disabilities? Behavioral Sciences and the Law, 20, 559–583.PubMedCrossRefGoogle Scholar
  60. Pandiani, J., & Leno, S. (2012). Employment of CRT clients: Third quarters (Jan–Mar) of FY2000–FY2012. Waterbury: Vermont Agency of Human Services.Google Scholar
  61. Perkins, D. V., Born, D. L., Raines, J. A., & Galka, S. W. (2005). Program evaluation from an ecological perspective: Supported employment services for persons with serious psychiatric disabilities. Psychiatric Rehabilitation Journal, 28, 217–224.PubMedCrossRefGoogle Scholar
  62. Perkins, R., & Rinaldi, M. (2002). Unemployment rates among patients with long-term mental health problems: a decade of rising unemployment. Psychiatric Bulletin, 26, 295–298.CrossRefGoogle Scholar
  63. Ramsay, C. E., Broussard, B., Goulding, S. M., Cristofaro, S., Hall, D., Kaslow, N. J., et al. (2011). Life and treatment goals of individuals hospitalized for first-episode nonaffective psychosis. Psychiatry Research, 189, 344–348.PubMedCentralPubMedCrossRefGoogle Scholar
  64. Rapp, C. A., Goscha, R. J., & Carlson, L. S. (2010). Evidence-based practice implementation in Kansas. Community Mental Health Journal, 46, 461–465.PubMedCrossRefGoogle Scholar
  65. Rinaldi, M., Killackey, E., Smith, J., Shepherd, G., Singh, S., & Craig, T. (2010). First episode psychosis and employment: a review. International Review of Psychiatry, 22, 148–162.PubMedCrossRefGoogle Scholar
  66. Rogers, E. S., Sciarappa, K., MacDonald-Wilson, K., & Danley, K. (1995). A benefit-cost analysis of a supported employment model for persons with psychiatric disabilities. Evaluation and Program Planning, 18, 105–115.CrossRefGoogle Scholar
  67. Rogers, E. S., Walsh, D., Masotta, L., & Danley, K. (1991). Massachusetts survey of client preferences for community support services: final report. Boston: Center for Psychiatric Rehabilitation.Google Scholar
  68. Rosenheck, R. A., Leslie, D., Keefe, R., McEvoy, J., Swartz, M., Perkins, D., et al. (2006). Barriers to employment for people with schizophrenia. American Journal of Psychiatry, 163, 411–417.PubMedCrossRefGoogle Scholar
  69. Salize, H. J., McCabe, R., Bullenkamp, J., Hansson, L., Lauber, C., Martinez-Leal, R., et al. (2009). Cost of treatment of schizophrenia in six European countries. Schizophrenia Research, 111, 70–77.PubMedCrossRefGoogle Scholar
  70. Salkever, D. S. (2011). Toward a social cost-effectiveness analysis of programs to expand supported employment services: an interpretive review of the literature. Rockville: Westat.Google Scholar
  71. Salkever, D. S., Karakus, M. C., Slade, E. P., Harding, C. M., Hough, R. L., Rosenheck, R. A., et al. (2007). Measures and predictors of community-based employment and earnings of persons with schizophrenia in a multisite study. Psychiatric Services, 58, 315–324.PubMedCrossRefGoogle Scholar
  72. Salyers, M. P., Becker, D. R., Drake, R. E., Torrey, W. C., & Wyzik, P. F. (2004). Ten-year follow-up of clients in a supported employment program. Psychiatric Services, 55, 302–308.PubMedCrossRefGoogle Scholar
  73. SAMHSA. (2009). http://www.samhsa.gov/dataoutcomes/urs/urs2009.aspx. Accessed 17 January 2011.
  74. Schneider, J., Boyce, M., Johnson, R., Secker, J., Slade, J., Grove, B., et al. (2009). Impact of supported employment on service costs and income of people with mental health needs. Journal of Mental Health, 18, 533–542.CrossRefGoogle Scholar
  75. Stapleton, D., O’Day, B., Livermore, G., & Imparato, A. (2006). Dismantling the poverty trap: disability policy for the 21st century. Milbank Quarterly, 84, 701–732.PubMedCrossRefGoogle Scholar
  76. Strickler, D. C., Whitley, R., Becker, D. R., & Drake, R. E. (2009). First person accounts of long-term employment activity among people with dual diagnosis. Psychiatric Rehabilitation Journal, 32, 261–268.PubMedCrossRefGoogle Scholar
  77. Turner, N., O’Mahony, P., Hill, M., Clarke, M., Larkin, C., Waddington, J., et al. (2012). Employment outcome over 12 years in a first episode psychosis cohort. Paper presented at the International Early Psychosis Association, San Francisco.Google Scholar
  78. Twamley, E. W., Jeste, D. V., & Lehman, A. F. (2003). Vocational rehabilitation in schizophrenia and other psychotic disorders: a literature review and meta-analysis of randomized controlled trials. Journal of Nervous and Mental Disease, 191, 515–523.PubMedCrossRefGoogle Scholar
  79. Twamley, E. W., Vella, L., Burton, C. Z., Becker, D. R., Bell, M. D., & Jeste, D. V. (2012). The efficacy of supported employment for middle-aged and older people with schizophrenia. Schizophrenia Research, 135, 100–104.PubMedCentralPubMedCrossRefGoogle Scholar
  80. Watkins, K. E., Pincus, H. A., Paddock, S., Smith, B., Woodroffe, A., Farmer, C., et al. (2011). Care for veterans with mental and substance use disorders: good performance, but room to improve on many measures. Health Affairs, 30, 2194–2203.PubMedGoogle Scholar
  81. Woltmann, E. (2009). Development and evaluation of a consumer-directed decision support system to support shared decision making in community mental health. Dartmouth: Unpublished dissertation.Google Scholar
  82. World Health Organization. (2001). World Health Report. (2001). Mental health: New understanding, new hope. Geneva: World Health Organization.Google Scholar
  83. Wu, E. Q., Birnbaum, H. G., Shi, L., Ball, D. E., Kessler, R. C., Moulis, M., et al. (2005). The economic burden of schizophrenia in the United States in 2002. Journal of Clinical Psychiatry, 66, 1122–1129.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  1. 1.Dartmouth Psychiatric Research Center, Geisel School of Medicine at DartmouthLebanonUSA
  2. 2.Dartmouth Psychiatric Research Center, Rivermill Commercial CenterLebanonUSA

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