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Not yet recruiting NCT07206316

Health-economic Evaluation of the IPS (Individual Placement and Support) Model for Helping People With Severe Mental Disorders Access Employment in the Ordinary Labor Market, Compared to Standard Methods of Helping People Return to Work: a Prospective Real-life Study

— Observational Severe Mental Disorders

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Individual Placement and Support Model, Standard Method.
Who it may be relevant to
Registry conditions: Severe Mental Disorders. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
France
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Overview

The Individual Placement and Support (IPS) model was developed in the United States in the 1990s to help people with severe mental health issues get back into regular jobs. This model is based on the idea that a quick job search that takes into account what patients want, followed by ongoing and intensive support in the community, is especially good for this group. To date, although the effectiveness of the IPS model has been widely demonstrated (for a review, see Metcalfe et al., 2018), only a few studies have evaluated its efficiency in foreign contexts (Knapp et al., 2013; Christensen et al., 2020). Although the IPS model has been in place in France for around ten years, no studies have yet been conducted to validate its efficiency in the French healthcare system. The main objective of this prospective, real-life, multicenter study is to evaluate the efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness in terms of cost per additional day worked, from a collective perspective.

Interventions

  • Other Individual Placement and Support Model
    The Individual Placement and Support (IPS) model is an employment support program specifically designed for people with severe mental illness (Bond, Drake, \& Becker, 2012). The core philosophy of IPS is that anyone can obtain competitive employment in the open labor market, provided it is the right job combined with appropriate support. IPS support is delivered by a job coach, specifically trained in this model, who devotes their entire working time to assisting patients in their vocational in
  • Other Standard Method
    In psychiatric wards, patients who wish to do so are usually offered support to initiate the process of returning to competitive employment in the open labor market. This assistance is provided by the social workers (such as social workers or educators) within the care unit.

Primary outcome measures

  • Efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness [Time frame: 18 months]
Secondary outcome measures (8)
  • Efficiency of the IPS model compared to the conventional method of monitoring by social workers among patients with severe mental illness [Time frame: 18 months]
  • Cost-benefit ratio of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness, [Time frame: 18 months]
  • Budgetary impact on the French national health insurance system (AM) of changes in clinical practices with regard to the two types of support for returning to work. [Time frame: 5 years]
  • Compare work productivity and activity disorders between the two groups. [Time frame: 0, 6, 12 and 18 months]
  • Compare the rate of hospital care use between the two groups. [Time frame: 18 months]
  • Impact of a return to work on patients' level of recovery and overall health. [Time frame: 18 months]
  • Impact of a return to work on patients' level of social cognition. [Time frame: 18 months]
  • Impact of a return to work on patients' cognitive functioning [Time frame: 18 months]

Eligibility criteria

Inclusion criteria

  • Aged ≥ 18 years
  • Participant with a chronic psychiatric disorder causing significant functional impairment
  • Unemployed
  • Wishing to return to competitive employment in the open labor market
  • Informed about the study and consenting to participate
  • Able to read french

Exclusion criteria

  • Individuals not eligible for legal employment due to irregular residency status in France
  • Individuals not affiliated with a social security system
  • Individuals wishing to work in a sheltered/protected setting
  • Individuals currently enrolled in a training program
  • Individuals refusing to participate in the study

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

France · 11 centers
  • CH Cesame — Angers
  • CH George Sand — Bourges
  • Centre hospitalier Le Vinatier — Bron
  • CHI EPSM Oise — Clermont
  • University hospital — Clermont-Ferrand
  • Centre Hospitalier Marius Lacroix — La Rochelle
  • CH Esquirol — Limoges
  • Hôpital la Colombière — Montpellier
  • … and 3 more centers

Identifiers

NCT: NCT07206316 · DR240280-MEDECO-IPS

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗