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

Обзор

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.

Вмешательства

• Другое 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
• Другое 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.

Первичные конечные точки

• Efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness [Срок оценки: 18 months]

Вторичные конечные точки (8)

• Efficiency of the IPS model compared to the conventional method of monitoring by social workers among patients with severe mental illness [Срок оценки: 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, [Срок оценки: 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. [Срок оценки: 5 years]
• Compare work productivity and activity disorders between the two groups. [Срок оценки: 0, 6, 12 and 18 months]
• Compare the rate of hospital care use between the two groups. [Срок оценки: 18 months]
• Impact of a return to work on patients' level of recovery and overall health. [Срок оценки: 18 months]
• Impact of a return to work on patients' level of social cognition. [Срок оценки: 18 months]
• Impact of a return to work on patients' cognitive functioning [Срок оценки: 18 months]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Франция · 11 центров

• 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
• … и ещё 3 центра

Идентификаторы

NCT: NCT07206316 · DR240280-MEDECO-IPS

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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