An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study

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dc.contributor.authorPrior, Susanen_ZA
dc.contributor.authorMaciver, Donalden_ZA
dc.contributor.authorAas, Randi W.en_ZA
dc.contributor.authorKirsh, Bonnieen_ZA
dc.contributor.authorLexen, Annikaen_ZA
dc.contributor.authorVan Niekerk, Lanaen_ZA
dc.contributor.authorFitzpatrick, Linda Irvineen_ZA
dc.contributor.authorForsyth, Kirstyen_ZA
dc.date.accessioned2020-07-27T07:06:37Z
dc.date.available2020-07-27T07:06:37Z
dc.date.issued2020-07-08
dc.date.updated2020-07-12T05:31:02Z
dc.descriptionCITATION: Prior, S.,et al. 2020. An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study. BMC Psychiatry, 20:361, doi:/10.1186/s12888-020-02745-3.
dc.descriptionThe original publication is available at https://bmcpsychiatry.biomedcentral.com/
dc.description.abstractBackground: Employment is good for physical and mental health, however people with severe mental illness (SMI) are often excluded from employment. Standard Individual Placement and Support (IPS) is effective in supporting around 55% of people with SMI into employment or education. Current research considers enhancements to IPS to improve outcomes for those requiring more complex interventions. Clinicians need to better understand who will benefit from these enhanced IPS interventions. This study offers a new enhanced IPS intervention and an approach to predicting who may achieve successful outcomes. Methods: This prospective cohort study included people with SMI who participated in an enhanced IPS service and had prolonged absence from employment. Secondary data analysis was conducted of data gathered in routine clinical practice. Univariate analysis coupled with previous research and clinical consultation was used to select variables to be included in the initial model, followed by a backward stepwise approach to model building for the final multiple logistic regression model with an outcome of successful or unsuccessful goal attainment (employment or education). Results: Sixty-three percent of participants in the enhanced IPS successfully attained employment or education. Significant relationships from bivariate analyses were identified between outcomes (employment or education) and seven psychosocial variables. Adapting Routines to Minimise Difficulties, Work Related Goals, and Living in an Area of Lesser Deprivation were found to be significant in predicting employment or education in the final multiple logistic regression model R2 = 0.16 (Hosmer-Lemeshow), 0.19 (Cox-Snell), 0.26 (Nagelkerke). Model χ2(7) = 41.38 p < .001. Conclusion: An enhanced IPS service had a 63% rate success in achieving employment or education, higher than comparable studies and provides an alternative to IPS-Lite and IPS-standard for more complex populations. Motivational and habitual psychosocial variables are helpful in predicting who may benefit from an enhanced IPS intervention supporting people after prolonged absence from employment.en
dc.description.urihttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-020-02745-3
dc.description.versionPublisher's version
dc.format.extent13 pages
dc.identifier.citationPrior, S.,et al. 2020. An enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort study. BMC Psychiatry, 20:361, doi:/10.1186/s12888-020-02745-3
dc.identifier.issn1471-244X (online)
dc.identifier.otherdoi:/10.1186/s12888-020-02745-3
dc.identifier.urihttp://hdl.handle.net/10019.1/108730
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectMental illness and employmenten_ZA
dc.subjectMental illness and educationen_ZA
dc.subjectModel of Human Occupation Clearinghouseen_ZA
dc.subjectPeople with mental disabilities -- Services foren_ZA
dc.titleAn enhanced individual placement and support (IPS) intervention based on the Model of Human Occupation (MOHO); a prospective cohort studyen_ZA
dc.typeArticle
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