A Systematic Review and Meta-analysis of IPS Supported Employment for Young Adults with Mental Health Conditions
Open accessAbstract
Young adults with mental health conditions want to work and advance their education, but many need help attaining these goals. Individual Placement and Support (IPS), originally developed for working-age adults with serious mental illness, is an evidence-based employment model that may benefit young adults. This study is the first systematic review and meta-analysis of randomized controlled trials (RCTs) of IPS for this population. We conducted a systematic review of the effectiveness of IPS for young adults with mental health conditions, supplementing our electronic search of the published literature with secondary analyses of two published RCTs. Using meta-analysis, we evaluated employment rate, job duration, and education rate. Seven studies met the inclusion criteria. Four evaluated IPS for young adults with early psychosis and three evaluated IPS for other young adult subgroups. All found a significantly higher employment rate for IPS than the control group. Overall, 208 (58.3%) of 357 IPS participants and 110 (32.4%) of 340 control participants were competitively employed during follow-up, yielding an overall risk ratio of 1.69 (95% CI 1.43, 1.99), z = 6.24, p < 0.001. Six of the seven studies also reported longer job duration for IPS than the control group, yielding an overall g = 0.34 (95% CI 0.09, 0.58), z = 2.72, p < 0.01. None of four RCTs examining education outcomes found a significant difference favoring IPS, but the overall risk ratio was significant: 1.33 (95% CI 1.06, 1.66), z = 2.51, p < 0.01. Although the empirical literature is limited, IPS appears to be effective in helping young adults with serious mental illness or early psychosis gain and keep competitive jobs. The impact of IPS on education outcomes is unclear. Future research should evaluate the generalizability of these findings to the broad range of young adults with mental health conditions needing help with their employment goals.
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Specialist education and employment services have been shown to be effective in supporting recovery in many different health systems and welfare contexts, to be cost-effective for adult populations, and to have growing evidence of efficacy in youth populations.
“These services have been shown to be effective in supporting recovery in many different health systems and welfare contexts, 474 to be cost-effective for adult populations, 475 and to have growing evidence of efficacy in youth populations. 476”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [476]
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- Authors
- Bond, G. R., Al-Abdulmunem, M., Marbacher, J., Christensen, T. N., Sveinsdottir, V., & Drake, R. E.
- Affiliations
- Westat (United States) (US)
- Research Foundation For Mental Hygiene (US)
- Corresponding author
- Bond, Gary R.
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2022-10-11
- Volume
- 50
- Issue
- 1
- Pages
- 160-172
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- PMC
- PMC10221953
- OpenAlex
- W4304187576
- Cited by
- 79
- References
- 59
- Citations by year
- 2026: 19 · 2025: 29 · 2024: 20 · 2023: 10
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Disability, Independent Living, and Rehabilitation Research (90IFRE0034-01)
- Topics
- Social Sciences › Safety Research › Disability Education and Employment
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Keywords
- Individual Placement and Support, supported employment, young adults, severe mental illness, early psychosis, employment effects, job retention, educational attainment, vocational rehabilitation
- MeSH terms
- Mental Disorders, Humans, Mental Health, Psychotic Disorders, Rehabilitation, Vocational, Employment, Supported, Young Adult
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