Improving vocational outcomes of service users in an E arly I ntervention in P sychosis service
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Aim: People with psychotic symptoms have poor social and occupational functioning. The aim of this research was to improve the engagement in meaningful education, training or employment for young people with psychosis. This was undertaken by introducing a vocational specialist into the early intervention service to implement the individual placement and support ( IPS ) model. Methods: Two early intervention services provided information about the vocational status of their service users 6 and 1 months prior to the introduction of the vocational specialist into one of the services. Data were collected again 12 months following the intervention and then 6 months following the end of the intervention. Results: Unemployment was high in both services during the baseline period (approximately 75% in both), but in the service receiving the intervention this reduced to 62% whereas it remained high in the service that did not introduce the vocational specialist. Following the withdrawal of the vocational specialist the improvement was lost. Conclusions: To enable people in first‐episode services to live meaningful and valued lives occupational functioning needs to be considered a key performance indicator. Services can improve outcome by implementing and maintaining the IPS model.
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A later study of early intervention services with a 12-month trial of standard IPS found employment/education attainment improved by 23% (baseline = 23%; 12 months = 35%).
“A later study focused on early intervention services, which included a 12 month trial of standard IPS, found employment/education attainment improved by 23% (baseline rate = 23%; 12mth rate = 35%) [61].”
From An enhanced individual placement and support (iPS) intervention based on the model of human occupation (MOHO); a prospective cohort study (2020) · cites this paper as [61]
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- Authors
- Dudley, R., Nicholson, M., Stott, P., & Spoors, G.
- Affiliations
- Newcastle University (GB)
- Cumbria Northumberland Tyne and Wear NHS Foundation Trust (GB)
- Department for Work and Pensions (GB)
- Mental Health Care Sunderland UK
- Corresponding author
- Dudley, Robert
- ORCID
- Dudley, Robert
- Venue
- Early Intervention in Psychiatry
- Publisher
- Wiley
- Published
- 2013-03-14
- Volume
- 8
- Issue
- 1
- Pages
- 98-102
- ISSN
- 1751-7885 (ISSN-L)
- 1751-7893
- OpenAlex
- W2140435730
- Cited by
- 23
- References
- 10
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 6 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 1
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Early Intervention in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- National Institute for Health and Care Research
- Topics
- Social Sciences › Safety Research › Disability Education and Employment
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- early intervention in psychosis, Individual Placement and Support, vocational rehabilitation, employment effects, unemployment, first-episode psychosis, young people with psychosis, occupational functioning, service user engagement
- MeSH terms
- Adolescent, Adult, Educational Status, Employment, Female, Follow-Up Studies, Humans, Male, Mental Health Services, Psychotic Disorders, Rehabilitation, Vocational, Young Adult, Early Medical Intervention
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