A randomized controlled multicenter trial of individual placement and support for patients with moderate-to-severe mental illness

Reme, Silje Endresen; Monstad, Karin; Fyhn, Tonje; Sveinsdottir, Vigdis; Løvvik, Camilla; Lie, Stein Atle; Øverland, Simon

doi:10.5271/sjweh.3753

Cited by 93Disability Education and EmploymentEmployment and Welfare StudiesMental Health and Patient Involvement

A randomized controlled multicenter trial of individual placement and support for patients with moderate-to-severe mental illness

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Reme, Silje Endresen, Monstad, Karin, Fyhn, Tonje, Sveinsdottir, Vigdis, Løvvik, Camilla, Lie, Stein Atle, Øverland, Simon·2019·Scandinavian Journal of Work, Environment & Health

DOI 10.5271/sjweh.3753

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Abstract

Objectives The aim of this study was to evaluate the effectiveness of individual placement and support (IPS) for people struggling with work participation due to moderate-to-severe mental illness. The study was conducted in Norway, a setting characterized by a comprehensive welfare system and strong employment protection legislation. Methods A randomized controlled multicenter trial including 410 participants was conducted. The intervention group received IPS according to the IPS manual. The control group received high-quality usual care. The main outcome was competitive employment at 12- and 18-months follow-up, based on objective registry data. Changes in mental health and health-related quality of life were secondary outcomes. Results At 12-months follow-up, 36.6% of participants in the IPS group and 27.1% of participants in the control group were in competitive employment, while the difference was slightly higher (37.4% versus 27.1%) at 18-months follow-up. Furthermore, IPS yielded positive effects on all the secondary outcomes compared to the control group (all P<0.05). Conclusions The IPS model of supported employment was superior to high-quality usual care on both vocational and non-vocational outcomes for people with moderate-to-severe mental illness, even in a policy context characterized by high job security and a comprehensive welfare system.

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Individual Placement and Support (IPS) is a promising intervention offered as a supplement in the treatment of both mild and severe mental disorders.
“Another promising intervention is Individual Placement and Support (IPS), which is offered as a supplement in the treatment of both mild and severe mental disorders [30, 31]”
From Measuring the Effect of the Early assessment Team (MEET) for patients referred to outpatient mental health care: a study protocol for a randomised controlled trial (2024) · cites this paper as [31]
The Abstract describes IPS as vocational rehabilitation integrated with psychological treatment, and the Discussion reports positive effects among participants with moderate and severe mental illness. The study did not examine mild mental disorders, so it does not support that part of the claim. Page numbers are unavailable in our copy. (LLM, conf=0.88)
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“Another promising intervention is Individual Placement and Support (IPS), which is offered as a supplement in the treatment of both mild and severe mental disorders [30, 31].”
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Additional file 5 of Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
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Additional file 2 of Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
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Additional file 6 of Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
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Additional file 4 of Individual placement and support and employment in personality disorders: a registry based cohort study
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Additional file 3 of Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
Barnett, P., Steare, T., Dedat, Z., Pilling, S., McCrone, P., Knapp, M. R. J., Cooke, E., Lamirel, D., Dawson, S., Goldblatt, P., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19681793
Additional file 2 of Individual placement and support and employment in personality disorders: a registry based cohort study
Juurlink, T. T., Lamers, F., van Marle, H. J. F., Zwinkels, W., Spijkerman, M. A., Beekman, A. T. F., & Anema, J. R. (2022) · Figshare · doi:10.6084/m9.figshare.19382491
Additional file 1 of Individual placement and support and employment in personality disorders: a registry based cohort study
Juurlink, T. T., Lamers, F., van Marle, H. J. F., Zwinkels, W., Spijkerman, M. A., Beekman, A. T. F., & Anema, J. R. (2022) · Figshare · doi:10.6084/m9.figshare.19382488
Additional file 1 of Is the “Brainwork Intervention” effective in reducing sick leave for non-permanent workers with psychological problems? Results of a controlled clinical trial
Audhoe, S. S., Hoving, J. L., Zijlstra, B. J. H., Frings‐Dresen, M. H. W., & Nieuwenhuijsen, K. (2021) · Figshare · doi:10.6084/m9.figshare.14396671
Additional file 7 of Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
Barnett, P., Steare, T., Dedat, Z., Pilling, S., McCrone, P., Knapp, M. R. J., Cooke, E., Lamirel, D., Dawson, S., Goldblatt, P., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19681805
Additional file 3 of Individual placement and support and employment in personality disorders: a registry based cohort study
Juurlink, T. T., Lamers, F., van Marle, H. J. F., Zwinkels, W., Spijkerman, M. A., Beekman, A. T. F., & Anema, J. R. (2022) · Figshare · doi:10.6084/m9.figshare.19382494
Additional file 8 of Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
Barnett, P., Steare, T., Dedat, Z., Pilling, S., McCrone, P., Knapp, M. R. J., Cooke, E., Lamirel, D., Dawson, S., Goldblatt, P., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19681808
Additional file 1 of Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
Barnett, P., Steare, T., Dedat, Z., Pilling, S., McCrone, P., Knapp, M. R. J., Cooke, E., Lamirel, D., Dawson, S., Goldblatt, P., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19681787
Additional file 5 of Individual placement and support and employment in personality disorders: a registry based cohort study
Juurlink, T. T., Lamers, F., van Marle, H. J. F., Zwinkels, W., Spijkerman, M. A., Beekman, A. T. F., & Anema, J. R. (2022) · Figshare · doi:10.6084/m9.figshare.19382500
Additional file 4 of Interventions to improve social circumstances of people with mental health conditions: a rapid evidence synthesis
Barnett, P., Steare, T., Dedat, Z., Pilling, S., McCrone, P., Knapp, M. R. J., Cooke, E., Lamirel, D., Dawson, S., Goldblatt, P., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19681796
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Marec, M.-G. (2026) · Santé Publique · doi:10.3917/spub.hs1.2026.0201
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Effectiveness of individual placement and support for people with severe mental illness in the Netherlands: A 30-month randomized controlled trial.
Michon, H. W. C., van Busschbach, J. T., Stant, A. D., van Vugt, M. D., van Weeghel, J., & Kroon, H. (2014) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000061 · Cited by 93 · see citing works
Protocol for the effect evaluation of Individual Placement and Support (IPS): a randomized controlled multicenter trial of IPS versus treatment as usual for patients with moderate to severe mental illness in Norway
Sveinsdóttir, V. Ó., Løvvik, C., Fyhn, T., Monstad, K., Ludvigsen, K., Øverland, S. N., & Rème, S. E. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0307-7 · Cited by 23 · see citing works
Self-citation
Regular employment for people with mental illness – An evaluation of the individual placement and support programme
Holmås, T. H., Monstad, K., & Rème, S. E. (2021) · Social Science & Medicine · doi:10.1016/j.socscimed.2021.113691 · Cited by 23 · see citing works
Self-citation
The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial
Burns, T., Catty, J., Becker, T., Drake, R. E., Fioritti, A., Knapp, M., Lauber, C., Rössler, W., Tomov, T., van Busschbach, J., et al. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61516-5 · Cited by 613 · see citing works
Evaluation of an implementation strategy for Individual Placement and Support in the Netherlands: a 30-month observational study
Vukadin, M., Schaafsma, F. G., Michon, H. W. C., Cillekens, B., van de Ven, P. M., Juurlink, T. T., & Anema, J. R. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04121-9 · Cited by 6 · see citing works

Authors: Reme, S. E., Monstad, K., Fyhn, T., Sveinsdottir, V., Løvvik, C., Lie, S. A., & Øverland, S.
Affiliations: Norwegian Institute of Public Health (NO)
University of Oslo (NO)
University of Bergen (NO)
ORCID: Monstad, Karin
Fyhn, Tonje
Lie, Stein Atle
Øverland, Simon
Venue: Scandinavian Journal of Work, Environment & Health
Publisher: Scandinavian Journal of Work, Environment and Health
Published: 2018-08-02
Volume: 45
Issue: 1
Pages: 33-41
ISSN: 0355-3140 (ISSN-L)
1795-990X
DOI: 10.5271/sjweh.3753
OpenAlex: W2887225311
Cited by: 93
References: 25
Citations by year: 2026: 4 · 2025: 9 · 2024: 8 · 2023: 4 · 2022: 27 · 2021: 16 · 2020: 15 · 2019: 10
FWCI: 20.43
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
Locations: Scandinavian Journal of Work Environment & Health (publishedVersion, cc-by)
PubMed (publishedVersion)
NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
Funders: Helsedirektoratet
Topics: Social Sciences › Safety Research › Disability Education and Employment
Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
Keywords: Individual Placement and Support, supported employment, competitive employment, work participation, mental health, health-related quality of life, employment protection legislation, welfare system, vocational rehabilitation
MeSH terms: Adult, Mental Disorders, Female, Humans, Male, Norway, Quality of Life, Rehabilitation, Vocational, Employment, Supported

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A randomized controlled multicenter trial of individual placement and support for patients with moderate-to-severe mental illness

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