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Employment rates for people with severe mental illness in the UK not improved by 1 year's individual placement and support

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Does individual placement and support (IPS) improve employment rates in people with severe mental illness?


219 adults aged 18–65 with severe mental illness receiving out-patient or community psychiatric care from local mental health services. Severe mental illness was defined as a global assessment of functioning score ≤60; duration of illness >2 years and diagnosis of psychotic or chronic affective disorder (Structured Clinical Assessment in Neuropsychiatry). Participants had to have been unemployed for 3 months or more, wanting to work and be able to read and speak English. Main exclusion: referred for IPS in the last 6 months.


Community setting, two boroughs in South London, UK; recruitment November 2004 to September 2006.


IPS or treatment as usual (TAU). For the IPS group, employment specialists attended community mental health team meetings and multidisciplinary care planning meetings, and met with participants and with their care coordinators. Employment specialists aimed to find employment which suited participants' skills, abilities and preferences and provided follow-up and support. …

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  • Sources of funding Wellcome Trust, King's Fund and Maudsley Charitable Trust.


  • Competing interests None.

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