Maria Chiara Del Piccolo, Lucia Valmaggia, Claire Henderson, Tom J Spencer, David Lewis, Sharon Fitzell, Sara Edwards, Carys Evans, Stefania Tognin
{"title":"Individual placement and support focusing on employment and education for young people at clinical high risk of psychosis: A feasibility study.","authors":"Maria Chiara Del Piccolo, Lucia Valmaggia, Claire Henderson, Tom J Spencer, David Lewis, Sharon Fitzell, Sara Edwards, Carys Evans, Stefania Tognin","doi":"10.1037/prj0000585","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the feasibility of implementing Individual Placement and Support (IPS) with a focus on educational and employment goals, within a clinical service for the early detection of individuals at clinical high risk (CHR) of psychosis.</p><p><strong>Method: </strong>Between June 2019 and April 2021, participants were recruited and received up to 6 (± 2) months support. <i>Primary outcome</i>: Enrolled participants, attended sessions, and disengagement rates were analyzed to assess feasibility.</p><p><strong>Secondary outcomes: </strong>Enrollment in mainstream education or/and employment, hours spent working or/and studying, salary, level of functioning, and self-efficacy at baseline and follow-up were compared.</p><p><strong>Results: </strong>Thirty-one participants were recruited, 13 of whom were remotely recruited after the first COVID-19 lockdown. Dropout rates were relatively low (16.1%), and 26 participants (83.9%) completed the program. Each participant received on average nine sessions (<i>M</i> = 9.65; <i>SD</i> = 4.92). <i>Secondary outcomes</i>: At follow-up, 73.1% participants were employed, working on average more hours per week, <i>t</i>(25) = -2.725; <i>p</i> = .012, and were earning significantly more money, <i>t</i>(25) = -3.702; <i>p</i> = .001, compared to baseline. Gains in educational outcomes were less clear. Global Assessment of Functioning, <i>t</i> = 248.50; <i>p</i> = .001, and Social Occupational Functioning, <i>t</i>(25) = -3.273; <i>p</i> = .003, were significantly higher at 6-month follow-up compared to baseline. No differences were found in participants' self-efficacy.</p><p><strong>Conclusions and implications for practice: </strong>Findings indicate that research procedures are appropriate and that IPS implementation within a CHR clinical team is feasible. Secondary outcomes also suggest that IPS may be a beneficial intervention for young people at CHR. A longer follow-up might be needed to assess its impact on educational outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"56-63"},"PeriodicalIF":1.8000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatric Rehabilitation Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1037/prj0000585","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This study aimed to assess the feasibility of implementing Individual Placement and Support (IPS) with a focus on educational and employment goals, within a clinical service for the early detection of individuals at clinical high risk (CHR) of psychosis.
Method: Between June 2019 and April 2021, participants were recruited and received up to 6 (± 2) months support. Primary outcome: Enrolled participants, attended sessions, and disengagement rates were analyzed to assess feasibility.
Secondary outcomes: Enrollment in mainstream education or/and employment, hours spent working or/and studying, salary, level of functioning, and self-efficacy at baseline and follow-up were compared.
Results: Thirty-one participants were recruited, 13 of whom were remotely recruited after the first COVID-19 lockdown. Dropout rates were relatively low (16.1%), and 26 participants (83.9%) completed the program. Each participant received on average nine sessions (M = 9.65; SD = 4.92). Secondary outcomes: At follow-up, 73.1% participants were employed, working on average more hours per week, t(25) = -2.725; p = .012, and were earning significantly more money, t(25) = -3.702; p = .001, compared to baseline. Gains in educational outcomes were less clear. Global Assessment of Functioning, t = 248.50; p = .001, and Social Occupational Functioning, t(25) = -3.273; p = .003, were significantly higher at 6-month follow-up compared to baseline. No differences were found in participants' self-efficacy.
Conclusions and implications for practice: Findings indicate that research procedures are appropriate and that IPS implementation within a CHR clinical team is feasible. Secondary outcomes also suggest that IPS may be a beneficial intervention for young people at CHR. A longer follow-up might be needed to assess its impact on educational outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍：
The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.
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