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Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support

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  • Donald E Frederick
  • Tyler J VanderWeele

Abstract

Supported employment is a treatment whereby those with severe mental illness (or other disabilities) receive aid searching for competitive employment and mental health (or other) treatments concurrently. The most popular implementation of supported employment is individual placement and support (IPS). We conducted meta-analytic analyses of the randomized controlled trials of IPS. We found that subjects in IPS, compared to usual treatment conditions, had better vocational outcomes (obtained any competitive employment: RR = 1.63, 95%CI = [1.46, 1.82]; job tenure: d = 0.55, 95%CI = [0.33, 0.79]; job length: d = 0.46, 95%CI = [0.35, 0.57]; income: d = 0.48, 95%CI = [0.36, 0.59]) Non-vocational outcomes estimates, while favoring IPS, included the null (quality of life: d = 0.30, 95%CI = [-0.07, 0.67]; global functioning: d = 0.09, 95%CI = [-0.09, 0.27]; mental health: d = 0.03, 95%CI = [-0.15, 0.21]). Analysis of the expected proportion of studies with a true effect on non-vocational outcomes with d>0.2 showed some reason to expect a possible improvement for quality of life for at least some settings (Prop = 0.57, 95%CI = [0.30, 0.84]).

Suggested Citation

  • Donald E Frederick & Tyler J VanderWeele, 2019. "Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-26, February.
    • Handle: RePEc:plo:pone00:0212208
    DOI: 10.1371/journal.pone.0212208
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    References listed on IDEAS

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    1. Kyoung Ae Kong & Hee Yeon Choi & Soo In Kim, 2017. "Mental health among single and partnered parents in South Korea," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-16, August.
    2. Baker, Amy J.L. & Schneiderman, Mel & Licandro, Victoria, 2017. "Mental health referrals and treatment in a sample of youth in foster care," Children and Youth Services Review, Elsevier, vol. 78(C), pages 18-22.
    3. Mathur, Maya B & VanderWeele, Tyler, 2017. "Sensitivity analysis for unmeasured confounding in meta-analyses," OSF Preprints jkhfg, Center for Open Science.
    4. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
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    Cited by:

    1. Joana Fonseca Barbosa & João Gama Marques, 2023. "The revolving door phenomenon in severe psychiatric disorders: A systematic review," International Journal of Social Psychiatry, , vol. 69(5), pages 1075-1089, August.
    2. Isabelle Weld-Blundell & Marissa Shields & Alexandra Devine & Helen Dickinson & Anne Kavanagh & Claudia Marck, 2021. "Vocational Interventions to Improve Employment Participation of People with Psychosocial Disability, Autism and/or Intellectual Disability: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-33, November.
    3. Tonje Fyhn & Simon Øverland & Silje E Reme, 2021. "Predictors of employment in people with moderate to severe mental illness participating in a randomized controlled trial of Individual Placement and Support (IPS)," International Journal of Social Psychiatry, , vol. 67(2), pages 150-157, March.

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