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. 2018 Jul 21;15(7):1545.
doi: 10.3390/ijerph15071545.

Implementing Supported Employment. Lessons from the Making IPS Work Project

Jan Hutchinson  1 , David Gilbert  2 , Rachel Papworth  3 , Jed Boardman  4   5
Affiliations

Implementing Supported Employment. Lessons from the Making IPS Work Project

Jan Hutchinson et al. Int J Environ Res Public Health. .

Abstract

Individual Placement and Support (IPS) is an internationally accepted and effective form of supported employment for people with severe mental health conditions. Despite its strong evidence base, the implementation of IPS has been slow and inconsistent. In England, a demonstration project, Making IPS Work, was developed to offer support for the implementation of IPS in six local sites National Health Service Mental Health trusts. The project aimed to: Establish Individual Placement and Support services within clinical teams; develop high fidelity practice and leave a sustainable IPS service beyond the project. The number of people gaining open employment in each site was monitored. Fidelity checks were carried out at three sites by independent assessors. Stakeholders were interviewed over the 18-month lifetime of the implementation period to examine the experience of developing the services in the six sites. A total of 421 jobs were found for people with mental health conditions over 18 months with a large variation between the highest and lowest performing sites. The sites assessed for fidelity all attained the threshold for a 'Good Fidelity' service. The new services were readily accepted by mental health service users, clinical staff and managers across the trust sites. Maintaining the funding for the Individual Placement and Support services beyond the project period proved to be problematic for many sites. Placing the services within a broader strategy of improving psychosocial services and bringing together decision making at the corporate, commissioning and clinical management level were helpful in achieving success. The growth and maintenance of these services is difficult to achieve whilst the current cost pressures on the NHS continue.

Keywords: individual placement and support; mental health; supported employment.

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Conflict of interest statement

The authors declare no conflict of interests. The funding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
The principles of IPS Supported Employment.
Figure 2
Figure 2
Jobs achieved in all sites.
Figure 3
Figure 3
Jobs achieved: Comparison of sites over 18-month period.
See this image and copyright information in PMC

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