Supported Employment and Social Inclusion: Recognizing the contributions of Peter Huxley
DOI:
https://doi.org/10.1921/swssr20252533Keywords:
employment, supported employment, Individual Placement and Support, evidence-based practice, cost effective, international expansion, social inclusion, social determinants of healthAbstract
Employment is a critical element in strategies promoting the social inclusion and recovery of people with mental health conditions. Employment is not only a determinant of health and well-being but also a powerful way to counteract stigma and social exclusion. Starting in the 1990s, visionary mental health leaders such as Peter Huxley recognized the importance of effective interventions to help people successfully work in open employment. Initially developed and researched in the 1990s, Individual Placement and Support (IPS) is now recognized as an evidence-based practice and the standardized model of supported employment for people with serious mental illness. This essay briefly summarizes the evidence regarding the effectiveness of IPS and describes its geographic expansion to over 20 countries worldwide and to new populations beyond people with mental health conditions.
References
Baller, J., Blyler, C., Bronnikov, S., Xie, H., Bond, G.R., Filion, K. and Hale, T. (2020) Long-term follow-up of a randomized trial of supported employment for social security disability beneficiaries with mental illness. Psychiatric Services, 71, 243-249. https://doi.org/10.1176/appi.ps.201800554
Becker, D.R. and Bond, G.R. (2020) Commentary on special issue on IPS international. Psychiatric Rehabilitation Journal, 43, 79-82. https://doi.org/10.1037/prj0000402
Becker, D. R. and Drake, R. E. (1993) A Working Life: The individual placement and support (IPS) program. New Hampshire-Dartmouth Psychiatric Research Center.
Becker, D.R., Whitley, R., Bailey, E.L. and Drake, R.E. (2007) Long-term employment trajectories among participants with severe mental illness in supported employment. Psychiatric Services, 58, 922-928. https://doi.org/10.1176/ps.2007.58.7.922
Bond, G.R. (2004) Supported employment: evidence for an evidence-based practice. Psychiatric Rehabilitation Journal, 27, 345-359. https://doi.org/10.2975/27.2004.345.359
Bond, G.R. and Drake, R.E. (2014) Making the case for IPS supported employment. Administration and Policy in Mental Health and Mental Health Services Research, 41, 69-73. https://doi.org/10.1007/s10488-012-0444-6
Bond, G.R., Campbell, K. and Drake, R.E. (2012) Standardizing measures in four domains of employment outcome for individual placement and support. Psychiatric Services, 63, 751-757. https://doi.org/10.1176/appi.ps.201100270
Bond, G.R., Drake, R.E. and Becker, D.R. (2012) Generalizability of the Individual Placement and Support (IPS) model of supported employment outside the US. World Psychiatry, 11, 32-39. https://doi.org/10.1016/j.wpsyc.2012.01.005
Bond, G.R., Peterson, A.E., Becker, D.R. and Drake, R.E. (2012) Validation of the revised Individual Placement and Support fidelity scale (IPS-25). Psychiatric Services, 63, 758-763. https://doi.org/10.1176/appi.ps.201100476
Bond, G.R., Drake, R.E., Becker, D.R. and Noel, V.A. (2016a) The IPS learning community: A longitudinal study of sustainment, quality, and outcome. Psychiatric Services, 67, 864-869. https://doi.org/10.1176/appi.ps.201500301
Bond, G.R., Drake, R.E., Becker, D.R. and Noel, V.A. (2016b) Sustaining Individual Placement and Support (IPS) services: The IPS learning community. World Psychiatry, 15, 81-83. https://doi.org/10.1002/wps.20294
Bond, G.R., Drake, R.E. and Pogue, J.A. (2019) Expanding Individual Placement and Support to populations with conditions and disorders other than serious mental illness. Psychiatric Services, 70, 488-498. https://doi.org/10.1176/appi.ps.201800464
Bond, G.R., Drake, R.E. and Becker, D.R. (2020) An update on Individual Placement and Support. World Psychiatry, 19, 390-391. https://doi.org/10.1002/wps.20784. Available at: https://ipsworks.org/wp-content/uploads/2020/09/ips-research-update-World-Psychiatry.pdf
Bond, G.R., Al-Abdulmunem, M., Marbacher, J., Christensen, T., Sveinsdottir, V. and Drake, R.E. (2023) A systematic review and meta-analysis of IPS supported employment for young adults with mental health conditions. Administration and Policy in Mental Health and Mental Health Services Research, 50, 160-172. https://doi.org/10.1007/s10488-022-01228-9
Brinchmann, B., Widding‐Havneraas, T., Modini, M., Rinaldi, M., Moe, C.F., McDaid, D., Park, A., Killackey, E., Harvey, S.B. and Mykletun, A. (2020) A meta-regression of the impact of policy on the efficacy of Individual Placement and Support. Acta Psychiatrica Scandinavica, 141, 206-220. https://doi.org/10.1111/acps.13129
Chanen, A., Nicol, K., Betts, J.K., Bond, G.R., Mihalopoulos, C., Jackson, H.J., Thompson, K.N., Jovev, M., Yuen, H.P., Chinnery, G., Ring, J., Allott, K., McCutcheon, L., Salmon, A.R. and Killackey, E. (2020) INdividual Vocational and Educational Support Trial (INVEST) for young people with borderline personality disorder: study protocol for a randomised controlled trial. Trials, 21, 583. https://doi.org/510.1186/s13063-13020-04471-13063
Clark, R.E. (1998) Supported employment and managed care: Can they coexist? Psychiatric Rehabilitation Journal, 22, 1, 62-68. https://doi.org/10.1037/h0095263
Crowther, R.E., Marshall, M., Bond, G.R. and Huxley, P. (2000) Vocational rehabilitation for people with severe mental disorders [Cochrane Review Art. Cochrane Library, 1, ISSN 1464-780X); www.cochrane.org/. Update Software
Crowther, R.E., Marshall, M., Bond, G.R. and Huxley, P. (2001) Helping people with severe mental illness to obtain work: Systematic review. British Medical Journal, 322, 204-208. https://doi.org/10.1136/bmj.322.7280.204
Davis, L.L., Mumba, M.N., Toscano, R., Pilkinton, P., Blansett, C.M., McCall, K., MacVicar, D. and Bartolucci, A. (2022) A randomized controlled trial evaluating the effectiveness of supported employment integrated in primary care. Psychiatric Services, 73, 620-627. https://doi.org/10.1176/appi.ps.202000926
de Winter, L., Couwenbergh, C., van Weeghel, J., Bergmans, C. and Bond, G.R. (2020) Fidelity and IPS: Does quality of implementation predict vocational outcomes over time for organizations treating persons with severe mental illness in the Netherlands? Social Psychiatry and Psychiatric Epidemiology, 55, 1607-1617. https://doi.org/10.1007/s00127-020-01890-0
Drake, R.E. (2020) Introduction to the special issue on Individual Placement and Support (IPS) International. Psychiatric Rehabilitation Journal, 43, 1, https://doi.org/10.1037/prj0000401
Drake, R. E., and Bond, G. R. (2023) Individual Placement and Support: History, current status, and future directions. Psychiatry and Clinical Neurosciences Reports, 2, e122. https://doi:10.1002/pcn5.122
Drake, R.E. and Wallach, M.A. (2020) Employment is a critical mental health intervention. Epidemiology and Psychiatric Sciences, 29, e178. https://doi.org/10.1017/S2045796020000906
Drake, R. E., Bond, G. R. and Becker, D. R. (2012) Individual Placement and Support: An evidence-based approach to supported employment. Oxford: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199734016.001.0001
Drake, R.E., Bond, G.R., Goldman, H.H., Hogan, M.F. and Karakus, M. (2016) Individual Placement and Support services boost employment for people with serious mental illness, but funding is lacking. Health Affairs, 35, 1098-1105. https://doi.org/10.1377/hlthaff.2016.0001
Drake, R.E., Becker, D.R. and Bond, G.R. (2019) Introducing Individual Placement and Support (IPS) supported employment in Japan. Psychiatry and Clinical Neurosciences, 73, 47-49. https://doi.org/10.1111/pcn.12792
Drake, R.E., Becker, D.R. and Bond, G.R. (2020) The growth and sustainment of Individual Placement and Support. Psychiatric Services, 71, 1075-1077. https://doi.org/10.1176/appi.ps.201900544
Frederick, D.E. and VanderWeele, T.J. (2019) Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support. PLoS One, 14, 2, e0212208. https://doi.org/10.1371/journal.pone.0212208
Haslett, W.R., Bond, G.R., Drake, R.E., Becker, D.R. and McHugo, G.J. (2011) Individual Placement and Support: Does rurality matter? American Journal of Psychiatric Rehabilitation, 14, 237-244. https://doi.org/10.1080/15487768.2011.598106
Heslin, M., Howard, L., Leese, M., McCrone, P., Rice, C., Jarrett, M., Spokes, T., Huxley, P. and Thornicroft, G. (2011) Randomized controlled trial of supported employment in England: 2 year follow-up of the supported work and needs. World Psychiatry, 10, 132-137. https://doi.org/10.1002/j.2051-5545.2011.tb00035.x
Hoffmann, H., Jäckel, D., Glauser, S., Mueser, K.T. and Kupper, Z. (2014) Long-term effectiveness of supported employment: five-year follow-up of a randomized controlled trial. American Journal of Psychiatry, 171, 1183-1190. https://doi.org/10.1176/appi.ajp.2014.13070857
Howard, L.M., Heslin, M., Leese, M., McCrone, P., Rice, C., Jarrett, M., Spokes, T., Huxley, P. and Thornicroft, G. (2010) Supported employment: Randomised controlled trial. British Journal of Psychiatry, 196, 404-411. https://doi.org/10.1192/bjp.bp.108.061465
Kinoshita, Y., Furukawa, T.A., Omori, I.M., Watanabe, N., Marshall, M., Bond, G.R., Huxley, P. and Kingdon, D. (2010) Supported employment for adults with severe mental illness (Protocol). Cochrane Database of Systematic Reviews, 1. https://doi.org/10.1002/14651858.CD008297 (www.thecochranelibrary.com)
Kinoshita, Y., Furukawa, T.A., Omori, I.M., Marshall, M., Bond, G.R., Huxley, P. and Kingdon, D. (2013) Supported employment for adults with severe mental illness. Cochrane Database of Systematic Reviews, 9, https://doi.org/008210.001002/14651858.CD14008297
LePage, J.P., Crawford, A.M., Cipher, D.J., Anderson, K., Rock, A., Johnson, J.A., Washington, E.L. and Ottomanelli, L. (2020) Blending traditional vocational services and Individualized Placement and Support for formerly incarcerated veterans. Psychiatric Services, 71, 816-823. https://doi.org/10.1176/appi.ps.201900421
Luciano, A.E., Bond, G.R., Becker, D.R. and Drake, R.E. (2014) Is high fidelity to supported employment equally attainable in small and large communities? Community Mental Health Journal, 50, 46-50. https://doi.org/10.1007/s10597-013-9687-2
Maraj, A., Mustafa, S., Joober, R., Malla, A., Shah, J.L. and Iyer, S.N. (2019) Caught in the “NEET trap”: The intersection between vocational inactivity and disengagement from an early intervention service for psychosis. Psychiatric Services, 70, 302-308. https://doi.org/10.1176/appi.ps.201800319
Marsden, J., Anders, P., Shaw, C., Amasiatu, C., Collate, W., Eastwood, B., Horgan, P., Khetani, M., Knight, J., Knight, S., Melaugh, A., Clark, H. Stannard, J. (2024) Superiority and cost-effectiveness of Individual Placement and Support versus standard employment support for people with alcohol and drug dependence: a pragmatic, parallel-group, open-label, multicentre, randomised, controlled, phase 3 trial. eClinicalMedicine, 68, 102400. https://doi.org/10.1016/j.eclinm.2023.102400
Marshall, T., Goldberg, R.W., Braude, L., Dougherty, R.H., Daniels, A.S., Ghose, S.S., George, P. and Delphin-Rittmon, M.E. (2014) Supported employment: assessing the evidence. Psychiatric Services, 65, 16-23. https://doi.org/10.1176/appi.ps.201300262
Melleney, L. and Kendall, T. (2020) Individual Placement and Support (IPS) in England. Psychiatric Rehabilitation Journal, 43, 76-78. https://doi.org/10.1037/prj0000367
Metcalfe, J.D., Drake, R.E. and Bond, G.R. (2018) Economic, labor, and regulatory moderators of the effect of Individual Placement and Support among people with severe mental illness: A systematic review and meta-analysis. Schizophrenia Bulletin, 44, 22-31. https://doi.org/10.1093/schbul/sbx132
Modini, M., Joyce, S., Mykletun, A., Christensen, H., Bryant, R.A., Mitchell, P.B. and Harvey, S.B. (2016a) The mental health benefits of employment: Results of a systematic meta-review. Australasian Psychiatry, 24, 331-336. https://doi.org/10.1177/1039856215618523
Modini, M., Tan, L., Brinchmann, B., Wang, M., Killackey, E., Glozier, N., Mykletun, A. and Harvey, S.B. (2016b) Supported employment for people with severe mental illness: A systematic review and meta-analysis of the international evidence. British Journal of Psychiatry, 209, 14-22. https://doi.org/10.1192/bjp.bp.115.165092
Pogue, J.A., Bond, G.R., Drake, R.E., Becker, D.R. and Logsdon, S. (2022) Growth of IPS supported employment programs in the United States: An update. Psychiatric Services, 73, 533-538. https://doi.org/10.1176/appi.ps.202100199
Rognli, E.B., Aas, E.M., Drake, R.E., Marsden, J., Anders, P., Bond, G.R., Lystad, J.U., Reme, S.E. and Arnevik, E.A. (2021) The effect evaluation of Individual Placement and Support (IPS) for patients with substance use disorders: study protocol for a randomized controlled trial of IPS versus enhanced self-help. Trials, 22, 705. https://doi.org/710.1186/s13063-13021-05673-z
Salyers, M.P., Becker, D.R., Drake, R.E., Torrey, W.C. and Wyzik, P.F. (2004) Ten-year follow-up of clients in a supported employment program. Psychiatric Services, 55, 302-308. https://doi.org/10.1176/appi.ps.55.3.302
Suijkerbuijk, Y.B., Schaafsma, F.G., van Mechelen, J.C., Ojajärvi, A., Corbière, M. and Anema, J.R. (2017) Interventions for obtaining and maintaining employment in adults with severe mental illness, a network meta-analysis. Cochrane Database of Systematic Reviews, 9, https://doi.org/10.1002/14651858.CD011867.pub2
Sveinsdottir, V., Lie, S.A., Bond, G.R., Eriksen, H.R., Tveito, T.H., Grasdal, A. and Reme, S.E. (2020) Individual placement and support for young adults at risk of early work disability (the SEED trial). A randomized controlled trial. Scandinavian Journal of Work, Environment and Health, 46, 50-59. https://doi.org/10.5271/sjweh.383
Sveinsdottir, V., Jacobsen, H.B., Ljosaa, T.M., Linnemørken, L.T., Knutzen, T., Ghiasvand, R. and Reme, S.E. (2022) The Individual Placement and Support (IPS) in pain trial: A randomized controlled trial of IPS for patients with chronic pain conditions. Pain Medicine. https://doi.org/10.1093/pm/pnac032
Wehman, P. and Moon, M. S. (Eds.). (1988) Vocational Rehabilitation and Supported Employment. Paul Brookes.
Weld-Blundell, I., Shields, M., Devine, A., Dickinson, H., Kavanagh, A. and Marck, C. (2021) Vocational interventions to improve employment participation of people with psychosocial disability, autism and/or intellectual disability: A systematic review. International Journal of Environmental Research and Public Health, 18, 22, 12083. https://doi.org/10.3390/ijerph182212083
Zheng, K., Stern, B.Z., Wafford, Q.E. and Kohli-Lynch, C.N. (2022) Trial-based economic evaluations of supported employment for adults with severe mental illness: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 49, 440-452. https://doi.org/10.1007/s10488-021-01174-y