Efficacy of Individual Placement and Support (IPS) on Employment, Education, and Training in Young Adults With Early Psychosis—A Randomized Controlled Trial
ABSTRACT Objective To explore the efficiency of IPS on employment, education, and training (EET) outcomes in young adults with early psychosis. Methods Monocenter parallel arm, randomized controlled trial. Intervention Individual placement and support (IPS) according to the IPS‐Y Fidelity Scale with...
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Wiley
2025-05-01
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| Series: | Brain and Behavior |
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| Online Access: | https://doi.org/10.1002/brb3.70469 |
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| author | Dorothea Jäckel Andreas Bechdolf Eva Burkhardt Michèle Kallenbach Marie‐Luise Gamig Anna Mößnang Karolina Leopold |
| author_facet | Dorothea Jäckel Andreas Bechdolf Eva Burkhardt Michèle Kallenbach Marie‐Luise Gamig Anna Mößnang Karolina Leopold |
| author_sort | Dorothea Jäckel |
| collection | DOAJ |
| description | ABSTRACT Objective To explore the efficiency of IPS on employment, education, and training (EET) outcomes in young adults with early psychosis. Methods Monocenter parallel arm, randomized controlled trial. Intervention Individual placement and support (IPS) according to the IPS‐Y Fidelity Scale with an add‐on of up to eight sessions of adherence therapy. Main outcome measures EET at least 15 h per week for at least 1 week in the follow‐up. Secondary outcomes included EET rates, duration in EET, and total wages. Additionally, subsample analyses were carried out. Results A total of 94 young adults (18–35 years) with early psychosis in an outpatient psychiatric service were randomly assigned to 12‐month IPS according to program fidelity and standard care versus standard care alone. Four patients were excluded from the analysis because of early dropout after baseline, leaving 90 participants—46 in the IPS group and 44 in the TAU group—for intention to treat (ITT) analysis. EET rate for at least 15 h per week was significantly higher in the IPS group, 78% (36/46) versus 55% (24/44) in the TAU group. The percentage of participants in EET for at least 1 week in the follow‐up was 83% (38/46) versus 59% (26/44). The number of weeks in EET was significantly higher in the IPS group (mean = 31.5 weeks, SD = 20.5 versus mean = 18.4 weeks, SD = 21.2), and the total wages were higher in favor of the IPS group (mean = €10,242, SD = 13,437 versus mean = €5217, SE = 7871). Conclusion IPS integrated into outpatient psychiatric services improves EET in young adults with early psychosis in Germany. |
| format | Article |
| id | doaj-art-952a7f23b07f4b85891b81f7eabf60e8 |
| institution | OA Journals |
| issn | 2162-3279 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
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| series | Brain and Behavior |
| spelling | doaj-art-952a7f23b07f4b85891b81f7eabf60e82025-08-20T02:29:19ZengWileyBrain and Behavior2162-32792025-05-01155n/an/a10.1002/brb3.70469Efficacy of Individual Placement and Support (IPS) on Employment, Education, and Training in Young Adults With Early Psychosis—A Randomized Controlled TrialDorothea Jäckel0Andreas Bechdolf1Eva Burkhardt2Michèle Kallenbach3Marie‐Luise Gamig4Anna Mößnang5Karolina Leopold6Vivantes Klinikum Am Urban, Department of Psychiatry, Psychotherapy, and Psychosomatics Incorporating FRITZ at Urban and Soulspace Vivantes Urban Hospital and Vivantes Friedrichshain Hospital Berlin GermanyVivantes Klinikum Am Urban, Department of Psychiatry, Psychotherapy, and Psychosomatics Incorporating FRITZ at Urban and Soulspace Vivantes Urban Hospital and Vivantes Friedrichshain Hospital Berlin GermanyUniversity Hospital for Child and Adolescent Psychiatry and Psychotherapy, University of Bern Bern SwitzerlandVivantes Klinikum Am Urban, Department of Psychiatry, Psychotherapy, and Psychosomatics Incorporating FRITZ at Urban and Soulspace Vivantes Urban Hospital and Vivantes Friedrichshain Hospital Berlin GermanyVivantes Klinikum Am Urban, Department of Psychiatry, Psychotherapy, and Psychosomatics Incorporating FRITZ at Urban and Soulspace Vivantes Urban Hospital and Vivantes Friedrichshain Hospital Berlin GermanyVivantes Klinikum Am Urban, Department of Psychiatry, Psychotherapy, and Psychosomatics Incorporating FRITZ at Urban and Soulspace Vivantes Urban Hospital and Vivantes Friedrichshain Hospital Berlin GermanyVivantes Klinikum Am Urban, Department of Psychiatry, Psychotherapy, and Psychosomatics Incorporating FRITZ at Urban and Soulspace Vivantes Urban Hospital and Vivantes Friedrichshain Hospital Berlin GermanyABSTRACT Objective To explore the efficiency of IPS on employment, education, and training (EET) outcomes in young adults with early psychosis. Methods Monocenter parallel arm, randomized controlled trial. Intervention Individual placement and support (IPS) according to the IPS‐Y Fidelity Scale with an add‐on of up to eight sessions of adherence therapy. Main outcome measures EET at least 15 h per week for at least 1 week in the follow‐up. Secondary outcomes included EET rates, duration in EET, and total wages. Additionally, subsample analyses were carried out. Results A total of 94 young adults (18–35 years) with early psychosis in an outpatient psychiatric service were randomly assigned to 12‐month IPS according to program fidelity and standard care versus standard care alone. Four patients were excluded from the analysis because of early dropout after baseline, leaving 90 participants—46 in the IPS group and 44 in the TAU group—for intention to treat (ITT) analysis. EET rate for at least 15 h per week was significantly higher in the IPS group, 78% (36/46) versus 55% (24/44) in the TAU group. The percentage of participants in EET for at least 1 week in the follow‐up was 83% (38/46) versus 59% (26/44). The number of weeks in EET was significantly higher in the IPS group (mean = 31.5 weeks, SD = 20.5 versus mean = 18.4 weeks, SD = 21.2), and the total wages were higher in favor of the IPS group (mean = €10,242, SD = 13,437 versus mean = €5217, SE = 7871). Conclusion IPS integrated into outpatient psychiatric services improves EET in young adults with early psychosis in Germany.https://doi.org/10.1002/brb3.70469early interventionearly psychosisfunctional recoveryNEETsupported educationsupported employment |
| spellingShingle | Dorothea Jäckel Andreas Bechdolf Eva Burkhardt Michèle Kallenbach Marie‐Luise Gamig Anna Mößnang Karolina Leopold Efficacy of Individual Placement and Support (IPS) on Employment, Education, and Training in Young Adults With Early Psychosis—A Randomized Controlled Trial Brain and Behavior early intervention early psychosis functional recovery NEET supported education supported employment |
| title | Efficacy of Individual Placement and Support (IPS) on Employment, Education, and Training in Young Adults With Early Psychosis—A Randomized Controlled Trial |
| title_full | Efficacy of Individual Placement and Support (IPS) on Employment, Education, and Training in Young Adults With Early Psychosis—A Randomized Controlled Trial |
| title_fullStr | Efficacy of Individual Placement and Support (IPS) on Employment, Education, and Training in Young Adults With Early Psychosis—A Randomized Controlled Trial |
| title_full_unstemmed | Efficacy of Individual Placement and Support (IPS) on Employment, Education, and Training in Young Adults With Early Psychosis—A Randomized Controlled Trial |
| title_short | Efficacy of Individual Placement and Support (IPS) on Employment, Education, and Training in Young Adults With Early Psychosis—A Randomized Controlled Trial |
| title_sort | efficacy of individual placement and support ips on employment education and training in young adults with early psychosis a randomized controlled trial |
| topic | early intervention early psychosis functional recovery NEET supported education supported employment |
| url | https://doi.org/10.1002/brb3.70469 |
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