Trial reportSchizophrenia bulletin2006
Randomized trial of supported employment integrated with assertive community treatment for rural adults with severe mental illness.
Trial report in Schizophrenia bulletin, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- The effectiveness of interventions in reducing economic inactivity for people with long term health conditions and disabilities in the United Kingdom: a systematic review.BMC public health · 2025Pooled it
- Who benefits from individual placement and support? A meta-analysis.Epidemiology and psychiatric sciences · 2022Pooled it
- Employment Interventions in Health Settings: A Systematic Review and Synthesis.Annals of family medicine · 2018Pooled it
- 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 · 2018Pooled it
- Interventions for obtaining and maintaining employment in adults with severe mental illness, a network meta-analysis.The Cochrane database of systematic reviews · 2017Pooled it
- Intensive case management for severe mental illness.The Cochrane database of systematic reviews · 2017Pooled it
- Supported employment for adults with severe mental illness.The Cochrane database of systematic reviews · 2013Pooled it
- Intensive case management for severe mental illness.The Cochrane database of systematic reviews · 2010Pooled it
- The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements.Schizophrenia bulletin · 2010Guideline
- Protocol for the SEED-trial: Supported Employment and preventing Early Disability.BMC public health · 2016Trial
- Trial
- Trial
- The relationships between employment, clinical status, and psychiatric hospitalisation in patients with schizophrenia receiving either IPS or a conventional vocational rehabilitation programme.Social psychiatry and psychiatric epidemiology · 2012Trial
- The impact of supported employment and working on clinical and social functioning: results of an international study of individual placement and support.Schizophrenia bulletin · 2009Trial
- Supported employment outcomes of a randomized controlled trial of ACT and clubhouse models.Psychiatric services (Washington, D.C.) · 2006Trial
- Recovery-Oriented Practices in Community-based Mental Health Services: A Systematic Review.Iranian journal of psychiatry · 2023Review
- Examination of Adaptations to the Evidence Based Supported Employment Model: Individual Placement and Support.Administration and policy in mental health · 2023Article
- A structured mixed method process evaluation of a randomized controlled trial of Individual Placement and Support (IPS).Implementation science communications · 2020Article
- Observational
- Client, Contextual and Program Elements Influencing Supported Employment: A Literature Review.Community mental health journal · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Urban-based randomized clinical trials of integrated supported employment (SE) and mental health services in the United States on average have doubled the employment rates of adults with severe mental illness (SMI) compared to traditional vocational rehabilitation. However, studies have not yet explored if the service integrative functions of SE will be effective in coordinating rural-based services that are limited, loosely linked, and geographically dispersed. In addition, SE's ability to replicate the work outcomes of urban programs in rural economies with scarce and less diverse job opportunities remains unknown. In a rural South Carolina county, we designed and implemented a program blending Assertive Community Treatment (ACT) with an SE model, Individual Placement and Support (IPS). The ACT-IPS program operated with ACT and IPS subteams that tightly integrated vocational with mental health services within each self-contained team. In a 24-month randomized clinical trial, we compared ACT-IPS to a traditional program providing parallel vocational and mental health services on competitive work outcomes for adults with SMI (N = 143; 69% schizophrenia, 77% African American). More ACT-IPS participants held competitive jobs (64 versus 26%; p < .001, effect size [ES] = 0.38) and earned more income (median [Mdn] = 549 US dollars, interquartile range [IQR] = 0-5,145 US dollars, versus Mdn = 0 US dollars, IQR = 0-40 US dollars; p < .001, ES = 0.70) than comparison participants. The competitive work outcomes of this rural ACT-IPS program closely resemble those of urban SE programs. However, achieving economic self-sufficiently and developing careers probably require increasing access to higher education and jobs imparting marketable technical skills.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.