SynthesisSchizophrenia bulletin2018
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.
Synthesis in Schizophrenia bulletin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 7 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
41 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Supported employment interventions with people who have severe mental illness: Systematic mixed-methods umbrella review.PloS one · 2024Pooled it
- A Systematic Review and Meta-analysis of IPS Supported Employment for Young Adults with Mental Health Conditions.Administration and policy in mental health · 2023Pooled it
- Who benefits from individual placement and support? A meta-analysis.Epidemiology and psychiatric sciences · 2022Pooled it
- The effects of supported employment interventions in populations of people with conditions other than severe mental health: a systematic review.Primary health care research & development · 2021Pooled it
- 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 · 2021Pooled it
- Effectiveness of supported employment in non-trial routine implementation: systematic review and meta-analysis.Social psychiatry and psychiatric epidemiology · 2019Pooled it
- Supported employment: Meta-analysis and review of randomized controlled trials of individual placement and support.PloS one · 2019Pooled it
- Employment in Personality Disorders and the Effectiveness of Individual Placement and Support: Outcomes from a Secondary Data Analysis.Journal of occupational rehabilitation · 2020Trial
- Modifiable Predictors of Supported Employment Outcomes Among People With Severe Mental Illness.Psychiatric services (Washington, D.C.) · 2019Trial
- Effect of Evidence-Based Supported Employment vs Transitional Work on Achieving Steady Work Among Veterans With Posttraumatic Stress Disorder: A Randomized Clinical Trial.JAMA psychiatry · 2018Trial
- Tailored job coaching for people with severe mental illness living in supported housing settings: A realist approach.PloS one · 2026Article
- Co-production using Theory of Change in the development of the SUCCEED Africa community-based rehabilitation intervention for people living with psychosis in West and Southeast Africa.PLOS mental health · 2026Article
- Health-related quality of life of unemployed individuals diagnosed with a mental illness: a cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- A qualitative study of the IPS employment specialist role in the context of Nav employment in Norway.BMC psychiatry · 2025Article
- Factors Associated with the Prevalence of Psychiatric Disorders Among Saudi Adults in the Eastern Region and Their Health Implications.Healthcare (Basel, Switzerland) · 2024Article
- Individual placement and support: History, current status, and future directions.PCN reports : psychiatry and clinical neurosciences · 2023Review
- Examination of Adaptations to the Evidence Based Supported Employment Model: Individual Placement and Support.Administration and policy in mental health · 2023Article
- Intersectional perspectives on the employment rate in Supported Employment for people with psychiatric, neuropsychiatric, or intellectual disabilities: A scoping review.Work (Reading, Mass.) · 2023Article
- Transition to Labor Market among Young Adults with Serious Mental Illness.International journal of environmental research and public health · 2022Article
- Predictive Association of Low- and High-Fidelity Supported Employment Programs with Multiple Outcomes in a Real-World Setting: A Prospective Longitudinal Multi-site Study.Administration and policy in mental health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As Individual Placement and Support (IPS) has become the international standard for vocational rehabilitation of adults with serious mental illness, researchers must consider the relationship between IPS and local environments. This meta-analysis used mixed-effects meta-regressions to assess the impact of site-level moderators on the likelihood that IPS recipients, compared with recipients of alternative vocational services, achieved competitive employment. Potential moderators included change in gross domestic product (GDP), local unemployment and unionization rates, and indices describing employment protection regulations, level of disability benefits compensation, and efforts to integrate people with disabilities into the workforce. Regulatory moderators represent facilitators and barriers to employment that may reinforce or detract from the effectiveness of IPS. Across 30 sites drawn from 21 randomized controlled trials in 12 countries (33% in the United States), IPS recipients were 2.31 (95% CI 1.99-2.69) times more likely to find competitive employment than recipients of alternative vocational rehabilitation services. The significant competitive-employment rate advantage of IPS over control services increased in the presence of weaker employment protection legislation and integration efforts, and less generous disability benefits. Policy makers should recognize and account for the fact that labor and disability regulations can create an arrangement of incentives that reduces the relative efficacy of supported employment.
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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.