Evidence map›Paper›PMID 33661452›Full record

SynthesisJournal of occupational rehabilitation2021

Vocational Outcomes of the Individual Placement and Support Model in Subgroups of Diagnoses, Substance Abuse, and Forensic Conditions: A Systematic Review and Analysis of Pooled Original Data.

Lone Hellström, Pernille Pedersen, Thomas Nordahl Christensen, Iben Gammelgaard Wallstroem, Anders Bo Bojesen, Elsebeth Stenager, Ulrika Bejerholm, Jooske van Busschbach, Harry Michon, Kim T Mueser and 3 more

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of occupational rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Article
  7. Article
  8. Review
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  11. Individual placement and support: History, current status, and future directions.PCN reports : psychiatry and clinical neurosciences · 2023
    Review
  12. Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 6 countries.

Lone HellströmCORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 2900, Hellerup, Denmark. lone.hellstroem@regionh.dk.ORCID http://orcid.org/0000-0002-1137-6455
Pernille PedersenDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Thomas Nordahl ChristensenCORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 2900, Hellerup, Denmark.
Iben Gammelgaard WallstroemResearch Unit of Mental Health, Odense, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark.
Anders Bo BojesenCORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 2900, Hellerup, Denmark.
Elsebeth StenagerResearch Unit of Mental Health, Aabenraa, Institute of Regional Health Services, University of Southern Denmark, Odense, Denmark.
Ulrika BejerholmDepartment Health Sciences, Lund University, Lund, Sweden.
Jooske van BusschbachUniversity Medical Center Groningen, Groningen, Netherlands.
Harry MichonTrimbos Institute, Utrecht, Netherlands.
Kim T MueserCenter for Psychiatric Rehabilitation, Boston University, Boston, USA.
Silje Endresen RemeDepartment of Psychology, University of Oslo, Oslo, Norway.
Sarah WhitePopulation Health Research Institute St George's, University of London, London, UK.
Lene Falgaard EplovCORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Gentofte Hospitalsvej 15, 2900, Hellerup, Denmark.
Gentofte Hospital · DKUniversity of Southern Denmark · DKAarhus University · DKBoston University · USLund University · SESt George's, University of London · GBTrimbos Institute · NLUniversity Medical Center Groningen · NLUniversity of Copenhagen · DKUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effect of Individual Placement and Support (IPS) according to diagnoses of schizophrenia, bipolar disorder, major depression, substance use disorders, or forensic psychiatric conditions.

methodsA systematic search of the literature was conducted in June 2017 and repeated in December 2020. The systematic review included 13 studies. Analyses of pooled original data were based on the six studies providing data (n = 1594). No studies on forensic psychiatric conditions were eligible. Hours and weeks worked were analyzed using linear regression. Employment, and time to employment was analyzed using logistic regression, and cox-regression, respectively.

resultsThe effects on hours and weeks in employment after 18 months were comparable for participants with schizophrenia, and bipolar disorder but only statistically significant for participants with schizophrenia compared to services as usual (SAU) (EMD 109.1 h (95% CI 60.5-157.7), 6.1 weeks (95% CI 3.9-8.4)). The effect was also significant for participants with any drug use disorder (121.2 h (95% CI 23.6-218.7), 6.8 weeks (95% CI 1.8-11.8)). Participants with schizophrenia, bipolar disorder, and any drug use disorder had higher odds of being competitively employed (OR 2.1 (95% CI 1.6-2.7); 2.4 (95% CI 1.3-4.4); 3.0 (95% CI 1.5-5.8)) and returned to work faster than SAU (HR 2.1 (95% CI 1.6-2.6); 1.8 (95% CI 1.1-3.1); 3.0 (95% CI 1.6-5.7)). No statistically significant effects were found regarding depression.

conclusionsIPS was effective regarding schizophrenia, bipolar disorder, and substance use disorder; however, the effect on hours, and weeks worked was not statistically significant regarding bipolar disorder. For people with depression the impact of IPS remains inconclusive. Non-significant results may be due to lack of power.

trial registrationPROSPERO protocol nr. CRD42017060524.

Indexed as

Depressive DisorderEmployment, SupportedMental DisordersSchizophreniaSubstance-Related DisordersHumansRehabilitation, VocationalMental disordersSubstance-related disordersSupported employmentVocational rehabilitation

Identifiers

PMID33661452
OpenAlexW3133623578

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.