ArticleAdministration and policy in mental health2022
Predictive Association of Low- and High-Fidelity Supported Employment Programs with Multiple Outcomes in a Real-World Setting: A Prospective Longitudinal Multi-site Study.
Article in Administration and policy in mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Do individual placement and support (IPS) service users leave their jobs soon? A subgroup analysis of a long-term follow-up study and a comparison with other population groups' data.Psychiatry and clinical neurosciences · 2026Article
- Structural barriers to implementing individual placement and support in Japanese disability policies and Labor systems.Public health reviews · 2026Article
- interRAI Quality of Life for Mental Health and Addictions: Psychometric Properties and Differences Across Age, Gender, and Service Settings in Brazil.International journal of methods in psychiatric research · 2025Article
- Comparative Analysis of Independent Reviewer-Rated and Self-Rated Fidelity Scores in Individual Placement and Support Programs: Repeated Cross-Sectional Surveys.Administration and policy in mental health · 2025Article
- Individual Placement and Support (IPS) beyond severe mental health: An overview review and meta-analysis of evidence around vocational outcomes.Preventive medicine reports · 2024Review
- 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
- Article
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Authors and funding
6 authors.
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Abstract
purposeThe individual placement and support (IPS) model of supported employment is a leading evidence-based practice in community mental health services. In Japan, individualized supported employment that is highly informed by the philosophy of the IPS model has been implemented. While there is a body of evidence demonstrating the association between program fidelity and the proportion of participants gaining competitive employment, the association between fidelity and a wider set of vocational and individual outcomes has received limited investigation. This study aimed to assess whether high-fidelity individualized supported employment programs were superior to low-fidelity programs in terms of vocational outcomes, preferred job acquisition, and patient-reported outcome measures (PROMs).
methodsA prospective longitudinal study with 24-month follow-up analyzed 16 individualized supported employment programs. The Japanese version of the individualized Supported Employment Fidelity scale (JiSEF) was used to assess the structural quality of supported employment programs (scores: low-fidelity program, ≤ 90; high-fidelity program, ≥ 91). Job acquisition, work tenure, work earnings, job preference matching (e.g., occupation type, salary, and illness disclosure), and PROMs such as the INSPIRE and WHO-Five Well-being index were compared between groups.
resultsThere were 75 and 127 participants in the low-fidelity group (k = 6) and high-fidelity group (k = 10), respectively. The high-fidelity group demonstrated better vocational outcomes than the low-fidelity group, i.e., higher competitive job acquisition (71.7% versus 38.7%, respectively, adjusted odds ratio (aOR) = 3.6, p = 0.002), longer work tenure (adjusted mean difference = 140.8, p < 0.001), and better match for illness disclosure preference (92.6% versus 68.0%, respectively, aOR = 5.9, p = 0.003). However, we found no differences between groups in other preference matches or PROM outcomes.
conclusionHigh-fidelity individualized supported employment programs resulted in good vocational outcomes in a real-world setting. However, enhancing service quality to increase desired job acquisition and improve PROMs will be important in the future. CLINICAL
trial registrationUMIN000025648.
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