Leipzig - Individual Placement and Support for people with mental illnesses (LIPSY): study protocol of a randomized controlled trial
Abstract Background Individuals receiving means-tested benefits are at a higher risk of being diagnosed with a psychiatric illness compared to those who are employed, and the rate of those working in the first labor market is low. The intervention (Individual Placement and Support, IPS) aims at main...
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Format: | Article |
Language: | English |
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BMC
2021-08-01
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Series: | BMC Psychiatry |
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Online Access: | https://doi.org/10.1186/s12888-021-03416-7 |
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author | Felix S. Hussenoeder Maria Koschig Ines Conrad Uta Gühne Alexander Pabst Sophie-Elisabeth Kühne Mathias Alberti Katarina Stengler Steffi G. Riedel-Heller |
author_facet | Felix S. Hussenoeder Maria Koschig Ines Conrad Uta Gühne Alexander Pabst Sophie-Elisabeth Kühne Mathias Alberti Katarina Stengler Steffi G. Riedel-Heller |
author_sort | Felix S. Hussenoeder |
collection | DOAJ |
description | Abstract Background Individuals receiving means-tested benefits are at a higher risk of being diagnosed with a psychiatric illness compared to those who are employed, and the rate of those working in the first labor market is low. The intervention (Individual Placement and Support, IPS) aims at maintaining or regaining working ability and at facilitating reintegration into the (first) labor market following a “first place, then train”-approach. The objective of the study is to conduct the first RCT in Germany that addresses a broad group of long-term unemployed individuals with severe mental illnesses that receive means-tested benefits, and to test the effectiveness of the IPS intervention. Methods In this randomized controlled trial, about 120 eligible participants aged between 18 years and local retirement age will be randomly allocated to an intervention group (IG) or to an active control group (CG) using a parallel arm design. The IG will receive IPS + high quality treatment as usual (TAU), the active CG will receive TAU + a booklet on integration measures. A block-randomization algorithm with a targeted assignment ratio of 1:1 for participants in IG and active CG will be used, stratified by sex and three age groups. Assessments will take place before the intervention at baseline (t0), and 6 (t1), 12 (t2), and 18 (t3) months later. Primary outcome will be the proportion of participants having worked at least 1 day in competitive employment since baseline, as assessed at t3. Secondary outcomes will be related to employment/ vocation and mental health. In addition, there will be a process evaluation. Treatment effects on outcomes will be tested using appropriate panel-data regression models, and acceptability, uptake and adherence will be evaluated using descriptive statistics and appropriate inference testing. Discussion The results of this trial are expected to generate a better understanding of the efficiency, feasibility, acceptance, and relevance of the IPS intervention in a German setting. They could be a first step towards the implementation of the method and towards improving the situation of long-term unemployed individuals with severe mental health problems. Trial registration German Clinical Trials Register ( DRKS00023245 ), registered on 22.02.2021. |
first_indexed | 2024-12-22T03:46:55Z |
format | Article |
id | doaj.art-d59910f768f44a03916fb7f45463fc95 |
institution | Directory Open Access Journal |
issn | 1471-244X |
language | English |
last_indexed | 2024-12-22T03:46:55Z |
publishDate | 2021-08-01 |
publisher | BMC |
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series | BMC Psychiatry |
spelling | doaj.art-d59910f768f44a03916fb7f45463fc952022-12-21T18:40:06ZengBMCBMC Psychiatry1471-244X2021-08-0121111010.1186/s12888-021-03416-7Leipzig - Individual Placement and Support for people with mental illnesses (LIPSY): study protocol of a randomized controlled trialFelix S. Hussenoeder0Maria Koschig1Ines Conrad2Uta Gühne3Alexander Pabst4Sophie-Elisabeth Kühne5Mathias Alberti6Katarina Stengler7Steffi G. Riedel-Heller8Institute of Social Medicine, Occupational Health and Public Health, University of LeipzigInstitute of Social Medicine, Occupational Health and Public Health, University of LeipzigInstitute of Social Medicine, Occupational Health and Public Health, University of LeipzigInstitute of Social Medicine, Occupational Health and Public Health, University of LeipzigInstitute of Social Medicine, Occupational Health and Public Health, University of LeipzigHelios Park-Klinikum - Clinic for Psychiatry, Psychosomatics and PsychotherapyHelios Park-Klinikum - Clinic for Psychiatry, Psychosomatics and PsychotherapyHelios Park-Klinikum - Clinic for Psychiatry, Psychosomatics and PsychotherapyInstitute of Social Medicine, Occupational Health and Public Health, University of LeipzigAbstract Background Individuals receiving means-tested benefits are at a higher risk of being diagnosed with a psychiatric illness compared to those who are employed, and the rate of those working in the first labor market is low. The intervention (Individual Placement and Support, IPS) aims at maintaining or regaining working ability and at facilitating reintegration into the (first) labor market following a “first place, then train”-approach. The objective of the study is to conduct the first RCT in Germany that addresses a broad group of long-term unemployed individuals with severe mental illnesses that receive means-tested benefits, and to test the effectiveness of the IPS intervention. Methods In this randomized controlled trial, about 120 eligible participants aged between 18 years and local retirement age will be randomly allocated to an intervention group (IG) or to an active control group (CG) using a parallel arm design. The IG will receive IPS + high quality treatment as usual (TAU), the active CG will receive TAU + a booklet on integration measures. A block-randomization algorithm with a targeted assignment ratio of 1:1 for participants in IG and active CG will be used, stratified by sex and three age groups. Assessments will take place before the intervention at baseline (t0), and 6 (t1), 12 (t2), and 18 (t3) months later. Primary outcome will be the proportion of participants having worked at least 1 day in competitive employment since baseline, as assessed at t3. Secondary outcomes will be related to employment/ vocation and mental health. In addition, there will be a process evaluation. Treatment effects on outcomes will be tested using appropriate panel-data regression models, and acceptability, uptake and adherence will be evaluated using descriptive statistics and appropriate inference testing. Discussion The results of this trial are expected to generate a better understanding of the efficiency, feasibility, acceptance, and relevance of the IPS intervention in a German setting. They could be a first step towards the implementation of the method and towards improving the situation of long-term unemployed individuals with severe mental health problems. Trial registration German Clinical Trials Register ( DRKS00023245 ), registered on 22.02.2021.https://doi.org/10.1186/s12888-021-03416-7Mental healthSevere mental illnessWorkIPSRCTLabor market integration |
spellingShingle | Felix S. Hussenoeder Maria Koschig Ines Conrad Uta Gühne Alexander Pabst Sophie-Elisabeth Kühne Mathias Alberti Katarina Stengler Steffi G. Riedel-Heller Leipzig - Individual Placement and Support for people with mental illnesses (LIPSY): study protocol of a randomized controlled trial BMC Psychiatry Mental health Severe mental illness Work IPS RCT Labor market integration |
title | Leipzig - Individual Placement and Support for people with mental illnesses (LIPSY): study protocol of a randomized controlled trial |
title_full | Leipzig - Individual Placement and Support for people with mental illnesses (LIPSY): study protocol of a randomized controlled trial |
title_fullStr | Leipzig - Individual Placement and Support for people with mental illnesses (LIPSY): study protocol of a randomized controlled trial |
title_full_unstemmed | Leipzig - Individual Placement and Support for people with mental illnesses (LIPSY): study protocol of a randomized controlled trial |
title_short | Leipzig - Individual Placement and Support for people with mental illnesses (LIPSY): study protocol of a randomized controlled trial |
title_sort | leipzig individual placement and support for people with mental illnesses lipsy study protocol of a randomized controlled trial |
topic | Mental health Severe mental illness Work IPS RCT Labor market integration |
url | https://doi.org/10.1186/s12888-021-03416-7 |
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