Rinaldi Miles, Perkins Rachel, Baxter Robert, Dorrington Paul, Saville Kat
South West London and St George's Mental Health NHS Trust, London, UK.
Centre for Work and Mental Health, Nordlandssykehuset HF, Bodø, Norway.
BJPsych Bull. 2024 Oct 11:1-8. doi: 10.1192/bjb.2024.68.
To explore the duration of support, reach, effectiveness and equity in access to and outcome of individual placement and support (IPS) in routine clinical practice. A retrospective analysis of routine cross-sectional administrative data was performed for people using the IPS service ( = 539).
A total of 46.2% gained or retained employment, or were supported in education. The median time to gaining employment was 132 days (4.3 months). Further, 84.7% did not require time-unlimited in-work support, and received in-work support for a median of 146 days (4.8 months). There was a significant overrepresentation of people from Black and minority ethnic communities accessing IPS, but no significant differences in outcomes by diagnosis, ethnicity, age or gender.
Most people using IPS services do not appear to need time-unlimited in-work support. Community teams with integrated IPS employment specialists can be optimistic when addressing people's recovery goals of gaining and retaining employment.
探讨常规临床实践中个体安置与支持（IPS）服务的支持时长、覆盖范围、有效性以及获取服务和服务结果的公平性。对使用IPS服务的人群（n = 539）的常规横断面管理数据进行回顾性分析。
共有46.2%的人获得或保住了工作，或在教育方面得到了支持。获得工作的中位时间为132天（4.3个月）。此外，84.7%的人不需要无时间限制的在职支持，在职支持的中位时长为146天（4.8个月）。来自黑人和少数族裔社区的人使用IPS服务的比例显著过高，但在诊断、种族、年龄或性别方面，服务结果没有显著差异。
大多数使用IPS服务的人似乎不需要无时间限制的在职支持。配备综合IPS就业专家的社区团队在实现人们获得和保住工作的康复目标时可以保持乐观。
