- Mental Health and Patient Involvement
- Psychiatric care and mental health services
- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Employment and Welfare Studies
- Healthcare innovation and challenges
- Adolescent and Pediatric Healthcare
- Geriatric Care and Nursing Homes
- Workplace Health and Well-being
- Healthcare Decision-Making and Restraints
- Family Caregiving in Mental Illness
- Health Systems, Economic Evaluations, Quality of Life
- Homelessness and Social Issues
- Genetics and Neurodevelopmental Disorders
- Healthcare professionals’ stress and burnout
- Biodiesel Production and Applications
- Retirement, Disability, and Employment
- Social Work Education and Practice
- Genomic variations and chromosomal abnormalities
- Child and Adolescent Psychosocial and Emotional Development
- Obesity and Health Practices
- COVID-19 and Mental Health
- Emergency and Acute Care Studies
- Family Support in Illness
- Healthcare Systems and Public Health
Nordland Hospital Trust
2021-2025
South West London and St George's Mental Health NHS Trust
2010-2025
Haukeland University Hospital
2022-2024
Springfield University Hospital
2004-2020
National Health Service
2014
Miles College
2007-2013
Baystate Medical Center
2001
Springfield Hospital
2001
Background: Currently there is no evidence on the effectiveness of Individual Placement and Support (IPS) in Sweden. Aims: To determine IPS vocational outcomes among people with severe mental illness (SMI) a Swedish context. A secondary aim was to evaluate community integration effect. Methods: randomized controlled trial parallel design used. Mental health outpatients SMI were or traditional rehabilitation (TVR) services. The allocation status assessor-blinded. primary outcome competitive...
Vocational rehabilitation for people with severe mental health problems is poorly developed in the UK. Although there a clear evidence base indicating effectiveness of approaches to helping gain and retain employment generally lack awareness this evidence. As result has been implementation within routine clinical practice most effective improving outcomes such individuals.
High numbers of patients discharged from psychiatric hospital care are readmitted within a year. Peer support for discharge has been suggested as an approach to reducing readmission post-discharge. Implementation called in policy, however, evidence effectiveness large rigorous trials is missing. We aimed establish whether peer reduces readmissions the year post-discharge.We report parallel, two-group, individually randomised, controlled superiority trial, with trial personnel masked...
Aims and Method To examine the vocational status of people with longer-term mental health problems in inner London Borough Wandsworth. Data collected over 10 years on 1 April each year as part an annual census adults using community rehabilitation teams were analysed to these groups. Results Within borough unemployment rates among increased steadily during 1990s, despite a decreasing rate general for majority that period. Unemployment long-term from 80% 1990 92% 1999, those diagnosis...
Aims and Method To examine the effectiveness of integrating evidence-based supported employment into an early intervention service for young people with first-episode psychosis. Demographic, clinical vocational data were collected over a 12-month period to evaluate effect on outcomes at 6 months 12 specialist, assess model fidelity. Results Following profiling input from specialist team, there significant increases in proportion clients engaged work or educational activity first...
Individual placement and support (IPS) is effective in helping patients return to work but poorly implemented because of clinical ambivalence fears relapse.To assess whether a motivational intervention (motivational interviewing) directed at staff address about employment improved patients' occupational outcomes.Two four early teams that already provided IPS were randomised receive interviewing training for clinicians, focused on attitudinal barriers employment. The trial was registered with...
Abstract Background Peer workers are increasingly employed in mental health services to use their own experiences of distress supporting others with similar experiences. While evidence is emerging the benefits peer support for people using services, impact on less clear. There a lack research that takes longitudinal approach exploring both employment outcomes workers, and working worker role. Methods In mixed methods study, 32 providing discharge from inpatient community care - as part...
Abstract Background Individual placement and support (IPS) is an evidence-based practice that helps individuals with mental illness gain retain employment. IPS was implemented for young adults at a municipality level through cross-sectoral collaboration between specialist healthcare, primary the government funded employment service (NAV). We investigated whether implementation had causal effect on outcomes all in receipt of temporary health-related rehabilitation (work assessment allowance,...
The onset of schizophrenia is associated with a pronounced decline in employment and educational attainment.The aim this study was to evaluate the impact implementing Individual Placement Support approach (supported employment) adapted include supported education within an Early Intervention Team for young people first episode psychosis UK.Demographic, clinical vocational data were collected between November 2001 July 2006 on service user outcomes at 6, 12, 18 24 months. pathways are...
Aims and Method We evaluated the impact of implementing individual placement support (IPS) approach within eight community mental health teams (CMHTs) in two London boroughs. Demographic, clinical vocational data were collected enabling a comparison number people supported work/education client outcomes at 6 12 months. Results Following integration employment specialists there significant increases proportion clients engaged mainstream work or educational activity months The 38% open 39%...
For decades there has been a continuous increase in the number of people receiving welfare benefits for being outside work force due to mental illness. There is sufficient evidence efficacy Individual Placement and Support (IPS) gaining maintaining competitive employment. Yet, IPS still not implemented as routine practice public community health services. Knowledge about implementation challenges experienced by practitioners limited. This study seeks explore experiences front-line workers,...
Employment provides an economic means, gives social status and promotes inclusion. While people with mental health problems attach a high priority to gaining employment, they face many barriers that inhibit their ability gain retain employment. This paper describes how trust actively promoted vocational rehabilitation through implementing evidence-based principles within the clinical teams. It reports acknowledged unique contribution of occupational therapy in partnership services enable its...
Vocational rehabilitation for people with severe mental health problems is poorly developed in the UK. Although a high proportion state they would like to work, few actually do. This paper reports pre and post design comparing outcomes of two vocational services UK: an Individual Placement Support (IPS) service non-integrated pre-vocational addition employment outcomes, we report fidelity ratings, costs findings from survey user experiences years after implementing IPS. The study shows that...
Abstract Introduction: In the period shortly after discharge from inpatient to community mental health care, people are at increased risk of self-harm, suicide, and readmission hospital. Discharge interventions including peer support have shown potential, there is some evidence that community-based reduces readmissions. However, systematic reviews in services indicate poor trial quality a lack reporting how distinctive other support. This study designed establish clinical cost effectiveness...
In the context of UK policy to promote employment for people with disability as a means greater social inclusion, this study investigated how severe mental health problems fare in existing supported agencies. The aim was identify factors associated successful placement work and test impact working on psychological well-being group. One hundred fifty-five users six English agencies were followed up 1 year (2005-2006). Information collected about their status, job-seeking behaviour, perceived...
Aims and method To examine the effects of implementing individual placement support (IPS) approach within four community mental health teams (CMHTs). Demographic, clinical vocational data were collected through a repeated cross-sectional survey. Additionally, service user experience survey was conducted. Results The IPS appears to have significant effect on employment rates users; higher proportion felt able return smaller believed they unable work because their problems. Employment for...
Article A Survey on Prader-Willi Syndrome in the Italian Population: Prevalence of Historical and Clinical Signs was published October 1, 2009 journal Journal Pediatric Endocrinology Metabolism (volume 22, issue 10).