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Enhancing the quality of Life for people with Severe mental health problems through Supported Employment.


- candidate number1493
- NTR NumberNTR295
- ISRCTNISRCTN15173187
- Date ISRCTN created20-dec-2005
- date ISRCTN requested18-okt-2005
- Date Registered NTR9-sep-2005
- Secondary IDsN/A 
- Public TitleEnhancing the quality of Life for people with Severe mental health problems through Supported Employment.
- Scientific TitleA Randomised controlled trial of the cost-effectiveness of Individual Placement and Support in six European countries.
- ACRONYMEQOLISE
- hypothesisIndividual Placement and Supported will be cost-effective in achieving regular (open, paid) employment. Differences between countries in the effectiveness of IPS can be explained by socio-economic variables like the employment rate and for instance the existence of a 'benefit trap'.
- Healt Condition(s) or Problem(s) studiedMental illness
- Inclusion criteria1. Diagnosis of a serious mental illness: schizophrenia, schzophrenia-like disorders, bipolardisorder with psychotic features;
2. Age 18-65 years;
3. Living in the community at baseline;
4. Not employed for more then a month in the year before the start of the study;
5. In mental health care for more then two years;
6. Interest in competitive employment;
7. Willing to give informed consent.
- Exclusion criteriaUse of the EXP or CC service in the preceding year.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-jan-2003
- planned closingdate1-jan-2006
- Target number of participants300
- InterventionsIndividual PLacement and Support (EXP) will be compared to standard vocational rehabilitation (CC).
- Primary outcome1. Achievement of open, paid employment;
2. Hours of open employment;
3. Time in open employment.
- Secondary outcome1. Clinical improvement;
2. Hospital admissions;
3. (un-met) needs for care;
4. Quality of life.
- TimepointsN/A
- Trial web siteN/A
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIESDr. J.T. Busschbach, van
- CONTACT for SCIENTIFIC QUERIESMD. J.J. Wiersma
- Sponsor/Initiator University Medical Center Groningen (UMCG), Rob Giel Research Center (RGOc)
- Funding
(Source(s) of Monetary or Material Support)
European Community
- PublicationsN/A
- Brief summaryA high proportion of people with severe mental health problems are unemployed but would like to work.
In the US Individual Placement and Support has proved an effective method in establishing people in paid employment.
To investigate the (cost-)effectiveness of IPS outside the US a randomised trail was conducted in six European countries.
Three hunderd people were randomised to receive either IPS or vocational rehabilitation and were followed for 18 months. service data were collected respectively at baseline and over the subsequent 18 months.
Outcome related data were also collected. Costs were calculated using both local and national unit costfigures.
A cost-effectiveness analysis will be conducted with achievement of (open, paid) employment as the primary outcome and other vocational achievements, clinical improvements and hospital admission as secondary outcomes.
Cost-effectiveness acceptability curves will be plotted, distinguishing country effects.
- Main changes (audit trail)
- RECORD9-sep-2005 - 29-okt-2008


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