IPS Mental Health & Employment Support Evaluation
| ISRCTN | ISRCTN71067067 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN71067067 |
| Secondary identifying numbers | TP2015012 |
- Submission date
- 17/07/2015
- Registration date
- 13/08/2015
- Last edited
- 04/04/2016
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English Summary
Background and study aims
Individual Placement and Support (IPS) is a model of support which has been tested in secondary care settings (hospitals) for people with severe and enduring mental health conditions. The objective of IPS is to get people back to work as soon as possible and to support them in employment both occupationally and psychologically. This study will test the impact of the intervention (or programme) when applied to people with common mental health conditions. By integrating local employment support (IPS) and clinical support services provided by NHS’ Improving Access to Psychological Therapies (IAPT) among other community services and 'treatments as usual', we hope to demonstrate that significant savings can be achieved as well leading to improvements in the participants health and employment prospects. It has already been tested on a small group (500 employment and support assistance claimants with common mental health conditions) to check what worked and why from the perspectives of claimants, advisers, and providers as well as analysis of measures of distance travelled (including wellbeing, self-efficacy for work, and a clinical measure of mental health). The aim of this study is to assess the programme on a larger number of people and in the field.
Who can participate?
Mostly claimants of Employment and Support Allowance (ESA) although a proportion of Jobseekers’ allowance claimants who are experiencing common mental health conditions will also be included.
What does the study involve?
In each participating area, participants are randomly allocated to one of two groups: treatment and control. The treatment group receive IPS and the control group receive whichever pre-existing alternative type of support is deemed most appropriate (e.g. IAPT, medication, community support).
What are the possible benefits and risks of participating?
Possible benefits include improved mental health and employment. We do not anticipate any risks above what would be expected in daily life
Where is the study run from?
Three areas in the UK: West London, Blackpool and Northumberland.
When is the study starting and how long is it expected to run for?
September 2015 to December 2017
Who is funding the study?
HM Cabinet Office (UK)
Who is the main contact?
Ms Ní Chonaire
Contact information
Public
33 Greycoat Street
Floor 3
London
SW1P 2QF
United Kingdom
Study information
| Study design | Randomised controlled trial (individual level) |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Other |
| Study type | Treatment |
| Scientific title | Examining the effect of Individual Placement and Support for those receiving mental health support on employment and health outcomes. |
| Study hypothesis | Does an integrated employment and mental health support programme (the IPS model) increase the number of people ceasing to receive unemployment benefits and increase their health outcomes? |
| Ethics approval(s) | London - City Road & Hampstead Research Ethics Committee, 05/02/2016, REC ref: 15/LO/2158 |
| Condition | Mental health |
| Intervention | 1. The control condition will receive mental health treatment as usual e.g. Improving Access to Psychological Therapies (IAPT), medication, GP support. 2. The treatment group will receive mental health treatment as usual as well as Individual Placement and Support (IPS) which is an integrated employment support service. |
| Intervention type | Other |
| Primary outcome measure | The primary outcome measure will involve whether the individuals are off unemployment benefits at 3 and 6 months after entering the intervention. This will be collected via Department for Work and Pensions administrative data. |
| Secondary outcome measures | Secondary outcome measures will include sub sample analysis (e.g. those who are long-term unemployed, those with higher levels of mental health difficulties, gender effects). In addition, for a sub sample of participants we will use mental health as an outcome measure (using PHQ9 and GAD7). We will also include administrative data from HSCIC to measure proxy health outcomes (e.g. hospital admissions, prescriptions). For data collected administratively (i.e. demographics data and HSCIC data), these will be collected 3 and 6 months after entry into the trial. |
| Overall study start date | 15/01/2015 |
| Overall study end date | 01/12/2018 |
Eligibility
| Participant type(s) | Other |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | Blackpool 1500 (1000 in treatment group), North East : 2800 and West London 2250. |
| Participant inclusion criteria | 1. Participants will be required to be in receipt of unemployment benefits. 2. Participants will be required to score within the mild to severe categorisation of the Patient Health Questionnaire 9 and the Generalized Anxiety Disorder 7. |
| Participant exclusion criteria | There are no exclusion criteria. |
| Recruitment start date | 31/07/2016 |
| Recruitment end date | 01/12/2017 |
Locations
Countries of recruitment
- United Kingdom
Study participating centres
Sponsor information
Government
70 Whitehall
London
SW1A 2AS
United Kingdom
"ROR" |
https://ror.org/01w88hp45 |
|---|
Funders
Funder type
Government
No information available
Results and Publications
| Intention to publish date | 01/07/2018 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not expected to be made available |
| Publication and dissemination plan | We plan on publishing a policy report on our results in Summer 2018. |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| HRA research summary | 28/06/2023 | No | No |
Editorial Notes
04/04/2016: Ethics approval information added, recruitment start date changed from 07/09/2015 to 31/07/2016.
