Health-economic Evaluation of the IPS (Individual Placement and Support) Model for Helping People With Severe Mental Disorders Access Employment in the Ordinary Labor Market, Compared to Standard Methods of Helping People Return to Work: a Prospective Real-life Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 234
- 试验地点
- 10
- 主要终点
- Efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness
研究概览
简要总结
The Individual Placement and Support (IPS) model was developed in the United States in the 1990s to help people with severe mental health issues get back into regular jobs. This model is based on the idea that a quick job search that takes into account what patients want, followed by ongoing and intensive support in the community, is especially good for this group. To date, although the effectiveness of the IPS model has been widely demonstrated (for a review, see Metcalfe et al., 2018), only a few studies have evaluated its efficiency in foreign contexts (Knapp et al., 2013; Christensen et al., 2020).
Although the IPS model has been in place in France for around ten years, no studies have yet been conducted to validate its efficiency in the French healthcare system.
The main objective of this prospective, real-life, multicenter study is to evaluate the efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness in terms of cost per additional day worked, from a collective perspective.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged ≥ 18 years
- •Participant with a chronic psychiatric disorder causing significant functional impairment
- •Unemployed
- •Wishing to return to competitive employment in the open labor market
- •Informed about the study and consenting to participate
- •Able to read french
排除标准
- •Individuals not eligible for legal employment due to irregular residency status in France
- •Individuals not affiliated with a social security system
- •Individuals wishing to work in a sheltered/protected setting
- •Individuals currently enrolled in a training program
- •Individuals refusing to participate in the study
结局指标
主要结局
Efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness
时间窗: 18 months
Incremental cost-effectiveness ratio (ICER) expressed as cost per additional day worked at 18 months, from a collective perspective, of the IPS practice model in patients with severe mental disorders.
次要结局
- Efficiency of the IPS model compared to the conventional method of monitoring by social workers among patients with severe mental illness(18 months)
- Cost-benefit ratio of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness,(18 months)
- Budgetary impact on the French national health insurance system (AM) of changes in clinical practices with regard to the two types of support for returning to work.(5 years)
- Compare work productivity and activity disorders between the two groups.(0, 6, 12 and 18 months)
- Compare the rate of hospital care use between the two groups.(18 months)
- Impact of a return to work on patients' level of recovery and overall health.(18 months)
- Impact of a return to work on patients' level of social cognition.(18 months)
- Impact of a return to work on patients' cognitive functioning(18 months)