Welche Faktoren beeinflussen den Erfolg von Supported Employment?

Zusammenfassung

Anliegen: Identifikation prädiktiver Faktoren für den Erfolg von Supported Employment (SE) und prevocational training (PVT) bei Menschen mit psychischen Erkrankungen.

Methode: Systematische Literatursuche in PsychInfo, PubMed, PsychIndex, PsyArticles.

Ergebnisse: 45 Artikel konnten eingeschlossen werden. Motivation, Arbeitserfahrung und das Einhalten der SE-Prinzipien konnten als wichtigste Prädiktoren identifiziert werden.

Schlussfolgerung: Es zeigt sich, dass unter Berücksichtigung der einzelnen Prädiktoren der Erfolg von SE weiter gesteigert werden kann.

Abstract

Objectives: Main goal of this review is to identify predictive factors for the outcome of Individual Placement and Support (IPS) with a focus on Supported Employment (SE) and of pre-vocational training (PVT) of individuals with mental illness.

Method: A systematic search of PsychInfo, PubMed, PsychIndex and PsyArticles was conducted. Studies were included if they compared both approaches, SE and PVT, contained predictors to optimize SE or PVT, investigated the effectiveness of SE or examined what constitutes adequate job coaching.

Results: 45 articles have been included. 27 articles referred to predictors that influence the outcome of SE or PVT, 9 showed a direct comparison between both approaches, 5 investigated job coaching and 4 examined the effectiveness of SE.

In summary motivation, work experience and high fidelity of IPS criteria seem to be the most important predictors for a successful job reintegration using SE.

Discussion: Overall, SE is more effective than PVT. The success of SE can be enhanced by keeping the predictors in mind. However, future research should focus more specifically on predictors.

Schlüsselwörter

Supported Employment - berufliche Wiedereingliederung - pre-vocational training - Prädiktor - psychische Erkrankung

Keywords

supported employment - vocational rehabilitation - predictor - mental illness - pre-vocational training

• Literatur

• 1 Tschopp MK, Perkins DV, Wood H et al. Employment considerations for individuals with psychiatric disabilities and criminal histories: Consumer perspectives. J Vocat Rehabil 2011; 35: 129-141
• 2 Twamley EW, Vella L, Burton CZ et al. The efficacy of supported employment for middle-aged and older people with schizophrenia. Schizophr Res 2012; 135: 100-104
• 3 Burns T, Catty J, White S et al. The impact of supported employment and working on clinical and social functioning: results of an international study of individual placement and support. Schizophr Bull 2009; 35: 949-958
• 4 Berger M, Schneller C, Maier W. Arbeit, psychische Erkrankung und Burn Out. Nervenarzt 2012; 83: 1364-1372
• 5 Kawohl W, Lauber C. Arbeit und psychische Gesundheit. In: Rössler W, Kawohl W, Hrsg. Soziale Psychiatrie. Band 1: Grundlagen. Stuttgart: Kohlhammer; 2013: 117-126
• 6 Brieger P, Hoffmann H. Was bringt psychisch Kranke nachhaltig in Arbeit?. Nervenarzt 2012; 83: 840-846
• 7 Catty J, Lissouba P, White S et al. Predictors of employment for people with severe mental illness: results of an international six-centre randomised controlled trial. Br J Psychiatry 2008; 192: 224-231
• 8 Drake RE, McHugo GJ, Bebout RR et al. A randomized clinical trial of supported employment for inner-city patients with severe mental disorders. Arch Gen Psychiatry 1999; 56: 627-633
• 9 McGurk SR, Mueser KT, DeRosa TJ et al. Work, recovery, and comorbidity in schizophrenia: a randomized controlled trial of cognitive remediation. Schizophr Bull 2009; 35: 319-335
• 10 Corrigan PW, Larson JE, Kuwabara S. Mental illness stigma and the fundamental components of supported employment. Rehabil Psychol 2007; 52: 451-457
• 11 Killackey E, Jackson HJ, McGorry PD. Vocational intervention in first-episode psychosis: individual placement and support v. treatment as usual. Br J Psychiatry 2008; 193: 114-120
• 12 Hoffmann H. Was macht Supported Employment so überlegen?. Psychiatrie 2013; 10: 95-101
• 13 Becker DR, Drake RE. A working life for people with severe mental illness. New York: Oxford University Press; 1993
• 14 Burns T, Catty J, Becker T et al. The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial. Lancet 2007; 370: 1146-1152
• 15 Jäger M, Paras S, Nordt C et al. Wie nachhaltig ist Supported Employment? Eine katamnestische Untersuchung. Neuropsychiatr 2013; 27: 196-201
• 16 Campbell K, Bond GR, Drake RE et al. Client predictors of employment outcomes in high-fidelity supported employment: a regression analysis. J Nerv Ment Dis 2010; 198: 556-563
• 17 Bond GR, Drake RE, Becker DR. Generalizability of the Individual Placement and Support (IPS) model of supported employment outside the US. World Psychiatry 2012; 11: 32-39
• 18 Kinoshita Y, Furukawa TA, Kinoshita K et al. Supported Employment for adults with severe mental illness. Cochrane Database Syst Rev 2013; 9 CD008297
• 19 Bauer M. Sozialpsychiatrie kann als eigenständiges Gebiet abgeschafft werden – Pro. Psychiat Prax 2013; 40: 411-412
• 20 Wancata J. Sozialpsychiatrie kann als eigenständiges Gebiet abgeschafft werden – Kontra. Psychiat Prax 2013; 40: 412-413
• 21 DGPPN Hrsg. S3-Leitlinie Psychosoziale Therapien bei schweren psychischen Erkrankungen. Heidelberg: Springer; 2012
• 22 Anthony WA, Jansen MA. Predicting the Vocational Capacity of the Chronically Mentally Ill. Am Psychol 1984; 39: 537-544
• 23 Tsang WH, Leung AY, Chung RCK et al. Review on vocational predictors: a systematic review of predictors of vocational outcomes among individuals with schizophrenia: a update since 1998. Aust N Z J Psychiatry 2010; 44: 495-504
• 24 Campbell K, Bond GR, Drake RE. Who benefits from supported employment: a meta-analytic study. Schizophr Bull 2011; 37: 370-380
• 25 Baksheev GN, Allott K, Jackson HJ et al. Predictors of vocational recovery among young people with first-episode psychosis: findings from a randomized controlled trial. Psychiatr Rehabil J 2012; 35: 421-427
• 26 Biegel DE, Stevenson LD, Beimers D et al. Predictors of Competitive Employment Among Consumers With Co-Occurring Mental and Substance Use Disorders. Res Soc Work Pract 2009; 20: 191-201
• 27 Medalia A, Choi J. Cognitive remediation in schizophrenia. Neuropsychol Rev 2009; 19: 353-364
• 28 Rosenheck R, Leslie D, Keefe R et al. Barriers to employment for people with schizophrenia. Am J Psychiatry 2006; 163: 411-417
• 29 Twamley EW, Narvaez JM, Becker DR et al. Supported employment for middle-aged and older people with schizophrenia. Am J Psychiatr Rehabil 2008; 11: 76-89
• 30 Burke-Miller J, Razzano LA, Grey DD et al. Supported Employment Outcomes for Transition Age Youth and Young Adults. Psychiatr Rehabil J 2012; 35: 171-179
• 31 Catty J, White S, Koletsi M et al. Therapeutic relationships in vocational rehabilitation: predicting good relationships for people with psychosis. Psychiatry Res 2011; 187: 68-73
• 32 Gold PB, Meisler N, Santos AB et al. Randomized trial of supported employment integrated with assertive community treatment for rural adults with severe mental illness. Schizophr Bull 2006; 32: 378-395
• 33 Drake RE, Xie H, Bond GR et al. Early psychosis and employment. Schizophr Res 2013; 146: 111-117
• 34 McGurk SR, Mueser KT, Pascaris A. Cognitive training and supported employment for persons with severe mental illness: one-year results from a randomized controlled trial. Schizophr Bull 2005; 31: 898-909
• 35 Kurtz MM. Neurocognition as a predictor of response to evidence-based psychosocial interventions in schizophrenia: What is the state of the evidence?. Clin Psychol Rev 2011; 31: 663-672
• 36 Vauth R, Corrigan PW, Clauss M et al. Cognitive strategies versus self-management skills as adjunct to vocational rehabilitation. Schizophr Bull 2005; 31: 55-66
• 37 McGurk SR, Mueser KT, Feldman K et al. Cognitive training for supported employment: 2–3 year outcomes of a randomized controlled trial. Am J Psychiatry 2007; 164: 437-441
• 38 Wexler BE, Bell MD. Cognitive remediation and vocational rehabilitation for schizophrenia. Schizophr Bull 2005; 31: 931-941
• 39 Gühne G, Weinmann S, Arnold K et al. Das Training sozialer Fertigkeiten bei schweren psychischen Erkrankungen – ist es wirksam? Eine systematische Übersicht. Psychiat Prax 2012; 39: 371-380
• 40 Tsang HW. Applying social skills training in the context of vocational rehabilitation for people with schizophrenia. J Nerv Ment Dis 2001; 189: 90-98
• 41 Tsang HW, Pearson V. Work-related social skills training for people with schizophrenia in Hong Kong. Schizophr Bull 2001; 27: 139-148
• 42 Wallace JC, Taubler R. Supplementing Supported Employment with workplace Skils training. Psychiatr Serv 2004; 55: 513-515
• 43 Mueser KT, Aalto S, Becker DR et al. The Effectiveness of Skills Training for Improving Ourcomes in Supported Employment. Psychiatr Serv 2005; 56: 1254-1260
• 44 Corbière M, Lanctôt N, Sanquirgo N et al. Evaluation of self-esteem as a worker for people with severe mental disorders. J Vocat Rehabil 2009; 30: 87-98
• 45 Frounfelker R, Teachout A, Bond GR et al. Criminal Justice Involvement of Individuals with Severe Mental Illness and Supported Employment Outcomes. Community Ment Health J 2011; 47: 737-741
• 46 Reker T, Eikelmann B. Krankheits- und Rehabilitationsverläufe schizophrener Patienten in ambulanter Arbeitstherapie. Eine prospektive Studie über 3 Jahre. Nervenarzt 1998; 69: 210-218
• 47 Tschopp MK, Perkins DV, Hart-Katuin C et al. Employment barriers and strategies for individuals with psychiatric disabilities and criminal histories. J Vocat Rehabil 2007; 26: 175-187
• 48 Bejerholm U, Björkman T. Empowerment in supported employment research and practice: is it relevant?. Int J Soc Psychiatry 2010; 57: 588-595
• 49 Medalia A, Saperstein A. The role of motivation for treatment success. Schizophr Bull 2011; 37: 122-128
• 50 Bond GR, Resnick SG, Drake RE et al. Does Competitive Employment Improve Nonvocational Outcomes for People With Severe Mental Illness. J Consult Clin Psychol 2001; 69: 489-501
• 51 Bond GR, Becker DR, Drake RE. Measurement of fidelity of implementation of evidence-based practices: Case example of the IPS Fidelity Scale. Clin Psychol 2011; 18: 126-141
• 52 Bond GR, Drake RE. Predictors of competitive employment among patients with schizophrenia. Curr Opin Psychiatry 2008; 21: 362-369
• 53 Becker DR, Smith J, Tanzman B et al. Fidelity of supported employment programs and employment outcomes. Psychiatr Serv 2001; 52: 834-836
• 54 Becker DR, Xie H, McHugo GJ et al. What predicts supported employment program outcomes?. Community Ment Health J 2006; 42: 303-313
• 55 Taylor AC, Bond GR. Employment Specialist Competencies as Predictors of Employment Outcomes. Community Ment Health J 2012; 47: 737-741
• 56 McGurk SR, Mueser KT, Harvey PD et al. Cognitive and symptom predictors of work outcomes for clients with schizophrenia in supported employment. Psychiatr Serv 2003; 54: 1129-1135
• 57 Zito W, Greig TC, Wexler BE et al. Predictors of on-site vocational support for people with schizophrenia in supported employment. Schizophr Res 2007; 94: 81-88
• 58 Glover CM, Frounfelker RL. Competencies of More and Less Successful Employment Specialists. Community Ment Health J 2013; 49: 311-316
• 59 Viering S, Bärtsch B, Obermann C et al. The effectiveness of individual placement and support for people with mental illness new on social benefits: a study protocol. BMC Psychiatry 2013; 13: 189-195
• 60 Nordt C, Brantschen E, Kawohl W et al. Placement budgets’ for supported employment – improving competitive employment for people with mental illness: study protocol of a multicentre randomized controlled trial. BMC Psychiatry 2012; 12: 158-165
• 61 Bond GR, Becker DR, Drake RE et al. A fidelity scale for the Individual Placement and Support model of supported employment. Rehabil Couns Bull 1997; 40: 265-284
• 62 Flückiger C, Del Re AC, Wampold BE et al. How Central Is the Alliance in Psychotherapy? A Multilevel Longitudinal Meta-Analysis. J Couns Psychol 2012; 59: 10-17
• 63 Weig W, Brieger P, Stengler K. Psychiatrische Rehabilitation. In: Möller HJ, Laux G, Kapfhammer HP, Hrsg. Psychiatrie und Psychotherapie. Heidelberg: Springer; 2011: 820-831
• 64 Matschnig T, Frottier P, Seyringer ME et al. Arbeitsrehabilitation psychisch kranker Menschen – ein Überblick über Erfolgsprädiktoren. Psychiat Prax 2008; 35: 271-278
• 65 Yanos PT, Lysaker PH, Roe D. Internalized stigma as a barrier to improvement in vocational functioning among people with schizophrenia-spectrum disorders. Psychiatry Res 2010; 178: 211-213