Career Management to Improve Education, Employment and Retention for People With Anxiety and Depression (CAREER)

South London and Maudsley NHS Foundation Trust

Status and phase: Completed; Phase 2

Conditions: Depression; Anxiety

Treatments: Behavioral: Standard Care; Behavioral: Individual Career Management (ICM)

Study type: Interventional

Funder types: Other

Identifiers

NCT01599481

SLAM-ICM-1011

Details and patient eligibility

About

The aim of the investigation is to evaluate the effectiveness and costeffectiveness of a model of supported employment (the Individual Career Management (ICM) model) designed to help people with common mental illness return to work.

Full description

The design of the study is a randomised controlled trial of two groups in a natural setting (intervention group vs control group). The primary outcome is paid employment. Standard care for all participants is a package of psychological therapy (IAPT). The intervention is an additional package of employment support (ICM) delivered alongside standard care.

The intervention group and control group will both receive standard care. The intervention group will receive ICM support in addition to standard care and the control group will be given details of other employment programmes in the local area, in line with current IAPT practice. The control period will last six months. There will be no fewer than 184 participants in the study (92 in each arm).

The study will take place at the Southwark Psychological Therapies Service at the SLaM NHS Foundation Trust. Patients that meet the inclusion criteria will be invited to attend an interview where written informed consent and baseline measures will be obtained. The participant will then be randomly assigned to either the intervention or control group. All participants will be invited to attend a second interview at the end of a six month period where followup measures will be taken. If the intervention is available at this time, control group participants may then be offered the opportunity to receive it.

A randomised controlled trial of supported employment for people with common mental health problems has never been carried out in the UK, therefore this study will be the first of its kind. The results will help to determine if ICM is an effective and costeffective service and will provide the foundations for further research in this area.

Enrollment: 261 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Must be either unemployed or off sick for at least two weeks if employed at the time of entry to the study
• Must be legally allowed to work in the UK
• Must be between the age of 18-65 for men, and 18-60 for women (based on UK retirement age)
• Must have received an IAPT assessment and been offered psychological therapy
• Must not have been receiving therapy for more than one month
• Must be interested in obtaining competitive employment
• Must have given full written consent to participate in the study

Exclusion criteria

• People who are employed and attending work or off sick for less than two weeks at the time of entry to the study
• People who do not have the legal right to work in the UK
• People who have not yet received an IAPT assessment
• People who have received an IAPT assessment but not eligible for psychological therapy
• People who have been receiving therapy for more than one month
• People who are not interested in obtaining competitive employment
• People who do not give written consent or who lack mental capacity to give consent at the time of the study

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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261 participants in 2 patient groups

Intervention

Experimental group

Description:

Standard Care (IAPT Therapy) + Individual Career Management (ICM)

Treatment:

Behavioral: Standard Care

Behavioral: Individual Career Management (ICM)

Control

Active Comparator group

Description:

Standard Care (IAPT Therapy)

Treatment:

Behavioral: Standard Care