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 (MEDECO-IPS)

Regional University Hospital Center (CHRU)

Status: Not yet enrolling

Conditions: Severe Mental Disorders

Treatments: Other: Standard Method; Other: Individual Placement and Support Model

Study type: Observational

Funder types: Other

Identifiers

NCT07206316

DR240280-MEDECO-IPS

Details and patient eligibility

About

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.

Enrollment: 234 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

234 participants in 2 patient groups

IPS (Individual Placement and Support) practice model

Description:

patients benefiting from the IPS (Individual Placement and Support) practice model for assistance in accessing employment

Treatment:

Other: Individual Placement and Support Model

standard method

Description:

patients benefiting from the standard method for assistance in accessing employment

Treatment:

Other: Standard Method