IPS/Peer Support Intervention in the DTES

University of British Columbia

Status: Unknown

Conditions: Behavior, Adaptive; Substance Use; Mental Illness

Treatments: Behavioral: WorkBC; Behavioral: IPS/SP

Study type: Interventional

Funder types: Other

Identifiers

NCT03748004

H18-02740

Details and patient eligibility

About

Individual placement support (IPS) is an evidence-based supported employment model for people with severe mental illness, designed to achieve employment in mainstream competitive jobs, either part-time or full-time. The aim of this study is to assess the (i) effectiveness of embedding the (IPS)/Peer Support intervention as part of the primary care centre in securing employment of adults living in the downtown eastside in comparison to the usual treatment WorkBC (control group). (ii) effectiveness of IPS/Peer Support versus the usual treatment (WorkBC) in improving mental illness, quality of life and personal recovery through participation in employment.

Full description

This 18-month mixed methods study consists of an effectiveness multi-site randomized controlled trial of the IPS/peer support intervention plus an embedded qualitative exploration of participants' experiences. All clients receiving primary care services from one DTES clinical site who are employment ready and are not receiving mental health services will be randomly assigned to IPS & Peer Support (experimental group) or WorkBC (control group). Clients are required to participate in the intervention for 16 weeks and will be assessed at baseline, 1-, 3-, and 6-months post study intervention start-date for both groups. Assessments will include the 5 questionnaires administered at baseline which cover the following: Employment Quality, Employment Sustainability, Education Quality and Quantity, Quality of Life, Community Engagement and Clinical significant levels of depression and anxiety.

Enrollment: 72 estimated patients

Sex: All

Ages: 19+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adults, age 19 and over, accessing primary care services at the primary care centre listed in this study (CH Pender Community Health Centre)
• At least one visit to VCH Pender Community Health Centre
• Currently unemployed and not in school or post-secondary training.
• Able to provide informed consent and fluent in English (intervention is currently offered in English only).
• Not hospitalized at the time of recruitment.

Exclusion criteria

• Adults, age 19 and over who have access to mental health services

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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72 participants in 2 patient groups, including a placebo group

Adults living in the DTES

Experimental group

Description:

36 out of the 72 recruited participants who live in the DTES will be randomly assigned to the intervention group (IPS \& Peer Support). The IPS and Peer Support will actively work and support with each of the 36 participants in seeking employment and education for 16 weeks. IPS/SP will help participants identify their employment and educational goals, identify potential employers, help prepare their resumes and for interviews, and provide ongoing support during the 16 weeks. 36 out of the 72 participants who live in the DTES will be randomly assigned to the control group (WorkBC). Participants will be provided with WorkBC employment services.

Treatment:

Behavioral: IPS/SP

Individuals 19 yrs or older settled in DTES

Placebo Comparator group

Description:

36 out of the 72 recruited participants who live in the DTES will be randomly assigned to the intervention group (IPS \& Peer Support). The IPS and Peer Support will actively work and support with each of the 36 participants in seeking employment and education for 16 weeks. IPS/SP will help participants identify their employment and educational goals, identify potential employers, help prepare their resumes and for interviews, and provide ongoing support during the 16 weeks. 36 out of the 72 participants who live in the DTES will be randomly assigned to the control group (WorkBC). Participants will be provided with WorkBC employment services.

Treatment:

Behavioral: WorkBC