Psychiatric Bulletin (2004) 28: 281-284. doi: 10.1192/pb.28.8.281
© 2004 The Royal College of Psychiatrists
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Psychiatric Bulletin (2004) 28: 281-284
© 2004 The Royal College of Psychiatrists

What are the benefits of evidence-based supported employment for patients with first-episode psychosis?

*Miles Rinaldi

Vocational Services, Manager, Adult Services, Main Administration Building, Springfield University Hosptial, 61 Glenburnie Road, London SW17 7DJ (tel: 020 8682 6929; fax: 020 8682 6725; e-mail: Miles.Rinaldi{at}swlstg-tr.nhs.uk)

Karen Mcneil

Vocational Specialist

Mike Firn

Service Manager, Adult Intensive Outreach Services

Marsha Koletsi

Research Assistant, St George’s Medical School

Rachel Perkins

Clinical Director and Consultant Clinical Psychologist, Adult Mental Health Services

Swaran P. Singh

Consultant Psychiatrist and Senior Lecturer, South West London and St George’s Mental Health Trust, London

AIMS AND METHOD

To examine the effectiveness of integrating evidence-based supported employment into an early intervention service for young people with first-episode psychosis. Demographic, clinical and vocational data were collected over a 12-month period to evaluate the effect on vocational outcomes at 6 months and 12 months of the employment of a vocational specialist, and to assess model fidelity.

RESULTS

Following vocational profiling and input from the vocational specialist and the team, there were significant increases in the proportion of clients engaged in work or educational activity over the first 6 months of the intervention, and in a subsample over a second 6-month period. The evidence-based Supported Employment Fidelity Scale was used to measure the degree of implementation, which scored 71, signifying ‘good implementation’.

CLINICAL IMPLICATIONS

The results suggest that implementing evidence-based supported employment within an early intervention service increases employment and education opportunities for patients within the service.




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