Individual Placement and Support (IPS) supplemented with cognitive remediation and work related social skills training in Denmark: A Randomized Clinical Trial

Presentation First Author: 
Thomas Nordahl Christensen

Background: Individual Placement and Support (IPS) is established as the most effective vocational intervention in order to obtain competitive employment for people with severe mental illness. However, no IPS studies have been conducted in Denmark, which is characterized by having a specialized labor market with a high minimum wage and few entry-level jobs. Further, long-term job retention and economic self-sufficiency have not yet been clearly demonstrated. A way to address these limitations could be by integrating methods such as cognitive remediation and work-related social skills training which have been demonstrated in two small RCTs. Methods/Design: The trial design is a randomized, assessor-blinded, multi-center trial. A total of 750 patients with severe mental illness will randomly be assigned into three groups: 1) IPS; 2) IPS + Cognitive remediation and work related social skills training; 3) Service as usual, at two sites in Denmark. The primary outcome is number of hours in competitive employment or education at 18 and 30 months follow-up. Secondary outcomes are money earned, days to first employment, symptoms, functional level, self-esteem, and self-efficacy at 18 and 30 months follow-up. Results: Currently 350 patients are included in the study and 38 % already obtained competitive employment or education in the two experimental groups. Two fidelity reviews have been conducted and the latest demonstrates fair and good IPS-fidelity at the two sites. Implementation barriers and possibilities in a Danish welfare system will be discussed and the supplement of cognitive remediation and work related social skills training will be presented.

Conference Name: 
Presentation Date: 
January, 2015
Additional Authors: 
Iben Gammelgaard - Elsebeth Stenager - Merete Nordentoft - Lene Falgaard Eplov
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