Vocational recovery in first episode psychosis: first results from a large randomised controlled trial of IPS

Presentation First Author: 
Eoin J Killackey

Vocational recovery has been consistently shown to be a number one priority of people with mental illness generally, and schizophrenia and first-episode psychosis (FEP) specifically. Two previous randomised controlled trials (RCT) demonstrated the benefit of an employment intervention called Individual Placement and Support (IPS) for young people with FEP. The current study was conducted in order to examine not only the vocational benefits of such an approach, but to study a wide range of predictors and consequences of vocational recovery in FEP. The aims of this presentation will be to present the data pertaining to vocational recovery within the first 6 months of this study. The study was a RCT of IPS plus treatment as usual (TAU) compared with TAU alone, conducted at EPPIC in Australia. Participants were 146 young people with FEP. Assessments were conducted at baseline, 6, 12 and 18 months. The IPS intervention was conducted between baseline and the 6-month assessment. There was no difference between groups in number currently in paid work at the 6-month time-point (IPS 44.8% and TAU 29.0%; χ2(1)=3.42, p=.065). Over the 6-month period, there was no difference between groups in enrolment in formal education (IPS 53.7% and TAU 41.0%; χ2(1)=2.08, p=.149). However, there was a significant difference favouring IPS in competitive employment rate over 6 months (IPS 70.3% and TAU 49.2%; χ2(1)=5.74, p=.017). The preliminary results of this study indicate that IPS is effective at getting people into employment. Development of further interventions arising from these results will be discussed.

Conference Name: 
Presentation Date: 
January, 2013
Additional Authors: 
Eoin J Killackey, Kelly A Allott, Susan M Cotton, Gina L Chinnery, Pamela Sun, Zoe Collins, Jessica Massey, Gennady Baksheev, Henry J Jackson
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