Patients with substance use disorders have low employment rates and are to a large extent on the outside of the ordinary labor market. Individual Placement and Support (IPS) is an evidence based method developed to aid persons with severe mental disorders in obtaining ordinary work. IPS has been used clinically in the addiction field, but has been subject to little research. The trial "From addiction to employment" is a randomized controlled trial to investigate the effect of an IPS intervention on employment outcome among substance use disorder patients in specialized health care treatment in Oslo, Norway. The study is conducted at the Department for Substance Use Disorder Treatment at Oslo University Hospital. The trial begins to include patients March 1st 2020 and will include for two years, until February 28th 2022.
The target population in this project is patients in SUD treatment who wish to gain employment. The goal of the study is to determine the effectiveness of IPS in helping persons with SUD obtain ordinary employment. A pragmatic, two-arm, parallel, superiority, randomized controlled trial will be conducted. The project is financed through innovation funding from the South Eastern Norway Regional Health Authority, the Norwegian Directorate of Health and internal resources from OUS. Participants will be allocated randomly to either an employment specialist whom they will have individual contact with for the coming 13 months or shorter (intervention), or to a self-help and four-sessions work shop intervention (control comparison). The intervention fidelity will be assessed by external evaluators according to the Norwegian translation of the IPS Fidelity Scale. Patients will be recruited to the study over a period of two years, and followed for 18 months my data collection and up until 10 years in national registries.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
200
Employment specialist will work together with the participants in accordance to the method IPS in order to help the participant obtain competitive employment
Department for Substance Use Treatment, Oslo University Hospital
Oslo, Norway
Any employment
At least 1 day of competitive employment
Time frame: From inclusion in the trial to 18 month after inclusion in the trial
Total time worked
Number of days/hours worked
Time frame: From inclusion in the trial to 18 month after inclusion in the trial
Time to employment
Time from inclusion in the trial to first employment
Time frame: From inclusion in the trial to 18 month after inclusion in the trial
Number of jobs
Number of different jobs kept
Time frame: From inclusion in the trial to 18 month after inclusion in the trial
Job duration
Duration of longest employment
Time frame: From inclusion in the trial to 18 month after inclusion in the trial
Employment relevant activity
Whether the participant is engaged in education, training or other job-preparing activity
Time frame: From inclusion in the trial to 18 month after inclusion in the trial
Mental distress
Information obtained from the Hospital Anxiety and Depression Scale (minumum score is 0, maximum score is 42, higher score means worse outcome)
Time frame: From inclusion in the trial and at different time points up until 12 month after inclusion in the trial
Past month substance use
Information obtained from the European Addiction Severity Index
Time frame: From inclusion in the trial and at different time points up until 12 month after inclusion in the trial
Participants' quality of life
Information obtained from the EQ-5D-5L
Time frame: From inclusion in the trial and at different time points up until 12 month after inclusion in the trial
Participants' work related quality of life
Information obtained from the Work and Social Adjustment Scale (minimum score is 0, maximum score is 40, higher score means more impairment)
Time frame: From inclusion in the trial and at different time points up until 12 month after inclusion in the trial
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