The Individual Placement and Support (IPS) model was developed in the United States in the 1990s to help people with severe mental health issues get back into regular jobs. This model is based on the idea that a quick job search that takes into account what patients want, followed by ongoing and intensive support in the community, is especially good for this group. To date, although the effectiveness of the IPS model has been widely demonstrated (for a review, see Metcalfe et al., 2018), only a few studies have evaluated its efficiency in foreign contexts (Knapp et al., 2013; Christensen et al., 2020). Although the IPS model has been in place in France for around ten years, no studies have yet been conducted to validate its efficiency in the French healthcare system. The main objective of this prospective, real-life, multicenter study is to evaluate the efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness in terms of cost per additional day worked, from a collective perspective.
Study Type
OBSERVATIONAL
Enrollment
234
The Individual Placement and Support (IPS) model is an employment support program specifically designed for people with severe mental illness (Bond, Drake, \& Becker, 2012). The core philosophy of IPS is that anyone can obtain competitive employment in the open labor market, provided it is the right job combined with appropriate support. IPS support is delivered by a job coach, specifically trained in this model, who devotes their entire working time to assisting patients in their vocational integration.
In psychiatric wards, patients who wish to do so are usually offered support to initiate the process of returning to competitive employment in the open labor market. This assistance is provided by the social workers (such as social workers or educators) within the care unit.
CH Cesame
Angers, France
CH George Sand
Bourges, France
Centre hospitalier Le Vinatier
Bron, France
CHI EPSM Oise
Clermont, France
University hospital
Clermont-Ferrand, France
Centre Hospitalier Marius Lacroix
La Rochelle, France
CH Esquirol
Limoges, France
Hôpital la Colombière
Montpellier, France
PRISM 45
Orléans, France
CH Le Rouvray
Rouen, France
...and 1 more locations
Efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness
Incremental cost-effectiveness ratio (ICER) expressed as cost per additional day worked at 18 months, from a collective perspective, of the IPS practice model in patients with severe mental disorders.
Time frame: 18 months
Efficiency of the IPS model compared to the conventional method of monitoring by social workers among patients with severe mental illness
Incremental cost-utility ratio (ICUR) expressed as "cost/QALY gained at 18 months, from a collective perspective, of the IPS model in patients with severe mental disorders.
Time frame: 18 months
Cost-benefit ratio of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness,
Benefit-cost ratio of the IPS model compared to the conventional method of follow-up by social workers at 18 months, from a societal perspective, among patients with severe mental illness
Time frame: 18 months
Budgetary impact on the French national health insurance system (AM) of changes in clinical practices with regard to the two types of support for returning to work.
Budgetary impact for the Health Insurance system per year and over 5 years of the evolution of practices with regard to the two types of support for return to work
Time frame: 5 years
Compare work productivity and activity disorders between the two groups.
Comparison of scores on the questionnaire on work productivity and activity impairment (French version of the Work Productivity and Activity Impairment, WPAI)
Time frame: 0, 6, 12 and 18 months
Compare the rate of hospital care use between the two groups.
Comparison of the number of hospitalizations, number of visits to psychiatric emergency rooms, and number of day hospital visits between the two groups
Time frame: 18 months
Impact of a return to work on patients' level of recovery and overall health.
Comparison of scores on a clinical scale of recovery and overall health (French version of the Recovery Assessment Scale, RAS) between the two groups
Time frame: 18 months
Impact of a return to work on patients' level of social cognition.
Comparison of scores on the ACSo clinical social cognition scale between the two groups
Time frame: 18 months
Impact of a return to work on patients' cognitive functioning
Comparison of scores on the clinical cognitive functioning scale (French version of the Subjective Scale to Investigate Cognition in Schizophrenia, SSTICS) between the two groups
Time frame: 18 months
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