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dc.contributor.authorFadyl, Joanna
dc.contributor.authorAnstiss, David
dc.contributor.authorReed, Kirk
dc.contributor.authorKhoronzhevych, Mariya
dc.contributor.authorLevack, William
dc.date.accessioned2020-11-04T10:06:46Z
dc.date.accessioned2021-02-09T11:55:23Z
dc.date.available2020-11-04T10:06:46Z
dc.date.available2021-02-09T11:55:23Z
dc.date.issued2020-10-29
dc.identifier.citationFadyl J, Anstiss, Reed, Khoronzhevych M, Levack. Effectiveness of vocational interventions for gaining paid work for people living with mild to moderate mental health conditions: systematic review and meta-analysis. BMJ Open. 2020en
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10642/9487
dc.description.abstractObjectives: To evaluate the effectiveness of vocational interventions to help people living with mild to moderate mental health conditions gain paid work. Methods: Systematic review of international, peerreviewed literature. Development of the prepublished protocol and search strategy was done in consultation with stakeholder reference groups consisting of people with lived experience of long-term conditions, advocates and clinicians. We searched academic databases MEDLINE, EMBASE, PsychINFO, AMED, CINAHL, Proquest Dissertations and Theses database, and Business Source Complete for controlled trials comparing a specific vocational intervention against a control intervention or usual care, published between 1 January 2004 and 1 August 2019. Two authors independently screened search results, extracted data and appraised studies using the Cochrane risk of bias tool. Results: Eleven studies met inclusion criteria. Seven studies investigated Individual Placement and Support (IPS) modified for people who were not in intensive mental health treatment services. These studies occurred settings such as community vocational rehabilitation services, a housing programme and community mental health services. The studies provided very low quality evidence that people who receive IPS-style vocational rehabilitation are more likely to gain competitive employment than people who receive usual care (risk ratio 1.70, 95% CI 1.23 to 2.34, seven studies, 1611 participants). The remaining four studies considered cognitive behavioural therapy or specific vocational rehabilitation interventions designed to fit a unique context. There was insufficient evidence from these studies to draw conclusions regarding the effectiveness of non-IPS forms of vocational rehabilitation for people with mild to moderate mental health conditions. Discussion: The meta-analysis showed a clear intervention effect but low precision, and more highquality studies are needed in this field. There is currently very low quality evidence that IPS-style intervention results in more participants in competitive employment compared with ‘usual care’ control groups in populations with mild to moderate mental health conditions.en
dc.description.sponsorshipThis work was supported by New Zealand Ministry of Social Development and Health Research Council partnership grant number 18/804.en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.ispartofseriesBMJ Open;Volume 10, Issue 10
dc.relation.urihttps://bmjopen.bmj.com/content/10/10/e039699
dc.rightsCreative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licenseen
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectVocational interventionsen
dc.subjectMental health conditionsen
dc.subjectPeer-reviewed literatureen
dc.subjectSystematic reviewsen
dc.subjectMental health treatment servicesen
dc.titleEffectiveness of vocational interventions for gaining paid work for people living with mild to moderate mental health conditions: systematic review and meta-analysisen
dc.typeJournal article
dc.typePeer revieweden
dc.date.updated2020-11-04T10:06:46Z
dc.description.versionpublishedVersionen
dc.identifier.doihttp://dx.doi.org/10.1136/bmjopen-2020-039699
dc.identifier.cristin1844001
dc.source.journalBMJ Open


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