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Supported employment: cost-effectiveness across six European sites

Knapp, Martin ORCID: 0000-0003-1427-0215, Patel, Anita, Curran, Claire, Latimer, Eric, Catty, Jocelyn, Becker, Thomas, Drake, Robert E., Fioritti, Angelo, Kilian, Reinhold, Lauber, Christoph, Rössler, Wulf, Tomov, Toma, Van Busschbach, Jooske, Comas-Herrera, Adelina ORCID: 0000-0002-9860-9062, White, Sarah, Wiersma, Durk and Burns, Tom (2013) Supported employment: cost-effectiveness across six European sites. World Psychiatry, 12 (1). pp. 60-68. ISSN 1723-8617

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Identification Number: 10.1002/wps.20017


A high proportion of people with severe mental health problems are unemployed but would like to work. Individual Placement and Support(IPS) offers a promising approach to establishing people in paid employment. In a randomized controlled trial across six European countries, we investigated the economic case for IPS for people with severe mental health problems compared to standard vocational rehabilitation. Individuals (n5312) were randomized to receive either IPS or standard vocational services and followed for 18 months. Service use and outcome data were collected. Cost-effectiveness analysis was conducted with two primary outcomes: additional days worked in competitive settings and additional percentage of individuals who worked at least 1 day. Analyses distinguished country effects. A partial cost-benefit analysis was also conducted. IPS produced better outcomes than alternative vocational services at lower cost overall to the health and social care systems. This pattern also held in disaggregated analyses for five of the six European sites. The inclusion of imputed values for missing cost data supported these findings. IPS would be viewed as more cost-effective than standard vocational services. Further analysis demonstrated cost-benefit arguments for IPS. Compared to standard vocational rehabilitation services, IPS is, therefore, probably cost-saving and almost certainly more cost-effective as a way to help people with severe mental health problems into competitive employment.

Item Type: Article
Official URL:
Additional Information: © 2013 World Psychiatric Association
Divisions: Social Policy
Personal Social Services Research Unit
Subjects: H Social Sciences > HD Industries. Land use. Labor
Date Deposited: 13 Feb 2013 14:41
Last Modified: 04 Apr 2024 16:45
Projects: QLRT 2001-00683
Funders: European Commission, Quality of Life and Management of Living Resources Programme

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