PDF(Pubmed)
Abstract：
UNASSIGNED: To provide an overview review of international evidence of vocational outcomes in Individual Placement and Support (IPS) interventions for populations other than severe mental health.
UNASSIGNED: An overview of reviews published in English since 2000 reporting vocational outcomes (job entry, work sustainment, earnings, work hours, time to job entry) against counterfactuals of IPS interventions for population groups other than severe mental health. The overview review maximises data from individual studies and includes additional recent primary studies. DerSimonian-Laird random effects meta-analysis was performed.
UNASSIGNED: Thirteen eligible studies were identified from five reviews and five more recent individual studies were also identified. IPS studies covered a range of groups with a concentration towards mental health. For the primary vocational outcome of job entry all IPS studies showed superior job entry rates compared to control groups with an overall weighted odds ratio of 1.78 [1.42,2.22]. Substantial heterogeneity was identified by study size and the overall weighted odds ratio of 1.32 [1.2,1.46] estimated from the large and medium sized studies seems a more plausible estimate of the likely effects of scaled-up IPS interventions in groups beyond severe mental health. Secondary vocational outcomes including job sustainment, total earnings, average weekly hours worked and time to job entry were typically superior in IPS services than control groups.
UNASSIGNED: IPS services are consistently more effective in supporting diverse population groups into sustained employment compared to business-as-usual employment services. The evidence is limited by unclear terminology, small sample sizes, incomplete intervention fidelity, intervention contamination and inconsistent measurement.
UNASSIGNED: An overview of reviews published in English since 2000 reporting vocational outcomes (job entry, work sustainment, earnings, work hours, time to job entry) against counterfactuals of IPS interventions for population groups other than severe mental health. The overview review maximises data from individual studies and includes additional recent primary studies. DerSimonian-Laird random effects meta-analysis was performed.
UNASSIGNED: Thirteen eligible studies were identified from five reviews and five more recent individual studies were also identified. IPS studies covered a range of groups with a concentration towards mental health. For the primary vocational outcome of job entry all IPS studies showed superior job entry rates compared to control groups with an overall weighted odds ratio of 1.78 [1.42,2.22]. Substantial heterogeneity was identified by study size and the overall weighted odds ratio of 1.32 [1.2,1.46] estimated from the large and medium sized studies seems a more plausible estimate of the likely effects of scaled-up IPS interventions in groups beyond severe mental health. Secondary vocational outcomes including job sustainment, total earnings, average weekly hours worked and time to job entry were typically superior in IPS services than control groups.
UNASSIGNED: IPS services are consistently more effective in supporting diverse population groups into sustained employment compared to business-as-usual employment services. The evidence is limited by unclear terminology, small sample sizes, incomplete intervention fidelity, intervention contamination and inconsistent measurement.
摘要：
■对针对严重心理健康以外的人群的个人安置和支持（IPS）干预措施的职业结果的国际证据进行概述。
■自2000年以来以英语发表的报告职业成果的评论概述（工作进入，工作维持,收益，工作时间,进入工作的时间）针对严重心理健康以外的人群进行IPS干预的反事实。概述综述最大化了个别研究的数据，并包括了最近的其他初步研究。进行DerSimoian-Laird随机效应荟萃分析。
■从5篇综述中确定了13项符合条件的研究，还确定了5项最近的单独研究。IPS研究涵盖了一系列专注于心理健康的群体。对于工作进入的主要职业结果，所有IPS研究均显示与对照组相比具有较高的工作进入率，总加权优势比为1.78[1.42,2.22]。通过研究规模确定了实质性的异质性，从大型和中型研究中估计的总体加权比值比为1.32[1.2,1.46]似乎更合理地估计了在严重心理健康以外的人群中扩大IPS干预措施的可能影响。中等职业成果，包括工作维持，总收入，IPS服务的平均每周工作小时数和进入工作时间通常优于对照组.
■与照常的就业服务相比，IPS服务在支持不同人口群体持续就业方面始终更有效。证据受到术语不明确的限制，小样本量，不完全干预保真度，干预污染和不一致的测量。
■自2000年以来以英语发表的报告职业成果的评论概述（工作进入，工作维持,收益，工作时间,进入工作的时间）针对严重心理健康以外的人群进行IPS干预的反事实。概述综述最大化了个别研究的数据，并包括了最近的其他初步研究。进行DerSimoian-Laird随机效应荟萃分析。
■从5篇综述中确定了13项符合条件的研究，还确定了5项最近的单独研究。IPS研究涵盖了一系列专注于心理健康的群体。对于工作进入的主要职业结果，所有IPS研究均显示与对照组相比具有较高的工作进入率，总加权优势比为1.78[1.42,2.22]。通过研究规模确定了实质性的异质性，从大型和中型研究中估计的总体加权比值比为1.32[1.2,1.46]似乎更合理地估计了在严重心理健康以外的人群中扩大IPS干预措施的可能影响。中等职业成果，包括工作维持，总收入，IPS服务的平均每周工作小时数和进入工作时间通常优于对照组.
■与照常的就业服务相比，IPS服务在支持不同人口群体持续就业方面始终更有效。证据受到术语不明确的限制，小样本量，不完全干预保真度，干预污染和不一致的测量。
