Personnel time required for supported employment and education services for individuals in a recent‐onset psychosis treatment program. Issue 2 (29th April 2020)

• Record Type: Journal Article
• Authors: Humensky, Jennifer L.; Turner, Luana R.; Dixon, Lisa B.; Drake, Robert E.; Becker, Deborah R.; Subotnik, Kenneth L.; Ventura, Joseph; Nuechterlein, Keith H.
• Is Part Of: Early intervention in psychiatry. Volume 15:Issue 2(2021)
• Page Start: 402
• Page End: 405
• Publication Date: 2020-04-29
• Subjects: first‐episode psychosis -- individual placement and support (IPS) -- supported education -- supported employment -- time use; Mental health -- Periodicals; Psychiatry -- Periodicals; Psychiatry -- Research -- Periodicals; Mental illness -- Prevention -- Research -- Periodicals; Mental illness -- Treatment -- Research -- Periodicals; 616.89
• DOI: 10.1111/eip.12971
• Languages: English
• ISSNs: 1751-7885

Abstract

Abstract: Aim: Individual Placement and Support (IPS) improves vocational outcomes in first‐episode psychosis patients, but policy makers need information on costs (and personnel time required) to conduct effective IPS. Methods: Using chart records of 42 clients in a first‐episode psychosis study, we examined service time for specific activities over 18 months. Results: The IPS specialist averaged 92 (SD = 62) minutes per client per week: 39% of time was spent in direct client contact, 9% in meetings without the client, 14% in meetings with the treatment team, 14% in supervision and 24% on travel time. Time required was significantly higher when participants were seeking work/school placements, decreased over duration of enrolment and was similar for those using work vs school support. Conclusions: IPS service time covers numerous activities, is reduced when not seeking work/school placements and required less time over enrolment duration. Financing structures should support the full range of IPS services.