Assessing the impacts of Individual Placement and Support in employment and psychosocial well-being

Abstract Introduction Many individuals with severe mental illness want to work despite the constraints of the illness. Individual Placement and Support (IPS) is an evidence-based practice integrated into psychiatric care helping individuals gain competitive employment. The implementation of IPS can enhance the employment rates and well-being of individuals with severe mental illness. Methods The Finnish IPS Evaluation Study (2021-2027) investigates implementation, feasibility, and outcomes of the program. This paper focuses on employment outcomes, factors explaining employment, and perceived impact of the program on the psychosocial well-being of clients joined in 2023-2024. All IPS participants (18 − 64 years of age, diagnosed with a severe mental illness) at psychiatric outpatient clinics in six pilot areas were invited to the study, and 254 clients (74%) were included. Documentation of all employment progress was collected, and employment specialists filled an evaluation survey for each client at the end of the program. Results Of the participants 38% secured jobs in the labor market and 21% without wage subsidies. Logistic regression analyses identified key employment predictors: age of 40-49 years, female gender, strong commitment, trust in the coaching relationship, effective interaction with employment specialist, and cooperation with psychiatric care providers. Positive impact was observed on self-esteem, resources, mood, and work ability, with 74-86% of participants showing at least some positive change. Conclusions The IPS program enhances employment rates and psychosocial well-being of individuals with severe mental illness. Integrating personalized employment support within psychiatric care leads to effective collaboration between employment specialists and psychiatric care providers. This integration is a significant aid to recovery and a worthwhile measure for both individuals and public health. Key messages • The IPS program facilitates competitive employment and psychosocial well-being for persons with severe mental illness. • The integration of personalized employment support into psychiatric care enhances recovery and benefits both individuals and public health.