{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T11:32:22Z","timestamp":1791459142301,"version":"4.3.4"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T00:00:00Z","timestamp":1639008000000},"content-version":"unspecified","delay-in-days":342,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423621000827_as1\">\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To assess the effectiveness of supported employment interventions for improving competitive employment in populations of people with conditions other than only severe mental illness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423621000827_as2\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Supported employment interventions have been extensively tested in severe mental illness populations. These approaches may be beneficial outside of these populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423621000827_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We searched PubMed, Embase, CINAHL, PsycInfo, Web of Science, Scopus, JSTOR, PEDro, OTSeeker, and NIOSHTIC for trials including unemployed people with any condition and including severe mental illness if combined with other co-morbidities or other specific circumstances (e.g., homelessness). We excluded trials where inclusion was based on severe mental illness alone. Two reviewers independently assessed risk of bias (RoB v2.0) and four reviewers extracted data. We assessed rates of competitive employment as compared to traditional vocational rehabilitation or waiting list\/services as usual.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423621000827_as4\">\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>Ten randomised controlled trials (913 participants) were included. Supported employment was more effective than control interventions for improving competitive employment in seven trials: in people with affective disorders [risk ratio (RR) 10.61 (1.49, 75.38)]; mental disorders and justice involvement [RR 4.44 (1.36,14.46)]; veterans with posttraumatic stress disorder (PTSD) [RR 2.73 (1.64, 4.54)]; formerly incarcerated veterans [RR 2.17 (1.09, 4.33)]; people receiving methadone treatment [RR 11.5 (1.62, 81.8)]; veterans with spinal cord injury at 12 months [RR 2.46 (1.16, 5.22)] and at 24 months [RR 2.81 (1.98, 7.37)]; and young people not in employment, education, or training [RR 5.90 (1.91\u201318.19)]. Three trials did not show significant benefits from supported employment: populations of workers with musculoskeletal injuries [RR 1.38 (1.00, 1.89)]; substance abuse [RR 1.85 (0.65, 5.41)]; and formerly homeless people with mental illness [RR 1.55 (0.76, 3.15)]. Supported employment interventions may be beneficial to people from more diverse populations than those with severe mental illness alone. Defining competitive employment and increasing (and standardising) measurement of non-vocational outcomes may help to improve research in this area.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423621000827","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T03:55:15Z","timestamp":1639022115000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":30,"title":["The effects of supported employment interventions in populations of people with conditions other than severe mental health: a systematic review"],"prefix":"10.1017","volume":"22","author":[{"given":"Katrin","family":"Probyn","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin Stav","family":"Engedahl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e9van","family":"Rajendran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Pincus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khadija","family":"Naeem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipesh","family":"Mistry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Underwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9193-2297","authenticated-orcid":false,"given":"Robert","family":"Froud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"key":"S1463423621000827_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-017-0793-2"},{"key":"S1463423621000827_ref2","volume-title":"Supported employment fidelity review manual. A companion guide to the evidence-based IPS. Supported employment fidelity scale","author":"Becker","year":"2019"},{"key":"S1463423621000827_ref21","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500058"},{"key":"S1463423621000827_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-008-9138-z"},{"key":"S1463423621000827_ref11","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201100340"},{"key":"S1463423621000827_ref17","unstructured":"Higgins, JPT , Thomas, J and Chandler, J (2021) Cochrane handbook for systematic reviews of interventions version 6.2. Retrieved 16 March 2021 from https:\/\/www.training.cochrane.org\/handbook"},{"key":"S1463423621000827_ref33","first-page":"271","article-title":"A randomised controlled trial of evidence based supported employment for people who have recently been homeless and have a mental illness","volume":"44","author":"Poremski","year":"2015","journal-title":"Administration and Policy in Mental Health and Mental Health Services Research"},{"key":"S1463423621000827_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.08.028"},{"key":"S1463423621000827_ref18","unstructured":"HK Labour Department (2021) Frequently asked questions about the employment ordinance, cap. 57 sick leave. Retrieved 18 March 2021 from https:\/\/www.labour.gov.hk\/eng\/faq\/cap57g_whole.htm"},{"key":"S1463423621000827_ref20","first-page":"CD008297","article-title":"Supported employment for adults with severe mental illness","volume":"2013","author":"Kinoshita","year":"2013","journal-title":"Cochrane Database System Reviews"},{"key":"S1463423621000827_ref26","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbx132"},{"key":"S1463423621000827_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.11.012"},{"key":"S1463423621000827_ref14","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780199734016.001.0001"},{"key":"S1463423621000827_ref25","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300262"},{"key":"S1463423621000827_ref8","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400510"},{"key":"S1463423621000827_ref37","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3280-x"},{"key":"S1463423621000827_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.01.002"},{"key":"S1463423621000827_ref27","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.115.165092"},{"key":"S1463423621000827_ref15","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.56.7.627"},{"key":"S1463423621000827_ref35","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011867.pub2"},{"key":"S1463423621000827_ref13","first-page":"13","article-title":"Individual placement and support: more than just supported employment for recent-onset psychosis","volume":"6","author":"Drake","year":"2012","journal-title":"Early Intervention in Psychiatry"},{"key":"S1463423621000827_ref24","doi-asserted-by":"publisher","DOI":"10.1080\/10826080701202403"},{"key":"S1463423621000827_ref12","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2017.1322180"},{"key":"S1463423621000827_ref29","unstructured":"NIHR (2017) IPS and supported employment interventions: a systematic review: PROSPERO 2017. 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e79"}}