{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T21:26:33Z","timestamp":1793568393945,"version":"4.5.0"},"reference-count":73,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI23\/00582"],"award-info":[{"award-number":["PI23\/00582"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Young people with first-episode psychosis experience high rates of disruption in work and education and consistently describe vocational participation as a core priority of recovery. This meta-analysis aimed to evaluate the effectiveness of evidence-based interventions in improving employment and education rates after a first-episode psychosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A PROSPERO-registered meta-analysis was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Three endpoints were analysed: (a) employment, (b) education, and (c) combined vocational rates. Both meta-analyses of proportions and comparative meta-analyses (intervention vs control) were performed under random-effects models. Risk of bias (RoB2), Risk of Bias in Non-randomised Studies \u2013 of Exposure and certainty of evidence Grading of Recommendations, Assessment, Development and Evaluation were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Thirty-one studies (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098651) were included. Vocational interventions \u2013 particularly Individual Placement and Support (odds ratio\u2009=\u20092.86, 95% CI 1.81\u20134.54) \u2013 were consistently associated with improved competitive employment compared with control conditions (odds ratio\u2009=\u20092.35, 95% CI 1.88\u20132.94). No intervention showed a consistent advantage for education rates (odds ratio\u2009=\u20091.19, 95% CI 0.80\u20131.76). The combined endpoint showed substantial heterogeneity (\n                      <jats:italic toggle=\"yes\">I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200969.6%,\n                      <jats:italic toggle=\"yes\">\u03c4<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.296,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and possible publication bias, limiting interpretability (odds ratio\u2009=\u20092.02, 95% CI 1.29\u20133.17).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our findings support integrating structured, evidence-based vocational support \u2013 particularly Individual Placement and Support \u2013 as a routine component of services for early psychosis, specifically for patients with employment goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674261471316","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T08:38:32Z","timestamp":1786091912000},"page":"1022-1036","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Evidence-based interventions for vocational recovery in first-episode psychosis: A meta-analysis of employment and education rates"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2307-0157","authenticated-orcid":false,"given":"Oscar","family":"Gonzalo","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, University of Salamanca, Spain"},{"name":"Institute for Biomedical Research of Salamanca, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4791-6513","authenticated-orcid":false,"given":"Juan Luis","family":"S\u00e1nchez-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, University of Salamanca, Spain"},{"name":"Institute for Biomedical Research of Salamanca, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1954-1939","authenticated-orcid":false,"given":"Alba","family":"S\u00e1nchez-Gil","sequence":"additional","affiliation":[{"name":"National Centre of Reference for People with Alzheimer\u2019s Disease and Other Dementias, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2133-7249","authenticated-orcid":false,"given":"Lorena","family":"Carrascal-Laso","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University Hospital of Salamanca, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9013-9422","authenticated-orcid":false,"given":"Mar\u00eda","family":"Isidoro-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, University of Salamanca, Spain"},{"name":"Institute for Biomedical Research of Salamanca, Spain"},{"name":"Department of Clinical Biochemistry, University Hospital of Salamanca, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3962-7356","authenticated-orcid":false,"given":"Javier","family":"Mart\u00edn-Vallejo","sequence":"additional","affiliation":[{"name":"Institute for Biomedical Research of Salamanca, Spain"},{"name":"Department of Statistics, University of Salamanca, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0740-190X","authenticated-orcid":false,"given":"Jesus","family":"Perez","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine, University of Salamanca, Spain"},{"name":"Institute for Biomedical Research of Salamanca, Spain"},{"name":"Department of Psychiatry, University Hospital of Salamanca, Spain"},{"name":"Department of Psychiatry, University of Cambridge, UK"},{"name":"Cambridgeshire and Peterborough NHS Foundation Trust, UK"},{"name":"Norwich Medical School, University of East Anglia, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Abdel-Baki A L\u00e9tourneau G Morin C et al. 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