Personal and clinical recovery with the individual placement and support intervention in Denmark

Iben Gammelgaard Nielsen, Elsebeth Stenager, Lene Eplov, Kirsten Schultz Petersen, Thomas Nordahl Christensen, Sofie Bratberg Jensen

Research output: Contribution to conference without publisher/journalConference abstract for conferenceResearch

Abstract

Introduction: Individual Placement and Support (IPS) is an evidence-based recovery-oriented intervention where employment specialists (ES) support persons with severe mental illness in achieving competitive employment. IPS is labelled a recovery-oriented intervention; although, the influence of IPS on outcomes often referred to as recovery measures i.e. symptoms and self-esteem is ambiguous.
One branch of the recovery literature distinguishes between two kinds of recovery. The one, personal recovery is defined by: what helps the individual move beyond the role of being a patient with a mental illness. The other, clinical recovery is defined as symptom reduction and increased level of functioning.
Aim: To investigate how an IPS-intervention influences the personal and clinical recovery in persons with severe mental illness.
Method: A qualitative phenomenological study including interview of 12 participants in an IPS intervention.
Results: IPS contributed to personal recovery in a number of ways: The ES created an equal, acknowledging and safe relationship where participants’ needs were taking into consideration in the search and support for employment. Both employment and the ES contributed to normalization and stabilisation of participants’ daily lives and changed their behaviours and beliefs about personal goals and dreams. The study found nuances in how IPS and employment were perceived to have influenced clinical recovery. Participants suffering from psychotic symptoms were clearly of the opinion that neither IPS nor employment influenced symptom severity. In contrast to this, participants suffering from negative or depressive symptoms described how employment helped them get up in the morning and structure the day. Also, fellowship with colleagues was found important.
Conclusion: The present study indicates that IPS and employment have an impact on personal recovery and may decrease depressive symptoms, but does not seem to have an impact on psychotic symptoms.

Original languageEnglish
Publication date22. Sep 2017
Number of pages1
Publication statusPublished - 22. Sep 2017
Event8th Together Against Stigma Conference - København, Denmark
Duration: 20. Sep 201722. Sep 2017
Conference number: 8

Conference

Conference8th Together Against Stigma Conference
Number8
CountryDenmark
CityKøbenhavn
Period20/09/201722/09/2017

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