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Support and process in individual placement and support: a multiple case study
Annika Lexén1, Caisa Hofgren, Ulrika Bejerholm
1Division of Occupational Therapy and Gerontology, Department of Health Sciences, Lund University, Lund, Sweden. annika.lexen@med.lu.se
Work (Reading, Mass.)
|August 29, 2012
Summary
Individual Placement and Support (IPS) helps individuals with severe mental illness find and keep jobs by focusing on job matching and accommodations. The Person-Environment-Occupation (PEO) model guides this support for better employment success.
Area of Science:
- Occupational therapy
- Rehabilitation science
- Vocational psychology
Background:
- The Individual Placement and Support (IPS) model is a recognized approach for supported employment.
- Understanding the nuances of support and the process within IPS is crucial for optimizing client outcomes.
- The Person-Environment-Occupation (PEO) model offers a framework for analyzing the interplay between individuals, their environments, and their occupations.
Purpose of the Study:
- To investigate the support and process within the Individual Placement and Support (IPS) approach.
- To examine IPS from individual client, longitudinal, and Person-Environment-Occupation (PEO) model perspectives.
- To develop a theoretical framework for detecting limitations and providing IPS support.
Main Methods:
- A multiple case study design involving five participants with severe mental illness (SMI) engaged in supported employment.
- Data collection occurred over 12 months, utilizing vocational profiles, plans, socio-demographic data, work performance measures, and accommodation information.
- Both within-case and across-case analyses were conducted to understand the IPS process.
Main Results:
- The IPS process involved job search support, job matching (PEO-match), and PEO-match adjustments through accommodations.
- Participants consistently faced limitations in social interactions and symptom/stress management.
- Accommodations primarily targeted social environment adjustments, with prior work experience, disclosure, and illness phase influencing support.
Conclusions:
- The study visualized the IPS support and process, establishing the PEO model as a framework for identifying limitations and guiding IPS interventions.
- Effective organization and delivery methods of IPS support are vital for enhancing job tenure and employment success.
- The PEO model provides a valuable lens for tailoring IPS interventions to individual client needs and environmental contexts.
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