[A supported employment experience in western Switzerland for persons with mental health disorders]

Access and maintenance of competitive employment represent a challenge for people with mental health problems. Effective methods to support employment attain only a fraction of people who wish to re-enter the labour market. The objective of the article is to describe the development of a service to support competitive employment for mental disorders in collaboration between public psychiatry, disability insurance and social welfare. Three pathways were differentiated according to target populations and to ensure fidelity to effective intervention models: 1) individual placement and support (IPS) for severe psychiatric disorders; 2) progressive rehabilitation for instable situations and 3) critical time clinical case management for untreated mental disorders in employment integration programs.