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Implementing Supported Employment. Lessons from the Making IPS Work Project
Jan Hutchinson1, David Gilbert2, Rachel Papworth3
1Centre for Mental Health, Unit 2D21, Technopark, South Bank University, 90 London Road, London SE1 6LN, UK. Jan.Hutchinson@centreformentalhealth.org.uk.
Summary
The Making IPS Work project successfully implemented Individual Placement and Support (IPS) services, helping 421 people with severe mental health conditions find employment. However, long-term funding remains a challenge for sustaining these vital supported employment services.
Area of Science:
- Psychiatry
- Health Services Research
- Supported Employment
Background:
- Individual Placement and Support (IPS) is a proven supported employment model for individuals with severe mental health conditions.
- Implementation of IPS services has historically faced challenges with consistency and speed.
- The "Making IPS Work" project aimed to facilitate IPS adoption in six NHS Mental Health Trusts in England.
Purpose of the Study:
- To establish high-fidelity IPS services within existing clinical teams.
- To ensure the sustainability of IPS services beyond the demonstration project.
- To evaluate the implementation process and outcomes of IPS in diverse NHS settings.
Main Methods:
- Monitoring job placements for individuals with mental health conditions across six sites over 18 months.
- Conducting independent fidelity assessments at three sites to evaluate service quality.
- Interviewing stakeholders to understand experiences with IPS service development and implementation.
Main Results:
- A total of 421 open employment positions were secured for individuals with mental health conditions.
- All assessed sites achieved 'Good Fidelity' standards for IPS practice.
- IPS services were well-received by service users, clinical staff, and management.
Conclusions:
- Successful IPS implementation requires integration into broader psychosocial service strategies and coordinated decision-making.
- Sustaining IPS services post-project is challenging, particularly given current NHS funding pressures.
- While fidelity and acceptance are high, long-term financial viability is a critical barrier to widespread IPS adoption.
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