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OBJECTIVE: To investigate the impact of training CMHT members in the practice of Individual Placement and Support on the vocational status of long-term patients. METHOD: Six CMHTs received vocational training by a work co-ordinator; four continued with standard care. The best vocational status of the 1037 subjects was ascertained after one year. Factors associated with improvement in vocational status were identified. RESULTS: There was no difference in change of vocational status. Age, previous employment and diagnosis influenced outcome. CONCLUSION: Training in IPS at team level did not improve employment status. A dedicated, vocational worker appears to be essential for successful IPS.


Journal article


Community Ment Health J

Publication Date





333 - 347


Adolescent, Adult, Aged, Community Mental Health Services, Employment, Supported, Female, Health Services Research, Humans, London, Long-Term Care, Male, Mentally Ill Persons, Middle Aged, Outcome Assessment (Health Care), Rehabilitation, Vocational, Unemployment