Los estudios sobre la estrategia IPS en el logro de empleo ordinario para las personas con trastorno mental grave
- Francisco Rodríguez Pulido
- Nayra Caballero Estebaranz
- Dácil Oramas Pérez
ISSN: 0211-5735
Año de publicación: 2017
Volumen: 37
Número: 131
Páginas: 145-168
Tipo: Artículo
Otras publicaciones en: Revista de la Asociación Española de Neuropsiquiatría
Resumen
Desde hace más de dos décadas se han incorporado nuevas estrategias para el logro de empleo ordinario dirigidas a personas con trastorno mental grave, entre las que destaca la conocida como Individual Placement and Support (IPS). El presente trabajo ofrece una revisión de los estudios sobre la estrategia IPS y analiza su calidad en relación a los resultados vocacionales y no vocacionales. Para ello consultaron diferentes bases de datos desde 1998 hasta diciembre de 2015 y se revisaron un total de 1148 referencias, de las que se seleccionaron 81 y se incluyeron 42: 23 ensayos clínicos aleatorizados, 11 revisiones sistemáticas y ocho estudios comparativos. Se analizó la calidad metodológica de cada uno de estos estudios mediante las escalas Jadad, Oxman y Estabrooks. En los ensayos clínicos aleatorizados se obtuvo para todos los estudios un puntuación media de 2.12 (dt=0.70), en las revisiones sistemáticas se alcanzó una puntuación media de 8.18 (dt=1.89) y para los estudios comparativos se alcanzó una puntuación media de 18.13 (dt=3.80). En general, los estudios revisados sobre la estrategia IPS son de una calidad moderada en relación a los resultados no vocacionales y muy débil en relación a los resultados vocacionales.
Referencias bibliográficas
- Rodríguez Pulido, F, Tallo Aldana, E, Tost Pardell, L. (2010). Eficacia y efectividad de las estrategias de empleo competitivo como intervención terapéutica en personas con discapacidad por trastorno mental grave y persistente. Ministerio de Sanidad y ConsumoFuncis. Madrid.
- Rodriguez Pulido, F. (2011). La autonomía personal en el empleo ordinario de las personas con trastorno mental grave. Sinpromi.
- Moll, S, Huff, J, Detwiler, L. (2003). Supported employment: Evidence for a best practice model in psychosocial rehabilitation. Canadian Journal of Occupational Therapy. 70. 298-310
- Drake, RE, Becker, DR. (1996). The Individual Placement and Support model of supported employment. Psychiatric Services. 47. 473
- Bond, GR. (1998). Principles of the Individual Placement and Support model: Empirical support. Psychiatric Rehabilitation Journal. 22. 11-23
- Rodríguez Pulido, F. (2010). La recuperación de las personas con trastorno mental grave: Modelo Red de Redes. Fundación Canaria de Salud y Sanidad de Tenerife.
- McGurk, SR, Twamley, EW, Sitzer, DI, McHugo, GJ, Mueser, KT. (2007). A metaanalysis of cognitive remediation in schizophrenia. Am J Psychiatry. 164. 1791
- McGurk, SR, Mueser, KT, DeRosa, T, Wolfe, R. (2009). Work, recovery, and comorbidity in schizophrenia. Schizophrenia Bulletin. 35. 319-335
- Caballero Estebaranz, N. La rehabilitación cognitiva para el logro del empleo ordinario de las personas con trastorno mental grave.
- Drake, RE, McHugo, GJ, Bebout, RR, Becker, DR, Harris, M, Bond, GR. (1999). A randomized clinical trial of supported employment for inner-city patients with severe mental disorders. Archives of General Psychiatry. 56. 627
- Mueser, KT, Becker, DR, Wolfe, R. (2001). Supported employment, job preferences, job tenure and satisfaction. Journal of Mental Health. 10. 411
- Mueser, KT, Clark, RE, Haines, M, Drake, RE, McHugo, GJ, Bond, GR. (2004). The Hartford Study of Supported Employment for Persons With Severe Mental Illness. Journal of Consulting Clinical Psychology. 72. 479
- Lehman, AF, Goldberg, R, Dixon, LB, McNary, S, Postrado, L, Hackman, A. (2002). Improving employment outcomes for persons with severe mental illnesses. Archives of General Psychiatry. 59. 165
- Twamley, EW, Padin, DS, Bayne, KS, Narvaez, JM, Williams, RE, Jeste, DV. (2005). Work Rehabilitation for Middle-Aged and Older People With Schizophrenia: A Comparison of Three Approaches. Journal of Nervous and Mental Disease. 193. 596-601
- Cook, JA, Leff, HS, Blyler, CR, Gold, PB, Goldberg, RW, Mueser, KT. (2005). Results of a Multisite Randomized Trial of Supported Employment Interventions for Individuals With Severe Mental Illness. Archives of General Psychiatry. 62. 505
- Cook, JA, Mulkern, V, Grey, DD, Burke-Miller, J, Blyler, CR, Razzano, LA. (2006). Effects of local unemployment rate on vocational outcomes in a randomized trial of supported employment for individuals with psychiatric disabilities. Journal of Vocational Rehabilitation. 25. 71-84
- Gold, PB, Meisler, N, Santos, AB, Carnemolla, MA, Williams, OH, Keleher, J. (2006). Randomized trial of supported employment integrated with assertive community treatment for rural adults with severe mental illness. Schizophrenia Bulletin. 32. 378
- Latimer, EA, Lecomte, T, Becker, DR, Drake, RE, Duclos, I, Piat, M. (2006). Generalisability of the individual placement and support model of supported employment: Results of a Canadian randomised controlled trial. The British Journal of Psychiatry. 189. 65-73
- Burns, T, Catty, J, Becker, T, Drake, RE, Fioritti, A, Knapp, M, Lauber, C, Rössler, W, Tomov, T, van Busschbach, J, White, S, Wiersma, D. (2007). The effectiveness of supported employment for people with severe mental illness: a randomised controlled trial. Lancet. 370. 1146
- Burns, T, White, SJ, Catty, J. (2008). Individual Placement and Support in Europe: the EQOLISE trial. Int Rev Psychiatry. 20. 498-502
- Burns, T, Catty, J, White, S, Becker, T, Koletsi, M, Fioritti, A, Rössler, W, Tomov, T, van Busschbach, J, Wiersma, D, Lauber, C. (2009). The impact of supported employment and working on clinical and social functioning: results of an international study of individual placement and support. Schizophr Bull. 35. 949
- Wong, K, Chiu, R, Tang, B, Mak, D, Liu, J, Chiu, SN. (2008). A randomized controlled trial of a supported employment program for persons with long-term mental illness in Hong Kong. Psychiatr Serv. 59. 84-90
- Schneider, J, Slade, J, Secker, J, Rinaldi, M, Boyce, M, Johnson, R, Floyd, M, Grove, B. (2009). SESAMI study of employment support for people with severe mental health problems: 12-month outcomes. Health Soc Care Community. 17. 151
- Tsang, HW, Chan, A, Wong, A, Liberman, RP. (2009). Vocational outcomes of an integrated supported employment program for individuals with persistent and severe mental illness. J Behav Ther Exp Psychiatry. 40. 292-305
- Tsang, HW, Fung, KM, Leung, AY, Li, SM, Cheung, WM. (2010). Three year follow-up study of an integrated supported employment for individuals with severe mental illness. Aust N Z J Psychiatry. 44. 49-58
- Kilian, R, Lauber, C, Kalkan, R, Dorn, W, Rössler, W, Wiersma, D, van Buschbach, JT, Fioritti, A, Tomov, T, Catty, J, Burns, T, Becker, T. The relationships between employment, clinical status, and psychiatric hospitalisation in patients with schizophrenia receiving either IPS or a conventional vocational rehabilitation programme. Soc Psychiatry Psychiatr Epidemiol. 2012. 1381
- Areberg, C, Bejerholm, U. (2013). The effect of IPS on participants' engagement, quality of life, empowerment, and motivation: a randomized controlled trial. Scand J Occup Ther. 20. 420
- Waghorn, G, Dias, S, Gladman, B, Harris, M, Saha, S. (2014). A multisite randomised controlled trial of evidence based supported employment for adults with severe and persistent mental illness. Aust Occup Ther J. 61. 424
- Michon, H, van Busschbach, JT, Stant, AD, van Vugt, MD, van Weeghel, J, Kroon, H. (2014). Effectiveness of individual placement and support for people with severe mental illness in The Netherlands: a 30-month randomized controlled trial. Psychiatr Rehabil J. 37. 129
- Oshima, I, Sono, T, Bond, GR, Nishio, M, Ito, J. (2014). A randomized controlled trial of individual placement and support in Japan. Psychiatr Rehabil J.. 37. 137
- Bejerholm, U, Areberg, C, Hofgren, C, Sandlund, M, Rinaldi, M. (2015). Individual placement and support in Sweden: a randomized controlled trial. Nord J Psychiatry. 69. 57-66
- Crowther, R, Marshall, M, Bond, GR, Huxley, P. (2001). Vocational rehabilitation for people with severe mental illness. The Cochrane Database of Systematic Reviews.
- Crowther, RE, Marshall, M, Bond, GR, Huxley, P. (2001). Helping people with severe mental illness to obtain work: Systematic review. British Medical Journal. 322. 204
- Marshall, M, Crowther, R, Almaraz-Serrano, A, Creed, F, Sledge, W, Kluiter, H. (2001). Systematic reviews of the effectiveness of day care for people with severe mental disorders: (1) acute day hospital versus admission; (2) vocational rehabilitation; (3) day hospital versus outpatient care. Health Technology Assessment. 5. 1-75
- Moll, S, Huff, J, Detwiler, L. (2003). Supported employment: Evidence for a best practice model in psychosocial rehabilitation. Canadian Journal of Occupational Therapy. 70. 298-310
- Twamley, EW, Jeste, DV, Lehman, AF. (2003). Vocational Rehabilitation in Schizophrenia and Other Psychotic Disorders: A Literature Keview and Meta-Analysis of Kandomized Controlled Trials. The Journal of Nervous and Mental Disease. 191. 515
- Bond, GR, Drake, RE, Becker, DR. (2008). An update on randomized controlled trials of evidence-based supported employment. Psychiatr Rehabil J. 31. 280
- Campbell, K, Bond, GR, Drake, RE. Who benefits from supported employment: a meta-analytic study. Schizophr Bull. 37. 370
- Heffernan, J, Pilkington, P. (2011). Supported employment for persons with mental illness: systematic review of the effectiveness of individual placement and support in the UK. J Ment Health. 20. 368
- Bond, GR, Drake, RE, Becker, DR. (2012). Generalizability of the Individual Placement and Support (IPS) model of supported employment outside the US. World Psychiatry. 11. 32
- Kinoshita, Y, Furukawa, TA, Kinoshita, K, Honyashiki, M, Omori, IM, Marshall, M, Bond, GR, Huxley, P, Amano, N, Kingdon, D. (2013). Supported employment for adults with severe mental illness. Cochrane Database Syst Rev.
- Marshall, T, Goldberg, RW, Braude, L, Dougherty, RH, Daniels, AS, Ghose, SS, George, P, Delphin-Rittmon, ME. (2014). Supported employment: assessing the evidence. Psychiatr Serv. 65. 16-23
- Bailey, EL, Ricketts, SK, Becker, DR, Xie, H, Drake, RE. (1998). Do long-term day treatment clients benefit from supported employment?. Psychiatric Rehabilitation Journal. 22. 24
- McHugo, GJ, Drake, RE, Becker, DR. (1998). The durability of supported employment effects. Psychiatric Rehabilitation Journal. 22. 55-61
- Becker, DR, Bond, GR, McCarthy, D, Thompson, D, Xie, H, McHugo, GJ. (2001). Converting day treatment centers to supported employment programs in Rhode Island. Psychiatric Services. 52. 351
- Rollins, AL, Mueser, KT, Bond, GR, Becker, DR. (2002). Social relationships at work: Does the employment model make a difference?. Psychiatric Rehabilitation Journal. 26. 51-61
- Henry, AD, Lucca, AM, Banks, S, Simon, L, Page, S. (2004). Inpatient Hospitalizations and Emergency Service Visits among Participants in an Individual Placement and Support (IPS) Model Program. Mental Health Services Research. 6. 227
- Campbell, K, Bond, GR, Drake, RE, McHugo, GJ, Xie, H. (2010). Client predictors of employment outcomes in high-fidelity supported employment: a regression analysis. J Nerv Ment Dis. 198. 556
- Nygren, U, Markström, U, Svensson, B, Hansson, L, Sandlund, M. (2011). Individual placement and support - a model to get employed for people with mental illness: the first Swedish report of outcomes. Scand J Caring Sci. 25. 591
- Bond, GR, Campbell, K, Drake, RE. (2012). Standardizing measures in four domains of employment outcomes for individual placement and support. Psychiatr Serv. 63. 751
- Jadad, AR, Moore, RA, Carroll, D, Jenkinson, C, Reynolds, JM, Gavaghan, DJ. (1996). Assessing the quality of reports of randomized clinical trials: is blinding necessary?. Controlled Clin Trials. 17.
- Oxman, AD, Cook, DJ, Guyatt, GH. (1994). Users' guides to the medical literature: VI. How to use an overview. The Evidence-Based Medicine Working Group. JAMA. 272. 1367
- Estabrooks, CA, Goel, V, Thiel, E, Pinfold, SP, Sawka, C, Williams, J. (2000). Consumer Decision Aids: Where do we stand? A systematic review of structured consumer decision aids. ICES.