Psychological Wellbeing and

Work Feasibility (RAND) pilot

Individual Placement & Support

(IPS) in IAPT’s

Rand – Psychological

Wellbeing & Work

Report Findings

• Difficulties in assessment of a person Mental Heath

and employment needs

• Services often work in isolation and tackle the

mental health need and the employment separately

• Service provision is offer delayed and both health

and employment situation can worsen as a result

Rand - Proposed Pilot

1. Embed IPS in Primary settings offering

psychological support

2. Group work to build self-efficacy and resilience

to setbacks when job searching

3. Provide access to online mental health and

work assessments and support

4. Third Sector commissioned by JCP to delivery

telephone-based psychological and

employment support

The Study aimed

• 750 people with common MH conditions who are

out of work and in receipt of ESA or who are at

the assessment phase of the Work Capability

Assessment

• 500 referred to IAPT’s plus IPS support

• 250 referred to IAPT’s only (control group)

Outputs and Outcomes

• 413 people referred to the four sites

• 173 declined to take up the opportunities

• = 240 participation

• 166 consented to take part in the evaluation

• 183 job application made

• 39 interviews

• 15 paid employment outcomes

• Improved job search self-efficacy

• Improved health & wellbeing scores from GAD & PHQ

IAPT Referral Status

Outcomes

Con-current Treatment

& Support

Outcomes with the

two month extension

Challenges

• Bring the support of physiological support

and Employment Support together

– Contrasting referral rates

– High numbers “Closed at referral”

– Not eligible for IAPT’s due to complex needs

– Waiting times for IAPT’s

– Short time frame to deliver IPS support

Recommendations

for future trails • In order to ensure parallel provision of

physiological and employment support

– 2 months advanced referrals process before

employment service commences

– Dictated IAPT’s councillor, supervised by the

Health team but paid for by the employment

service

– Broaden eligibility critical

• Video clip