The societal impact of individual placement and support implementation on employment outcomes for young adults receiving temporary health-related welfare benefits: a difference-in-differences study
Individual placement and support (IPS) is an evidence-based practice that helps individuals with mental illness gain and retain employment. IPS was implemented for young adults at a municipality level through a cross-sectoral collaboration between specialist mental healthcare, primary mental healthc...
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| Veröffentlicht in: | Psychological medicine 2024-06, Vol.54 (8), p.1-1795 |
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| creator | Brinchmann, Beate Wittlund, Sina Lorentzen, Thomas Moe, Cathrine McDaid, David Killackey, Eoin Rinaldi, Miles Mykletun, Arnstein |
| description | Individual placement and support (IPS) is an evidence-based practice that helps individuals with mental illness gain and retain employment. IPS was implemented for young adults at a municipality level through a cross-sectoral collaboration between specialist mental healthcare, primary mental healthcare, and the government funded employment service (NAV). We investigated whether IPS implementation had a causal effect on employment outcomes for all young adults in receipt of a temporary health-related rehabilitation (work assessment allowance, WAA) welfare benefit, measured at the societal level compared to municipalities that did not implement IPS.
We used a difference in differences design to estimate the effects of IPS implementation on the outcome of workdays per year using longitudinal registry data. We estimate the average effect of being exposed to IPS implementation during four-years of implementation compared to ten control municipalities without IPS for all WAA recipients.
We found a significant, positive, causal effect on societal level employment outcomes of 5.6 (
= 0.001, 95% CI 2.7-8.4) increased workdays per year per individual, equivalent to 12.7 years of increased work in the municipality where IPS was implemented compared to municipalities without IPS. Three years after initial exposure to IPS implementation individuals worked, on average, 10.5 more days per year equating to 23.8 years of increased work.
Implementing IPS as a cross sectoral collaboration at a municipality level has a significant, positive, causal, societal impact on employment outcomes for all young adults in receipt of a temporary health-related rehabilitation welfare benefit. |
| doi_str_mv | 10.1017/S0033291723003744 |
| format | Article |
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We used a difference in differences design to estimate the effects of IPS implementation on the outcome of workdays per year using longitudinal registry data. We estimate the average effect of being exposed to IPS implementation during four-years of implementation compared to ten control municipalities without IPS for all WAA recipients.
We found a significant, positive, causal effect on societal level employment outcomes of 5.6 (
= 0.001, 95% CI 2.7-8.4) increased workdays per year per individual, equivalent to 12.7 years of increased work in the municipality where IPS was implemented compared to municipalities without IPS. Three years after initial exposure to IPS implementation individuals worked, on average, 10.5 more days per year equating to 23.8 years of increased work.
Implementing IPS as a cross sectoral collaboration at a municipality level has a significant, positive, causal, societal impact on employment outcomes for all young adults in receipt of a temporary health-related rehabilitation welfare benefit.</description><identifier>ISSN: 0033-2917</identifier><identifier>ISSN: 1469-8978</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291723003744</identifier><identifier>PMID: 38197145</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Collaboration ; Employment ; Evidence-based practice ; GDP ; Gross Domestic Product ; Health care ; Health services ; Implementation ; Local government ; Longitudinal studies ; Mental disorders ; Mental health care ; Municipalities ; Outreach services ; Primary care ; Rehabilitation ; Welfare benefits ; Workloads ; Young adults</subject><ispartof>Psychological medicine, 2024-06, Vol.54 (8), p.1-1795</ispartof><rights>Copyright © The Author(s), 2024. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>info:eu-repo/semantics/openAccess</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c348t-2b4e7921c9e479cb73b017df8e4ba82298a21fdfbdd3fcac1d04df26f3fd4fd83</cites><orcidid>0000-0001-9649-5551 ; 0000-0003-3822-1434 ; 0000-0002-3878-0079 ; 0000-0001-9952-8929 ; 0000-0003-0744-2664 ; 0000-0001-5305-3913 ; 0000-0001-9520-4011 ; 0000-0002-5793-7668</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,12826,26546,27903,27904,30978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38197145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brinchmann, Beate</creatorcontrib><creatorcontrib>Wittlund, Sina</creatorcontrib><creatorcontrib>Lorentzen, Thomas</creatorcontrib><creatorcontrib>Moe, Cathrine</creatorcontrib><creatorcontrib>McDaid, David</creatorcontrib><creatorcontrib>Killackey, Eoin</creatorcontrib><creatorcontrib>Rinaldi, Miles</creatorcontrib><creatorcontrib>Mykletun, Arnstein</creatorcontrib><title>The societal impact of individual placement and support implementation on employment outcomes for young adults receiving temporary health-related welfare benefits: a difference-in-differences study</title><title>Psychological medicine</title><addtitle>Psychol Med</addtitle><description>Individual placement and support (IPS) is an evidence-based practice that helps individuals with mental illness gain and retain employment. IPS was implemented for young adults at a municipality level through a cross-sectoral collaboration between specialist mental healthcare, primary mental healthcare, and the government funded employment service (NAV). We investigated whether IPS implementation had a causal effect on employment outcomes for all young adults in receipt of a temporary health-related rehabilitation (work assessment allowance, WAA) welfare benefit, measured at the societal level compared to municipalities that did not implement IPS.
We used a difference in differences design to estimate the effects of IPS implementation on the outcome of workdays per year using longitudinal registry data. We estimate the average effect of being exposed to IPS implementation during four-years of implementation compared to ten control municipalities without IPS for all WAA recipients.
We found a significant, positive, causal effect on societal level employment outcomes of 5.6 (
= 0.001, 95% CI 2.7-8.4) increased workdays per year per individual, equivalent to 12.7 years of increased work in the municipality where IPS was implemented compared to municipalities without IPS. Three years after initial exposure to IPS implementation individuals worked, on average, 10.5 more days per year equating to 23.8 years of increased work.
Implementing IPS as a cross sectoral collaboration at a municipality level has a significant, positive, causal, societal impact on employment outcomes for all young adults in receipt of a temporary health-related rehabilitation welfare benefit.</description><subject>Collaboration</subject><subject>Employment</subject><subject>Evidence-based practice</subject><subject>GDP</subject><subject>Gross Domestic Product</subject><subject>Health care</subject><subject>Health services</subject><subject>Implementation</subject><subject>Local government</subject><subject>Longitudinal studies</subject><subject>Mental disorders</subject><subject>Mental health care</subject><subject>Municipalities</subject><subject>Outreach services</subject><subject>Primary care</subject><subject>Rehabilitation</subject><subject>Welfare benefits</subject><subject>Workloads</subject><subject>Young 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study</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol Med</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>54</volume><issue>8</issue><spage>1</spage><epage>1795</epage><pages>1-1795</pages><issn>0033-2917</issn><issn>1469-8978</issn><eissn>1469-8978</eissn><abstract>Individual placement and support (IPS) is an evidence-based practice that helps individuals with mental illness gain and retain employment. IPS was implemented for young adults at a municipality level through a cross-sectoral collaboration between specialist mental healthcare, primary mental healthcare, and the government funded employment service (NAV). We investigated whether IPS implementation had a causal effect on employment outcomes for all young adults in receipt of a temporary health-related rehabilitation (work assessment allowance, WAA) welfare benefit, measured at the societal level compared to municipalities that did not implement IPS.
We used a difference in differences design to estimate the effects of IPS implementation on the outcome of workdays per year using longitudinal registry data. We estimate the average effect of being exposed to IPS implementation during four-years of implementation compared to ten control municipalities without IPS for all WAA recipients.
We found a significant, positive, causal effect on societal level employment outcomes of 5.6 (
= 0.001, 95% CI 2.7-8.4) increased workdays per year per individual, equivalent to 12.7 years of increased work in the municipality where IPS was implemented compared to municipalities without IPS. Three years after initial exposure to IPS implementation individuals worked, on average, 10.5 more days per year equating to 23.8 years of increased work.
Implementing IPS as a cross sectoral collaboration at a municipality level has a significant, positive, causal, societal impact on employment outcomes for all young adults in receipt of a temporary health-related rehabilitation welfare benefit.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>38197145</pmid><doi>10.1017/S0033291723003744</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-9649-5551</orcidid><orcidid>https://orcid.org/0000-0003-3822-1434</orcidid><orcidid>https://orcid.org/0000-0002-3878-0079</orcidid><orcidid>https://orcid.org/0000-0001-9952-8929</orcidid><orcidid>https://orcid.org/0000-0003-0744-2664</orcidid><orcidid>https://orcid.org/0000-0001-5305-3913</orcidid><orcidid>https://orcid.org/0000-0001-9520-4011</orcidid><orcidid>https://orcid.org/0000-0002-5793-7668</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Psychological medicine, 2024-06, Vol.54 (8), p.1-1795 |
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| language | eng |
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| source | Cambridge core; NORA - Norwegian Open Research Archives; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Collaboration Employment Evidence-based practice GDP Gross Domestic Product Health care Health services Implementation Local government Longitudinal studies Mental disorders Mental health care Municipalities Outreach services Primary care Rehabilitation Welfare benefits Workloads Young adults |
| title | The societal impact of individual placement and support implementation on employment outcomes for young adults receiving temporary health-related welfare benefits: a difference-in-differences study |
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