Employment Outcomes After Vocational Training

NCT03152032 | Completed DMC

• 1 other identifier: EH32469
• Study Type: interventional
• Target: 323
• Locations: 0 countries
• Sites: N/A

Brief Summary

This multicenter retrospective cohort study examined the employment outcomes of the innovative in-house vocational training (IHVT) programs for individuals with chronic psychiatric disorders (CPD) and explored the program parameters significantly predictive of the outcomes. The IHVT programs were government-funded services offered to newly discharged inpatients or current outpatients with chronic psychiatric disorders (CPD) in four regional psychiatric hospitals of Taiwan. Each program was staffed with occupational therapists and paid or volunteer job coaches, along with cross-disciplinary support from psychiatrists, psychologists, social workers, nurses, vocational specialists or others. Data were retrieved from 323 participants with CPD who completed the IHVT and the 1st-, 3rd-, and 6th-month follow-up interviews. The employment outcomes examined were the participants' employment rates at the 1st-, 3rd-, and 6th-month post-training as well as their sustainability of employment during the 6 months post-training.

Conditions

Schizophrenia and Related Disorders; Bipolar and Related Disorders

Keywords

employment service; vocational counseling; employment outcome; schizophrenia; bipolar; occupational therapy in mental health

Outcome Measures

Primary Outcomes (3)

• The employment rate at the 1st-month post-training interview

  The employment rate was the percentages of participants who were employed at the 1st-month post-training follow-up interview. In this study, participants were deemed "employed" if they had a full-time paid job (a workload of 30 hours or more per week) in any of the following work placements: sheltered, supported, or competitive employment.

  1st-month post-training

• The employment rate at the 3rd-month post-training interview

  The employment rate was the percentages of participants who were employed at the 3rd-month post-training follow-up interview. In this study, participants were deemed "employed" if they had a full-time paid job (a workload of 30 hours or more per week) in any of the following work placements: sheltered, supported, or competitive employment.

  3rd-month post-training

• The employment rate at the 6th-month post-training interview

  The employment rate was the percentages of participants who were employed at the 6th-month post-training follow-up interview. In this study, participants were deemed "employed" if they had a full-time paid job (a workload of 30 hours or more per week) in any of the following work placements: sheltered, supported, or competitive employment.

  6th-month post-training

Secondary Outcomes (1)

• Employment sustainability during the first 6 months post-training

  the first 6 months post-training

Study Arms (1)

In-House Vocational Training Programs

EXPERIMENTAL

The In-House Vocational Training Programs were government-funded services offered to newly discharged inpatients or current outpatients with chronic psychiatric disorders in four regional psychiatric hospitals of Taiwan. The programs emphasized the utilization of the hospitals' existing spaces, facilities and manpower alongside the community sources to train participants in various job options including bakery training, culinary skill, barista training, computer data processing, auto wash and detailing, janitorial training, and wash and fold laundry service. Each program was staffed with occupational therapists and paid or volunteer job coaches, along with cross-disciplinary support from psychiatrists, psychologists, social workers, nurses, vocational specialists or others.

Behavioral: In-House Vocational Training Programs

Interventions

In-House Vocational Training Programs BEHAVIORAL

At the beginning of the IHVT programs, the job placement for each participant was determined jointly by the participant's interest, the demands of local job markets and the team evaluation. The programs covered 6 to 10 months in length, 5 days a week and 4 to 6 hours a day. The programs contained three sessions: (a) the work-related behavior training session, such as proper appearance, communication and self assertion, and workplace social skills, (b) the on-the-job skill training session where participants gained job-specific training and interventions from job coaches and occupational therapists, and (c) the life balance counseling session including individual and group counseling that aimed to enhance the participants' ability to tackle potential hardships and barriers to work.

Also known as: IHVT Programs

In-House Vocational Training Programs

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• year-old or older
• a diagnosis of DSM-V psychiatric disorder for a minimum of 12 months
• a newly discharged inpatient (\< 3 months) or current outpatient of one of the four participating psychiatric hospitals in Taiwan
• completed the entire IHVT program
• completed the 1st, 3rd-, and 6th-month follow-up employment interviews
• signed participant informed consent

You may not qualify if:

• Participants who did not fully complete the IHVT program
• Participants who missed any of the 1st, 3rd-, and 6th-month follow-up employment interviews

Sponsors & Collaborators

• TsaoTun Psychiatric Center, Department of Health, Taiwan: lead

Related Publications (6)

• Arbesman M, Logsdon DW. Occupational therapy interventions for employment and education for adults with serious mental illness: a systematic review. Am J Occup Ther. 2011 May-Jun;65(3):238-46. doi: 10.5014/ajot.2011.001289.

  PMID: 21675329 BACKGROUND

• Bond GR, Drake RE, Becker DR. An update on randomized controlled trials of evidence-based supported employment. Psychiatr Rehabil J. 2008 Spring;31(4):280-90. doi: 10.2975/31.4.2008.280.290.

  PMID: 18407876 BACKGROUND

• Chuang WF, Hwang E, Lee HL, Wu SL. An in-house prevocational training program for newly discharged psychiatric inpatients: exploring its employment outcomes and the predictive factors. Occup Ther Int. 2015 Jun;22(2):94-103. doi: 10.1002/oti.1388. Epub 2015 Mar 16.

  PMID: 25783143 BACKGROUND

• Jang Y, Wang YT, Lin MH. Factors affecting employment outcomes for people with disabilities who received Disability Employment Services in Taiwan. J Occup Rehabil. 2014 Mar;24(1):11-21. doi: 10.1007/s10926-013-9433-1.

  PMID: 23512347 BACKGROUND

• Waghorn G, Dias S, Gladman B, Harris M, Saha S. A multi-site randomised controlled trial of evidence-based supported employment for adults with severe and persistent mental illness. Aust Occup Ther J. 2014 Dec;61(6):424-36. doi: 10.1111/1440-1630.12148. Epub 2014 Oct 4.

  PMID: 25284162 BACKGROUND

• Lee HL, Hwang EJ, Wu SL, Tu WM, Wang MH, Chan F. Employment Outcomes After Vocational Training for People With Chronic Psychiatric Disorders: A Multicenter Study. Am J Occup Ther. 2018 Sep/Oct;72(5):7205195010p1-7205195010p9. doi: 10.5014/ajot.2018.028621.

  PMID: 30157009 DERIVED

MeSH Terms

Conditions

Schizophrenia; Bipolar and Related Disorders

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic Disorders; Mental Disorders; Mood Disorders

Study Officials

• Hui-Ling Lee, MS

  Tsaotun Psychiatric Center, Nantou County, Taiwan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical research mentor

Model Details: All study participants attended the vocational training program.

Study Record Dates

• First Submitted: May 8, 2017
• First Posted: May 12, 2017
• Study Start: August 1, 2014
• Primary Completion: July 31, 2016
• Study Completion: July 31, 2016
• Last Updated: May 12, 2017

Record last verified: 2017-05

Data Sharing

• IPD Sharing: Will not share