Health-economic Evaluation of the IPS (Individual Placement and Support) Model for Helping People With Severe Mental Disorders Access Employment in the Ordinary Labor Market, Compared to Standard Methods of Helping People Return to Work: a Prospective Real-life Study
MEDECO-IPS
1 other identifier
observational
234
1 country
11
Brief Summary
The Individual Placement and Support (IPS) model was developed in the United States in the 1990s to help people with severe mental health issues get back into regular jobs. This model is based on the idea that a quick job search that takes into account what patients want, followed by ongoing and intensive support in the community, is especially good for this group. To date, although the effectiveness of the IPS model has been widely demonstrated (for a review, see Metcalfe et al., 2018), only a few studies have evaluated its efficiency in foreign contexts (Knapp et al., 2013; Christensen et al., 2020). Although the IPS model has been in place in France for around ten years, no studies have yet been conducted to validate its efficiency in the French healthcare system. The main objective of this prospective, real-life, multicenter study is to evaluate the efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness in terms of cost per additional day worked, from a collective perspective.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2025
Longer than P75 for all trials
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 25, 2025
CompletedStudy Start
First participant enrolled
October 2, 2025
CompletedFirst Posted
Study publicly available on registry
October 3, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 1, 2030
October 3, 2025
September 1, 2025
4.4 years
September 25, 2025
September 25, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Efficiency of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness
Incremental cost-effectiveness ratio (ICER) expressed as cost per additional day worked at 18 months, from a collective perspective, of the IPS practice model in patients with severe mental disorders.
18 months
Secondary Outcomes (8)
Efficiency of the IPS model compared to the conventional method of monitoring by social workers among patients with severe mental illness
18 months
Cost-benefit ratio of the IPS practice model compared to the conventional method of follow-up by social workers for patients with severe mental illness,
18 months
Budgetary impact on the French national health insurance system (AM) of changes in clinical practices with regard to the two types of support for returning to work.
5 years
Compare work productivity and activity disorders between the two groups.
0, 6, 12 and 18 months
Compare the rate of hospital care use between the two groups.
18 months
- +3 more secondary outcomes
Study Arms (2)
IPS (Individual Placement and Support) practice model
patients benefiting from the IPS (Individual Placement and Support) practice model for assistance in accessing employment
standard method
patients benefiting from the standard method for assistance in accessing employment
Interventions
The Individual Placement and Support (IPS) model is an employment support program specifically designed for people with severe mental illness (Bond, Drake, \& Becker, 2012). The core philosophy of IPS is that anyone can obtain competitive employment in the open labor market, provided it is the right job combined with appropriate support. IPS support is delivered by a job coach, specifically trained in this model, who devotes their entire working time to assisting patients in their vocational integration.
In psychiatric wards, patients who wish to do so are usually offered support to initiate the process of returning to competitive employment in the open labor market. This assistance is provided by the social workers (such as social workers or educators) within the care unit.
Eligibility Criteria
Adult patients with severe mental disorders treated in adult psychiatric wards and receiving support to return to competitive employment in the open labor market in France
You may qualify if:
- Aged ≥ 18 years
- Participant with a chronic psychiatric disorder causing significant functional impairment
- Unemployed
- Wishing to return to competitive employment in the open labor market
- Informed about the study and consenting to participate
- Able to read french
You may not qualify if:
- Individuals not eligible for legal employment due to irregular residency status in France
- Individuals not affiliated with a social security system
- Individuals wishing to work in a sheltered/protected setting
- Individuals currently enrolled in a training program
- Individuals refusing to participate in the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (11)
CH Cesame
Angers, 49000, France
CH George Sand
Bourges, 18000, France
Centre hospitalier Le Vinatier
Bron, 69000, France
CHI EPSM Oise
Clermont, 60000, France
University hospital
Clermont-Ferrand, 63000, France
Centre Hospitalier Marius Lacroix
La Rochelle, 17000, France
CH Esquirol
Limoges, 87000, France
Hôpital la Colombière
Montpellier, 34000, France
PRISM 45
Orléans, 45000, France
CH Le Rouvray
Rouen, 76000, France
University hospital
Tours, 37000, France
MeSH Terms
Conditions
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 25, 2025
First Posted
October 3, 2025
Study Start
October 2, 2025
Primary Completion (Estimated)
March 1, 2030
Study Completion (Estimated)
March 1, 2030
Last Updated
October 3, 2025
Record last verified: 2025-09