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Research
Arnstein Mykletun
Norwegian Institute of Public Health: Folkehelseinstituttet
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3878-0079
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Individual Placement and Support (IPS) has repeatedly been reported to increase employment rates in patients with severe mental illness. Despite this, IPS is only available to a small minority. Translation from evidence to practice is often slow and hindered by a variety of barriers. Barriers include organizational, contextual and attitudinal factors. Despite evidence, many believe that people with severe mental illness are generally dangerous, in need of rest and at risk of harm from work-related stress. Such stigma fosters negative attitudes that may constitute significant barriers to employment for people with mental illness. Employees in the Norwegian Labour and Welfare Administration hold important gatekeeping positions in relation to the employment schemes that people with mental illness are offered. The aim of this study was to measure the attitudes of these employees towards the core principles of IPS. Secondly, we examine whether attitudes change for Labour and Welfare Administration employees exposed to IPS practice.
Methods
A case vignette describing a person with severe mental illness and statements referring to this vignette was developed. The survey was administered to a sample of employees at two different timepoints four years apart. The respondents were asked to indicate their attitudes on a six-point Likert scale between statements in accordance to IPS and statements in accordance with treatment as usual. Independent two tailed samples t-tests were used to analyse differences between responses between employees in municipalities with IPS experience, compared to municipalities without. Multiple linear regressions with attitudes as dependent variable, were used to test if attitudes changed over time, dependent on exposure to IPS.
Results
Attitudes were in general more aligned with IPS than current practice. The region with exposure to IPS was associated with more favorable attitudes (p < .01). The development in attitudes to IPS were minimal over time and did not differ between IPS regions and regions without.
Conclusions
Attitudes of statutory Labour and Welfare employees will not be a substantial barrier for implementation of IPS. This is a necessary but not sufficient requirement for IPS implementation.
The regional ethics committee approved the study (2012/2239).
Keywords
Individual Placement and Support, attitudes, barriers, implementation
This is a list of supplementary files associated with this preprint. Click to download.
- Figure1.docx
Questionnaire
- Figure2..docx
Aggregated reported means in attitudes between descriptions according or opposing key principles in IPS.
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Arnstein Mykletun
Norwegian Institute of Public Health: Folkehelseinstituttet
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3878-0079
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 18 Jan, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Individual Placement and Support (IPS) has repeatedly been reported to increase employment rates in patients with severe mental illness. Despite this, IPS is only available to a small minority. Translation from evidence to practice is often slow and hindered by a variety of barriers. Barriers include organizational, contextual and attitudinal factors. Despite evidence, many believe that people with severe mental illness are generally dangerous, in need of rest and at risk of harm from work-related stress. Such stigma fosters negative attitudes that may constitute significant barriers to employment for people with mental illness. Employees in the Norwegian Labour and Welfare Administration hold important gatekeeping positions in relation to the employment schemes that people with mental illness are offered. The aim of this study was to measure the attitudes of these employees towards the core principles of IPS. Secondly, we examine whether attitudes change for Labour and Welfare Administration employees exposed to IPS practice.
Methods
A case vignette describing a person with severe mental illness and statements referring to this vignette was developed. The survey was administered to a sample of employees at two different timepoints four years apart. The respondents were asked to indicate their attitudes on a six-point Likert scale between statements in accordance to IPS and statements in accordance with treatment as usual. Independent two tailed samples t-tests were used to analyse differences between responses between employees in municipalities with IPS experience, compared to municipalities without. Multiple linear regressions with attitudes as dependent variable, were used to test if attitudes changed over time, dependent on exposure to IPS.
Results
Attitudes were in general more aligned with IPS than current practice. The region with exposure to IPS was associated with more favorable attitudes (p < .01). The development in attitudes to IPS were minimal over time and did not differ between IPS regions and regions without.
Conclusions
Attitudes of statutory Labour and Welfare employees will not be a substantial barrier for implementation of IPS. This is a necessary but not sufficient requirement for IPS implementation.
The regional ethics committee approved the study (2012/2239).
This is a list of supplementary files associated with this preprint. Click to download.
- Figure1.docx
Questionnaire
- Figure2..docx
Aggregated reported means in attitudes between descriptions according or opposing key principles in IPS.
Loading...