Clinical trial NCT03748004: IPS/Peer Support Intervention in the DTES
Official title: Optimizing the Employment Outcomes for People Living in the Downtown Eastside
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Behavior, Adaptive
Mental Illness
Substance Use
Keywords: Homeless
Employment
Lead sponsor: University of British Columbia
Sponsor class: OTHER
Collaborators: name: Ministry of Social Development and Poverty Reduction, British Columbia
First posted: 2018-11-20
Enrollment: 72
Sex: ALL
Minimum age (years): 19
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: 72 clients receiving primary care services from one DTES clinical site who are employment ready will be randomly assigned to IPS and Peer Support (experimental group) or WorkBC (control group).
Primary purpose: OTHER

Brief summary: Individual placement support (IPS) is an evidence-based supported employment model for people with severe mental illness, designed to achieve employment in mainstream competitive jobs, either part-time or full-time. The aim of this study is to assess the (i) effectiveness of embedding the (IPS)/Peer Support intervention as part of the primary care centre in securing employment of adults living in the downtown eastside in comparison to the usual treatment WorkBC (control group). (ii) effectiveness of IPS/Peer Support versus the usual treatment (WorkBC) in improving mental illness, quality of life and personal recovery through participation in employment.

Detailed description: This 18-month mixed methods study consists of an effectiveness multi-site randomized controlled trial of the IPS/peer support intervention plus an embedded qualitative exploration of participants' experiences. All clients receiving primary care services from one DTES clinical site who are employment ready and are not receiving mental health services will be randomly assigned to IPS \& Peer Support (experimental group) or WorkBC (control group). Clients are required to participate in the intervention for 16 weeks and will be assessed at baseline, 1-, 3-, and 6-months post study intervention start-date for both groups. Assessments will include the 5 questionnaires administered at baseline which cover the following: Employment Quality, Employment Sustainability, Education Quality and Quantity, Quality of Life, Community Engagement and Clinical significant levels of depression and anxiety.

Eligibility criteria: Inclusion Criteria:

* Adults, age 19 and over, accessing primary care services at the primary care centre listed in this study (CH Pender Community Health Centre)
* At least one visit to VCH Pender Community Health Centre
* Currently unemployed and not in school or post-secondary training.
* Able to provide informed consent and fluent in English (intervention is currently offered in English only).
* Not hospitalized at the time of recruitment.

Exclusion Criteria:

• Adults, age 19 and over who have access to mental health services

Primary outcomes:
measure: Securing employment
timeFrame: 18 months
Secondary outcomes:
measure: "PHQ-9" Questionnaire to measures level of depression
timeFrame: 18 months
measure: "GAD7" questionnaire to measure general anxiety disorder
timeFrame: 18 months
measure: "C-PROM" questionnaire to measure Personal Recovery
timeFrame: 18 months
measure: "REQOL" questionnaire measures Recovery Quality of Life
timeFrame: 18 months
measure: "SWL" questionnaire measures satisfaction with life
timeFrame: 18 months
Other outcomes:
Locations:
city: Vancouver
country: Canada
facility: Downtown Community Health Center
state: British Columbia
city: Vancouver
country: Canada
facility: Heatley Community Health Clinic
state: British Columbia
city: Vancouver
country: Canada
facility: Pender Community Health Clinic
state: British Columbia
Study officials:
affiliation: University of British Columbia
name: Skye Barbic, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Sveinsdottir V, Lovvik C, Fyhn T, Monstad K, Ludvigsen K, Overland S, Reme SE. Protocol for the effect evaluation of Individual Placement and Support (IPS): a randomized controlled multicenter trial of IPS versus treatment as usual for patients with moderate to severe mental illness in Norway. BMC Psychiatry. 2014 Nov 18;14:307. doi: 10.1186/s12888-014-0307-7.
citation: Campbell K, Bond GR, Drake RE. Who benefits from supported employment: a meta-analytic study. Schizophr Bull. 2011 Mar;37(2):370-80. doi: 10.1093/schbul/sbp066. Epub 2009 Aug 6.
citation: Latimer E, Lecomte T. [Individual Placement Support (IPS) for people with severe mental disorders : An approach to favor in Quebec?]. Sante Ment Que. 2002;27(1):241-67. French.
citation: Bond GR, Drake RE. Making the case for IPS supported employment. Adm Policy Ment Health. 2014 Jan;41(1):69-73. doi: 10.1007/s10488-012-0444-6.