Integrated Supported Employment for People With Schizophrenia in Mainland China: A Randomized Controlled Trial.

Peer-reviewed article
(2017 Nov) Am J Occup Ther, 71 7106165020p1-7106165020p8

Authors

Zhang GF, Tsui CM, Lu AJB, Yu LB, Tsang HWH, Li D

Abstract

OBJECTIVE

In this randomized controlled trial, we investigated the effectiveness of integrated supported employment (ISE) compared with individual placement and support (IPS) and traditional vocational rehabilitation (TVR) for people with schizophrenia in mainland China.

METHOD

One hundred and sixty-two participants with schizophrenia were randomly assigned to ISE (n = 54), IPS (n = 54), or TVR (n = 54). Blinded assessments of employment status, job tenure, and psychological outcomes were conducted at admission; completion of the 3-mo program; and follow-up at 7, 11, and 15 mo.

RESULTS

Significantly higher employment rate and longer job tenure were found in the ISE group (63.0%, 29.56 wk) compared with the IPS group (50.0%, 25.47 wk) and TVR group (33.3%, 9.91 wk). The ISE group also attained the most positive psychological outcomes.

CONCLUSION

Work-related social skills training embedded in ISE with generalization strategies can enhance vocational and nonvocational outcomes for people with schizophrenia in mainland China.