Metrics details. Individuals receiving means-tested benefits are at a higher risk of being diagnosed with a psychiatric illness compared to those who are employed, and the rate of those working in the first labor market is low. The objective of the study is to conduct the first RCT in Germany that addresses a broad group of long-term unemployed individuals with severe mental illnesses that receive means-tested benefits, and to test the effectiveness of the IPS intervention.
A block-randomization algorithm with a targeted assignment ratio of for participants in IG and active CG will be used, stratified by sex and three age groups. Assessments will take place before the intervention at baseline t0 , and 6 t1 , 12 t2 , and 18 t3 months later. Primary outcome will be the proportion of participants having worked at least 1 day in competitive employment since baseline, as assessed at t3. In addition, there will be a process evaluation.
Treatment effects on outcomes will be tested using appropriate panel-data regression models, and acceptability, uptake and adherence will be evaluated using descriptive statistics and appropriate inference testing. The results of this trial are expected to generate a better understanding of the efficiency, feasibility, acceptance, and relevance of the IPS intervention in a German setting.
They could be a first step towards the implementation of the method and towards improving the situation of long-term unemployed individuals with severe mental health problems. Peer Review reports. Work is an essential part of daily life, and it is especially important for individuals with mental health problems [ 1 ]. It does not only provide a certain level of financial security and time structure, but also facilitates social interactions and mental health.
A review of meta-studies by Paul et al. Already in , cross-sectional studies demonstrated a negative connection between unemployment and wellbeing in all six dimensions, i.
