TY - JOUR
T1 - Supported Education and Supported Employment for Individuals at Clinical-High Risk of Psychosis
T2 - A Pilot Study
AU - Malda, Aaltsje
AU - Kuis, Daan Jan
AU - Nieboer, Roeline
AU - van der Pol, Boudien
AU - Aleman, André
AU - Korevaar, Lies
AU - Sportel, B. Esther
AU - Hofstra, Jacomijn
AU - Pijnenborg, Gerdina H.M.
AU - Boonstra, Nynke
N1 - Funding Information:
This study was conducted at the Early Detection service of the community mental health centre Friesland Mental Health Care Service in the Netherlands, funded by Dutch health insurance companies. Annually, around 60 individuals are treated at the Early Detection service, mainly Caucasian people between 14 and 35 years old. Clients were offered the SEE intervention right from the start of the treatment for CHR-P.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/10/7
Y1 - 2022/10/7
N2 - Deteriorated functioning is a part of the clinical-high risk (CHR) criteria for psychosis. Diminished social, educational and occupational functioning in the phase of late adolescence and early adulthood are associated with long-term social, economic and health consequences, which stresses the importance of early intervention to stimulate functioning. This pilot study examines the effectiveness and feasibility of the choose-get-keep model of Supported Education and Supported Employment (SEE) to improve educational and occupational functioning of individuals at CHR for a psychosis. A single blind randomized controlled pilot study combined SEE with treatment as usual (TAU) versus TAU among adolescents and early adults at CHR. School performance and job status as well as global functioning scales were assessed at twelve months. Of the 78 eligible participants, 20 individuals consented to participate in this study. At follow-up, participants in the intervention condition (n = 9) did not start an education more often than the participants in the control condition (n = 11) and the school results for both conditions were similar. However, in the intervention condition there were no school dropouts, more participants gained a job and worked longer hours. Two participants quit the intervention. This pilot study provides preliminary evidence that a SEE intervention is effective and feasible in sustaining and improving the level of both educational and occupational functioning of individuals at CHR for psychosis by supporting them in attaining, keeping and elaborating of their education or employment.
AB - Deteriorated functioning is a part of the clinical-high risk (CHR) criteria for psychosis. Diminished social, educational and occupational functioning in the phase of late adolescence and early adulthood are associated with long-term social, economic and health consequences, which stresses the importance of early intervention to stimulate functioning. This pilot study examines the effectiveness and feasibility of the choose-get-keep model of Supported Education and Supported Employment (SEE) to improve educational and occupational functioning of individuals at CHR for a psychosis. A single blind randomized controlled pilot study combined SEE with treatment as usual (TAU) versus TAU among adolescents and early adults at CHR. School performance and job status as well as global functioning scales were assessed at twelve months. Of the 78 eligible participants, 20 individuals consented to participate in this study. At follow-up, participants in the intervention condition (n = 9) did not start an education more often than the participants in the control condition (n = 11) and the school results for both conditions were similar. However, in the intervention condition there were no school dropouts, more participants gained a job and worked longer hours. Two participants quit the intervention. This pilot study provides preliminary evidence that a SEE intervention is effective and feasible in sustaining and improving the level of both educational and occupational functioning of individuals at CHR for psychosis by supporting them in attaining, keeping and elaborating of their education or employment.
KW - Functioning
KW - Psychosis
KW - Supported education
KW - Supported employment
KW - Ultra-high risk
U2 - 10.1007/s40737-022-00312-5
DO - 10.1007/s40737-022-00312-5
M3 - Article
AN - SCOPUS:85139471743
SN - 2198-9834
JO - Journal of Psychosocial Rehabilitation and Mental Health
JF - Journal of Psychosocial Rehabilitation and Mental Health
ER -