title: Improving the vocational status of patients with long-term mental illness: a randomised controlled trial of staff training.
abstract: OBJECTIVE
  To investigate the impact of training CMHT members in the practice of Individual Placement and Support on the vocational status of long-term patients.
  
  
  METHODS
  Six CMHTs received vocational training by a work co-ordinator; four continued with standard care. The best vocational status of the 1037 subjects was ascertained after one year. Factors associated with improvement in vocational status were identified.
  
  
  RESULTS
  There was no difference in change of vocational status. Age, previous employment and diagnosis influenced outcome.
  
  
  CONCLUSIONS
  Training in IPS at team level did not improve employment status. A dedicated, vocational worker appears to be essential for successful IPS.
authors.affiliation: Department of Psychiatry, St. George's Hospital Medical School, London, UK.
authors.forename: Aileen
authors.initials: A
authors.lastname: O'Brien
authors.forename: Clare
authors.initials: C
authors.lastname: Price
authors.forename: Tom
authors.initials: T
authors.lastname: Burns
authors.forename: Rachel
authors.initials: R
authors.lastname: Perkins
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D016832:Employment, Supported / Q000706:statistics & numerical data*; D005260:Female; D006302:Health Services Research; D006801:Humans; D008131:London; D008134:Long-Term Care / Q000706:statistics & numerical data; D008297:Male; D028642:Persons with Psychiatric Disorders / Q000523:psychology*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012050:Rehabilitation, Vocational / Q000592:standards*; D014478:Unemployment