title: Implementation of individual placement and support: the Nottingham experience.
abstract: OBJECTIVE
  This case study describes the implementation of individual placement and support (IPS), an evidence-based approach to employment support for people with severe mental illnesses. The case study draws from the literature on implementation and describes lessons learned from the experience of a large mental health provider in urban Nottingham, United Kingdom.
  
  
  OBJECTIVE
  To inform those who want to implement a new service or IPS in mental health settings.
  
  
  METHODS
  Research and policy documents published on implementation and employment support, local experience, and fidelity reviews.
  
  
  CONCLUSIONS
  This paper adds to the literature on IPS implementation and highlights issues arising from the current UK recession that affect the competition for available jobs and the service context into which the IPS development has been introduced. The future of IPS depends on its acceptance as an essential aspect of mental health services. IPS implementation also benefits with strong leadership, expert knowledge of implementing IPS in the UK context, commitment from senior managers and clinicians, a capacity to train staff according to IPS principles, and integration of rehabilitation services with mental health treatment. Ongoing funding is also a prerequisite to successful implementation.
authors.affiliation: Institute of Mental Health, University of Nottingham, Nottingham, UK.
authors.forename: Justine
authors.initials: J
authors.lastname: Schneider
authors.forename: Athfah
authors.initials: A
authors.lastname: Akhtar
mesh_terms: D016832:Employment, Supported; D004739:England; D019317:Evidence-Based Medicine; D006302:Health Services Research; D006801:Humans; D007857:Leadership; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration*; D017410:Practice Guidelines as Topic