Understanding interventions and outcomes in supported employment and individual placement support: A qualitative evidence synthesis

Baxter, S., Cullingworth, J. , Whitworth, A., Runswick-Cole, K. and Clowes, M. (2024) Understanding interventions and outcomes in supported employment and individual placement support: A qualitative evidence synthesis. Disability and Health Journal, 17(2), 101579. (doi: 10.1016/j.dhjo.2024.101579) (PMID:38242753)

Abstract

Background Economically developed economies continue to display large and long-standing disability employment gaps. Train-then-place activation models have traditionally dominated efforts to support non-working disabled people to gain employment but recently there has been increasing interest in place-then-train Supported Employment (SE) activation models. Objective Evidence regarding the effectiveness of SE approaches is growing. However, authors have called for greater understanding of the mechanisms underpinning these interventions. We therefore carried out a systematic review of qualitative research to understand the processes operating. Methods We carried out a systematic review of qualitative research around SE interventions carried out in developed countries since 2000 in any population excepting those with severe mental illness. We used thematic synthesis and logic modelling methods and assessed the quality of the body of literature. Results We identified and included 13 relevant source studies containing qualitative data. Key aspects of the programmes reported were the nature of the support, the employment advisor, and the type of employment. Influencing factors were client-related, employer and employment-related, programme-related, and system-related. Effects beyond the gaining of employment included a changed attitude to work, different outlook, increased skills and/or confidence. Suggested longer-term impacts were on health and wellbeing, financial security, independence, contribution to society and sense of belonging. Conclusions This review adds to the growing evidence regarding the value of SE interventions for disabled people. It adds insights regarding the key elements of the programmes, and suggests outcomes beyond the measures typically considered within quantitative studies.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Cullingworth, Dr Jane

Creator Roles

Cullingworth, J.: Data curation, Investigation, Writing – review and editing

• Authors: Baxter, S., Cullingworth, J., Whitworth, A., Runswick-Cole, K., and Clowes, M.
• College/School: College of Social Sciences > School of Social and Political Sciences > Urban Studies
• Journal Name: Disability and Health Journal
• Publisher: Elsevier
• ISSN: 1936-6574
• ISSN (Online): 1876-7583
• Published Online: 12 January 2024
• Copyright Holders: Copyright © 2024 The Authors
• First Published: First published in Disability and Health Journal 17(2): 101579
• Publisher Policy: Reproduced under a creative commons licence