Individual Placement and Support for Young Adults: One-Year Outcomes.

Objective: Many young adults who are unemployed and not in school need support achieving employment goals. Individual Placement and Support (IPS) is an evidence-based employment practice for adults with serious mental illness, but its applicability to young adults with mental health conditions has not been well-researched. The present study prospectively assessed IPS effectiveness in a national sample of young adults enrolled in routine practice settings in the U.S. public mental health system. Method: Nine community agencies in five states participated in a 1-year follow-up study of young adults (aged 16−24) enrolled in IPS services. The study examined three outcomes: retention in services, employment, and education. State fidelity reviewers examined IPS fidelity using a new fidelity scale, the IPS-Y. Results: In a sample of 111 participants, the mean age was 19.2, 72 (64.9%) had never worked, and 76 (68.5%) had a diagnosis of depressive and/or anxiety disorder. Participants averaged 8 months of enrollment before terminating from IPS services. During follow-up, 51 (45.9%) participants obtained a competitive job (N = 50) or paid internship (N = 1); 14 (12.6%) achieved a new education outcome. Conclusions and Implications for Practice: IPS has promising outcomes for helping young adults with mental health conditions achieve positive employment outcomes, but its effectiveness in helping young adults achieve education goals has not been demonstrated. IPS should be offered to young adults with employment goals. Targeted funding for supported education and training for IPS specialists in delivering educational supports may be necessary to ensure optimal education outcomes in IPS. Impact and Implications: This is one of the first U.S. studies to examine the effectiveness of IPS for young adults with common mental disorders, such as depressive and anxiety disorders. Federal, state, and local administrators, service providers, parents, and young adults recognize the need for effective employment services for unemployed young adults with mental health conditions. Controlled studies are needed to assess whether the promising findings from this study hold up in rigorous research. [ABSTRACT FROM AUTHOR]