A Multisite Study of Implementing Supported Employment in the Netherlands

doi:10.1176/appi.ps.58.11.1421

Psychiatr Serv 58:1421-1426, November 2007
doi: 10.1176/appi.ps.58.11.1421
© 2007 American Psychiatric Association



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Article

A Multisite Study of Implementing Supported Employment in the Netherlands

Nicole H. J. van Erp, M.A., Femke B. M. Giesen, M.A., Jaap van Weeghel, Ph.D., Hans Kroon, Ph.D., Harry W. C. Michon, Ph.D., Deborah Becker, M.Ed., Gregory J. McHugo, Ph.D. and Robert E. Drake, M.D., Ph.D.

OBJECTIVE: This article reports on the implementation of theindividual placement and support model of supported employmentin four Dutch regions. METHODS: The authors used structuredsite visits, employment data, and semistructured interviewsto assess fidelity, employment outcomes, and facilitators ofand barriers to successful implementation. RESULTS: At 24 months,the four sites reached a mean±SD fidelity score of 4.1±.3(possible scores range from 1 to 5, with higher scores indicatingcloser adherence to the model). Of the 316 persons with mentalillnesses, 57 (18%) obtained competitive jobs. Barriers to implementationincluded lack of organizational standards, loss of vocationalstaff, funding problems, insufficient time for program leaders,and inadequate cooperation between the involved organizations.Important facilitators were the skills and commitment of thevocational team members and the integration of vocational andmental health staff. CONCLUSIONS: To implement evidence-basedsupported employment in the Netherlands will require changesin financing, organizational structures, attitudes, culturalbeliefs, and labor and disability regulations.

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