Barriers and facilitators to the implementation of individual placement and support (IPS) for patients with offending histories in the community: The United Kingdom experience

Khalifa, Najat; Hadfield, Sarah; Thomson, Louise; Talbot, Emily; Bird, Yvonne; Schneider, Justine; Attfield, Julie; V�llm, Birgit; Bates, Peter; Walker, Dawn-Marie

Abstract

Introduction
We aimed to identify the barriers and facilitators to the implementation of a high fidelity individual placement and support service in a community forensic mental health setting.
Method
In-depth interviews were conducted with clinical staff (n = 11), patients (n = 3), and employers (n = 5) to examine barriers and facilitators to implementation of a high fidelity individual placement and support service. Data was analysed using thematic analysis, and themes were mapped onto individual placement and support fidelity criteria.
Results
Barriers cited included competing interests between employment support and psychological therapies, perceptions of patients’ readiness for work, and concerns about the impact of returning to work on welfare benefits. Facilitators of implementation included clear communication of the benefits of individual placement and support, inter-disciplinary collaboration, and positive attitudes towards the support offered by the individual placement and support programme among stakeholders. Offences, rather than mental health history, were seen as a key issue from employers’ perspectives. Employers regarded disclosure of offending or mental health history as important to developing trust and to gauging their own capacity to offer support.
Conclusions
Implementation of individual placement and support in a community mental health forensic setting is complex and requires robust planning. Future studies should address the barriers identified, and adaptations to the individual placement and support model are needed to address difficulties encountered in forensic settings.

Citation

Khalifa, N., Hadfield, S., Thomson, L., Talbot, E., Bird, Y., Schneider, J., …Walker, D. (2020). Barriers and facilitators to the implementation of individual placement and support (IPS) for patients with offending histories in the community: The United Kingdom experience. British Journal of Occupational Therapy, 83(3), 179-190. https://doi.org/10.1177/0308022619879334

• Journal Article Type: Article
• Acceptance Date: Sep 9, 2019
• Online Publication Date: Nov 5, 2019
• Publication Date: 2020-03
• Deposit Date: Nov 7, 2019
• Publicly Available Date: Nov 11, 2019
• Journal: British Journal of Occupational Therapy
• Print ISSN: 0308-0226
• Electronic ISSN: 1477-6006
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 83
• Issue: 3
• Pages: 179-190
• DOI: https://doi.org/10.1177/0308022619879334
• Keywords: Occupational Therapy
• Public URL: https://nottingham-repository.worktribe.com/output/3074632
• Publisher URL: https://journals.sagepub.com/doi/10.1177/0308022619879334