ABSTRACT

‘Individual Placement and Support’ (IPS) is a supported employment approach targeted at people with severe mental health problems. A central principle in IPS is the integration of mental health and employment services. In Denmark, IPS has been implemented through cross-sectoral collaboration between municipal public employment services and regional mental health services. This study examines the implementation of IPS through a case-study of four IPS units. The study is theoretically informed by an institutional logic approach, and based on document analysis and interviews with stakeholders in IPS units, public employment services and mental health services. The findings show how the IPS units came under pressure to adjust the model in order to fit into the common strategies of public employment services, which favoured internships and wage subsidies. The integration of IPS with mental health services was also found to be challenging as mental health services regarded IPS as a parallel service rather than a mutual responsibility. Parts of the standardised procedures set by the IPS fidelity scale were challenged by managers from both sectors. In spite of these challenges, both sectors regarded IPS as an innovative and meaningful approach and supported the sustainability of the programme.

摘要

“个人安置和支持”（IPS）是针对患有严重精神健康问题的人的受支持的就业方法。IPS的中心原则是精神卫生和就业服务的整合。在丹麦，通过市政公共就业服务与区域精神卫生服务之间的跨部门合作来实施IPS。本研究通过四个IPS单元的案例研究来检查IPS的实现。该研究从理论上通过制度逻辑方法提供信息，并基于文档分析以及与IPS部门，公共就业服务和精神卫生服务部门的利益相关者的访谈。调查结果表明，IPS部门如何承受调整模型的压力，以适应公共就业服务的通用策略，这有利于实习和工资补贴。还发现将IPS与精神卫生服务相集成具有挑战性，因为精神卫生服务将IPS视为一项并行服务而非共同责任。IPS保真度等级设定的部分标准化程序受到了两个部门的管理人员的挑战。尽管存在这些挑战，但两个部门都将IPS视为一种创新且有意义的方法，并支持该计划的可持续性。