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Abstract

第125巻第8号

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Implementation of Individual Placement and Support in Japan: The Experiences of a Welfare Office and a Mental Health Daycare
Yusaku YOSHIMURA1, Masako IKEDA2
1 Department of Psychiatry, Zikei Hospital
2 General Incorporated Association Roongarun
Psychiatria et Neurologia Japonica 125: 688-695, 2023
https://doi.org/10.57369/pnj.23-097

 Individual Placement and Support (IPS) is a recovery-oriented approach to supported employment that was developed in the United States in the 1990 s for people experiencing mental illness. IPS is based on a place-train approach, where job coaches provided direct assistance in competitive employment settings without a period of training. Although IPS was introduced to Japan more than 10 years ago, the dissemination of IPS is still underway and only a limited number of people have access to it. Mental health agencies often face financial challenges in implementing IPS due to the absence of clear reimbursement policies for the services. This paper seeks to describe the experiences of implementing IPS in a welfare office and a mental health daycare in the current situation in Japan. There is evidence that high-fidelity supported employment programs created better vocational outcomes. Therefore, the fidelity of the service is important. In addition, the feasibility should also be considered according to the local conditions. It is desirable that access to IPS, which is a recovery-oriented approach, is made available to those with mental illness regardless of where they live.
 Authors' abstract

Keywords:Individual Placement and Support, employment support, recovery, supported employment, mental health daycare>
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