summary
background In the Netherlands only a comparatively low percentage (18-19%) of persons with severe mental illness (SMI) are in paid employment. The problem consists not only of finding a job but also of holding it down.
aim To develop guidelines that will ensure that patients with SMI have the best possible access to paid employment and that the drop-out rate for this group is as low as possible.
method We reviewed the literature systematically and reviewed the results revealed by focus groups and case studies.
results There is strong evidence that the integrated approach ‘Individual Placement and Support’ is effective in keeping people in employment. There are indications that self-management strategies and programmes and assessment instruments are also effective in this regard.
conclusion The guidelines recommend that persons with SMI should be given continuing support so they can remain in paid employment. More research is needed into how effective self-management programmes and assessment instruments can be in keeping this group of persons in employment. Collaborations between various sectors also needs to be further investigated.