IPS Employment — MRCPsych Paper B MCQ

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EasyRehabilitationIPS EmploymentMRCPsych Paper B

Which rehabilitation intervention is characterised by rapid placement into competitive paid employment, followed by ongoing individualised in-work support—the 'place then train' approach?

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Correct answer: B — Individual Placement and Support (IPS) model

Individual Placement and Support (IPS) is the supported-employment model described as 'place then train'. It prioritises rapid entry into competitive paid employment according to the person's preferences, with individualised support continuing after the person starts work. A sheltered workshop provides protected or segregated work and is more consistent with traditional preparatory vocational rehabilitation. Supported living concerns accommodation rather than employment. High-support rehabilitation describes an intensive clinical rehabilitation setting, not a vocational intervention. A social firm is a business created partly to employ people disadvantaged in the labour market, but it is not defined by rapid placement into mainstream competitive work with continuing IPS employment-specialist support.

Reference: National Institute for Health and Care Excellence. Rehabilitation for adults with complex psychosis (NG181), recommendation 1.8.10 and definition of the Individual Placement and Support approach. 2020. https://www.nice.org.uk/guidance/ng181/chapter/recommendations