IPS Model — MRCPsych Paper B MCQ

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EasyRehabilitationIPS ModelMRCPsych Paper B

Which vocational rehabilitation approach is characterised by rapid placement into competitive employment, without lengthy pre-vocational training, followed by ongoing individualised support?

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Correct answer: A — Individual Placement and Support (IPS)

The correct answer is A, Individual Placement and Support (IPS). IPS follows a “place then train” approach: the person is helped to seek competitive paid employment rapidly and receives individualised, potentially time-unlimited support after starting work. This contrasts with pre-vocational training, which develops skills before attempting employment. Sheltered work takes place in a protected or segregated setting rather than ordinary competitive employment. A social firm is a commercial enterprise with a social purpose and is not defined by rapid individual job placement. Day centres provide structured social or occupational activities but are not a competitive-employment placement model.

Reference: National Institute for Health and Care Excellence. Rehabilitation for adults with complex psychosis, NICE guideline NG181, recommendations 1.8.10–1.8.12 and glossary definition of Individual Placement and Support. 2020. https://www.nice.org.uk/guidance/ng181/chapter/recommendations