2023-09-28 14:46:10 +00:00
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abstract: 'Background: Employment rates of long-term ill and disabled people in the
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UK are low and 2.63 million are on disability-related state benefits.
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Since the mid-1990 s, UK governments have experimented with a range of
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active labour market policies aimed to move disabled people off benefits
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and into work to reduce the risk of poverty and social exclusion. This
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systematic review asks what employment impact have these interventions
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had and how might they work better?
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Methods: A systematic review of observational and qualitative empirical
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studies and systematic reviews published between 2002 and mid-2008
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reporting employment effects and/or process evaluations of national UK
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government interventions focused on helping long-term sick or disabled
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people (aged 16-64) into the open labour market. This built on our
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previous systematic review which covered the years 1970 to 2001.
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Results: Searches identified 42 studies, 31 of which evaluated
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initiatives with an individual focus (improving an individual''s
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employability or providing financial support in returning to work) while
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11 evaluated initiatives with an environmental focus (directed at the
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employment environment or changing the behaviour of employers). This
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paper synthesises evidence from the 31 studies with an individual focus.
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The use of personal advisors and individual case management in these
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schemes helped some participants back to work. Qualitative studies,
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however, revealed that time pressures and job outcome targets influenced
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advisors to select `easier-to-place'' claimants into programmes and also
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inhibited the development of mutual trust, which was needed for
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individual case management to work effectively. Financial incentives can
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help with lasting transitions into work, but the incentives were often
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set too low or were too short-term to have an effect. Many of the
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studies suffered from selection bias into these programmes of more
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work-ready claimants. Even though these were national programmes, they
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had very low awareness and take-up rates, making it unlikely that a
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population-level impact would be achieved even if effective for
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participants.
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Conclusions: The evidence reveals barriers and facilitators for the
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effective implementation of these types of interventions that could
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inform the continuing welfare reforms. The evidence points towards the
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need for more long-term, sustained and staged support for those furthest
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from the labour market.'
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affiliation: 'Clayton, S (Corresponding Author), Univ Liverpool, Div Publ Hlth, Liverpool
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L69 3BX, Merseyside, England.
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Clayton, Stephen; Povall, Sue; Whitehead, Margaret, Univ Liverpool, Div Publ Hlth,
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Liverpool L69 3BX, Merseyside, England.
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Bambra, Clare, Univ Durham, Wolfson Res Inst, Durham DH1 3HP, England.'
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article-number: '170'
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author: Clayton, Stephen and Bambra, Clare and Gosling, Rachael and Povall, Sue and
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Misso, Kate and Whitehead, Margaret
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author-email: spclay@liv.ac.uk
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author_list:
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- family: Clayton
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given: Stephen
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- family: Bambra
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given: Clare
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- family: Gosling
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given: Rachael
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- family: Povall
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given: Sue
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- family: Misso
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given: Kate
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- family: Whitehead
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given: Margaret
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da: '2023-09-28'
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doi: 10.1186/1471-2458-11-170
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files: []
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issn: 1471-2458
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journal: BMC PUBLIC HEALTH
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keywords-plus: WELFARE-TO-WORK; BENEFIT
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language: English
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month: MAR 21
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number-of-cited-references: '55'
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orcid-numbers: 'Bambra, Clare l/0000-0002-1294-6851
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Clayton, Stephen/0000-0003-2823-1495
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Misso, Kate/0000-0002-4924-4327'
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papis_id: dd895444604112425bf71341bcac5675
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ref: Clayton2011assemblingevidence
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researcherid-numbers: 'Clayton, Stephen/AAD-6360-2020
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Bambra, Clare l/C-1392-2010
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Clayton, Stephen/GZG-4631-2022
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Misso, Kate/IYJ-4543-2023
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Misso, Kate/D-2060-2016'
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tags:
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- relevant
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- review
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times-cited: '40'
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title: 'Assembling the evidence jigsaw: insights from a systematic review of UK studies
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of individual-focused return to work initiatives for disabled and long-term ill
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people'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000289072800001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '31'
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volume: '11'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2011'
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