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