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The purpose of this paper is to explore the predictive validity of two measures of fidelity to the individual placement and support (IPS) approach to supported employment.

A systematic review and meta-analysis was conducted of IPS programs. In total, 30 studies provided information characterizing 69 cohorts and 8,392 participants. Predictive validity was assessed by a precision and negative prediction analysis and by multivariate analysis of deviance.

Fidelity scores on the IPS-15 scale of 60 or less accurately predicted poor outcomes, defined as 43 percent or less of participants commencing employment, in 100 percent of cohorts. Among cohorts with IPS-15 fidelity scores of 61-75, 63 percent attained good employment outcomes defined as 44 percent or more commencing employment. A similar pattern emerged from the precision analysis of the smaller sample of IPS-25 cohorts. Multivariate analysis of deviance for studies using the IPS-15 scale examined six cohort characteristics. Following adjustment for fidelity score, only fidelity score (χ²=15.31, df=1, p<0.001) and author group (χ²=35.01, df=17, p=0.01) representing an aspect of cohort heterogeneity, remained associated with commencing employment.

This study provides evidence of moderate, yet important, predictive validity of the IPS-15 scale across diverse international and research contexts. The smaller sample of IPS-25 studies limited the analysis that could be conducted.

Program implementation leaders are encouraged to first focus on attaining good fidelity, then supplement fidelity monitoring with tracking the percentage of new clients who obtain a competitive job employment over a pre-defined period of time.

The evidence indicates that good fidelity may be necessary but not sufficient for good competitive employment outcomes.

Clients often report reluctance in attending publicly funded mental health services, particularly when those services are provided at segregated and stand‐alone locations well known to the wider community. One way to address this stigma‐driven reluctance to attend appointments is to deliver mental health services in combination with employment services, education and training, income support, housing, disability support, legal services, and other health services, as an essential suite of community services. This paper aims to research this possibility.

The paper outlines the early planning and implementation phases of the Huntly Community Link project.

The paper finds that ongoing joint governance and management, clear on‐site leadership, and an evaluation strategy are needed to ensure joint service delivery goals are attained.

Several important practical issues emerge. For instance, differences in organisational culture take time to change towards greater support for the new joint service delivery goals.

Early indicators suggest that the Huntly Community highly values the joint delivery of these essential services from a suitable purpose designed building.

This is an innovative New Zealand program that promises to reduce attendance stigma by nesting the delivery of publicly‐funded mental health services among a broad mix of other essential community services.

The purpose of this paper is to explore and review the range and quality of international epidemiological and observational studies reporting impacts of psychiatric disorders on labour force activity. This information is needed to explore the relative priority of different diagnostic groups for more intensive forms of vocational rehabilitation.

The authors provide an overview of the current literature. A systematic review of papers measuring labour force variables and psychiatric disorders across a range of countries is conducted. These results are compared to OECD background unemployment rates during the same period. The results for each diagnostic category included are aggregated and compared to the other diagnostic categories.

The proportions of people employed decreased with the more severe disorder categories, indicating that severe psychiatric illnesses are contributing to employment struggles for people with these illnesses, across countries.

This review is exploratory and shows that there is little consistency in reporting of labour force variables. Future research should endeavour to utilise internationally agreed definitions of labour force activity.

This conclusion is relevant to matching community residents with psychiatric disorders to the more intensive and costly forms of vocational rehabilitation.

To our knowledge, no previous review has examined diagnostic categories of psychiatric disorders by labour force activity internationally while taking into account background unemployment. This review found an employment gradient related to severity of diagnostic category that will be of interest to clinicians and policy makers.

The purpose of this paper is to review representative literature on social inclusion and evaluate the usefulness of the concept in current mental health policy.

The paper employs a selective review of the cost‐effectiveness of interventions aimed at improving social inclusion in children, young adults with first episode psychosis and unemployed adults of working age.

Social inclusion remains a useful concept in understanding both the causes of mental health problems and how these might best be addressed. Although measurement is not easy, it can be operationalised through a mixture of subjective and objective indicators. There is strong evidence for the effectiveness and cost‐effectiveness of interventions aimed at improving social inclusion for the groups selected. These findings provide strong support for prioritising these interventions, especially in times of severe financial restrictions.

The selection of literature for review limits the generalisability of the conclusions.

The paper sets out a clear and simple analysis of the concept of social inclusion and how it may be measured. It also brings together the cost‐effectiveness literature on attempts to improve social inclusion for three, key high‐risk groups. The paper strongly supports the value of retaining the concept of social inclusion, despite the fact that it has become temporarily unfashionable.