PsychologyMedicine

Oda Skancke Gjerdalen, Erlend Marius Aas, J. U. Lystad, T. Ueland, E. A. Arnevik, E. Falkum, Stig Evensen, Helen Bull, S. Reme, P. A. Ringen, Olivia Schjøtt-Pedersen, Eline B. Rognli

2026.2.16NORDIC JOURNAL OF PSYCHIATRY

DOI: 10.1080/08039488.2026.2625696

tlooto Summary

Demographic and clinical differences should guide the design, implementation, and evaluation of VR services to enhance their relevance and effectiveness and highlight the heterogeneity of populations targeted by VR interventions.

Abstract

INTRODUCTION Unemployment is high among individuals with schizophrenia spectrum disorders (SSDs) and substance use disorders (SUDs). Vocational rehabilitation (VR) programs have demonstrated effectiveness on occupational outcomes for both groups. The aim of this study is to compare characteristics of individuals with SSD and SUD seeking VR.

METHODS This study draws on data from two independent projects: the Job Management Program (JUMP) for individuals with SSD and the IPS in SUD (IPS-SUD) study, comprising a total of 341 participants. Baseline demographic, occupational, and diagnostic characteristics are described, with group comparisons.

RESULTS The groups differed significantly in age, employment history, and benefit status. Restricting the sample to participants aged 18-49, differences in prior employment remained but were attenuated. Overall, SUD participants were older and more frequently received full disability benefits, whereas JUMP participants were younger and more often received partial disability benefits.

CONCLUSIONS These findings highlight the heterogeneity of populations targeted by VR interventions and underscore the need for tailored program adaptations. Demographic and clinical differences should guide the design, implementation, and evaluation of VR services to enhance their relevance and effectiveness.

Citation format

GJERDALEN, Oda Skancke, et al. A comparison of characteristics of individuals with psychosis and substance use disorders seeking vocational rehabilitation. NORDIC JOURNAL OF PSYCHIATRY, 2026, 80(3): 177–181.