重度の精神疾患を患っている個別の雇用と支援プログラムに参加している人々の雇用結果とその予測要因
Amatul Bushra1, Milan Dragovic2, Marina Chalmers3
1Bentley Health Service, Bentley, WA, Australia.
まとめ
重度の精神疾患を持つ人々が仕事を見つけるのを助ける 個別雇用支援プログラム (IPS) です. 支援の待ち時間が短くなり 精神疾患の併発性がないことが 雇用の成功を大きく改善します
科学分野:
- メンタルヘルスサービス研究
- プロフェッショナル・リハビリテーション
- 精神病流行病学
背景:
- 個別雇用・支援 (IPS) プログラムにおける雇用結果に影響を与える要因に関する研究は限られている.
- クライアントとプログラムの変数を理解することは,IPSの有効性を最適化するために不可欠です.
- この研究は,IPS環境における競争力のある雇用の予測要因を調査することで,このギャップを埋めています.
研究 の 目的:
- 個別の配置とサポートプログラムの有効性を評価する.
- 競争力のある雇用を得ることに関連した人口統計的,臨床的,プログラム関連変数を特定する.
- 重度の精神疾患を持つ人の雇用成果を改善するための戦略を策定する.
主な方法:
- IPSプログラムで重度の精神疾患を患った84人の参加者からの遡及データ収集.
- 人口統計学的,臨床的,およびサービスへの関与の特徴の分析.
- 競争力のある雇用を獲得した参加者と,そうでない参加者の比較.
主要な成果:
- 参加者の42.9%が競争力のある雇用を確保した.
- 精神疾患併発症の欠如は,雇用のポジティブな結果と関連していた (p=0. 037).
- 最初の対面接触までの時間が短くなり, 雇用の成功率が著しく上昇した (p < .001).
結論:
- 変更可能な参加者およびプログラム要因は,重度の精神疾患を有する個人のIPS結果に大きく影響します.
- 初期就職期間を最適化し,併発症に対処することで,職業回復の成功を高めることができます.
- これらの発見は,就職率を向上させるため,日常的な臨床環境でIPSを統合することを支持しています.
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