与患有严重精神疾病的人员支持就业干预:系统的混合方法总体审查
Emi Patmisari1, Yunong Huang1, Mark Orr2
1Institute for Mental Health and Wellbeing, College of Education, Psychology and Social Work, Flinders University, Bedford Park, South Australia, Australia.
PloS one
|June 5, 2024
概括
支持就业干预措施对患有严重精神疾病 (SMI) 的人来说是有前途的. 将这些与其他疗法结合起来可以改善就业和生活质量,但定制方法对于成功至关重要.
科学领域:
- 康复心理学 康复心理学
- 精神病学流行病学 精神病学流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 支持就业干预措施对患有严重精神疾病 (SMI) 的人来说是有前途的.
- 现有的审查综合了SMI支持就业的证据,但需要进行总体审查,以整合调查结果并确定挑战.
- 这一综合性审查侧重于五个关键结果:就业,生活质量,社会功能,临床/服务利用率和经济结果.
研究的目的:
- 综合来自对SMI患者支持就业干预措施的审查研究的证据.
- 确定与中小企业支持就业相关的关键发现和实施挑战.
- 评估支持就业对就业,生活质量,社会功能,临床/服务利用和经济成果的影响.
主要方法:
- 系统搜索11个数据库和注册表,进行元分析和对SMI支持就业的系统审查.
- 使用Joanna Briggs Institute (JBI) 的标准化工具进行质量评估和数据提取.
- 混合方法综合方法整合来自26项综述研究的定量和定性证据.
主要成果:
- 综合研究的重点是个人安置和支持 (IPS) 模型,发现将支持就业与神经认知治疗和与工作相关的社会技能培训相结合,会对就业和非就业结果产生积极影响.
- 诸如干预忠实度,设置和系统障碍等上下文因素对于实施和有效性至关重要.
- 审查中主要研究的重大重叠引起了对可靠性和潜在偏见的担忧,特别是来自美国IPS干预的担忧.
结论:
- 对于SMI患者的支持就业,没有一个适合所有人的方法; 量身定制的战略至关重要.
- 解决心理健康恢复的复杂性需要个性化的支持.
- 建议对初级研究进行集中注册,以提高审查可靠性并避免冗余性.
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