个人安置和支持:历史,现状和未来方向
Robert E Drake1,2, Gary R Bond2
1Department of Psychiatry Columbia University Vagelos College of Physicians and Surgeons New York City New York USA.
PCN reports : psychiatry and clinical neurosciences
|June 13, 2024
概括
个人安置和支持 (IPS) 帮助患有严重精神疾病的个人找到并保持具有竞争力的工作. 这种基于证据的方法改善了就业成果和整体福祉.
科学领域:
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 个人安置和支持 (IPS) 是一个基于证据的职业康复模式.
- 它的目标是患有严重精神疾病 (SMI) 的个人,如精神分裂症,双相情感障碍和严重抑郁症.
- IPS专注于在综合环境中的竞争性就业.
研究的目的:
- 审查IPS的历史,原则和证据基础.
- 检查IPS的就业成果,成本效益和非职业利益.
- 探索IPS扩展到新的群体和环境.
主要方法:
- 对SMI群体的随机对照试验 (RCT) 的系统审查和元分析.
- 包括非职业结果和新人群的最佳可用证据.
- 对实施忠实度及其与结果的相关性研究的分析.
主要成果:
- 与高收入国家的其他职业干预措施相比,IPS显示SMI个体的竞争性就业结果优越.
- 高质量的IPS实施,通过忠实度表来衡量,可以预测更好的结果.
- 通过IPS的就业与收入,心理社会福祉,临床状况的改善以及减少心理健康服务的利用有关.
结论:
- IPS是一种经过验证,基于证据的实践,用于高收入国家中SMI患者的职业康复.
- IPS显示了对其他残疾群体的应用潜力,正在进行对适应和结果的研究.
- 该模型正在全球扩展,在高收入国家进行积极研究,在中等收入国家进行新兴研究.
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