在美国扩大基于证据的支持就业
Franco Mascayano1, Sarah Swanson1, Ana C Florence1
1Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York City (Mascayano, Swanson, Patel, Amsalem, Pope, Drake); Department of Epidemiology, Mailman School of Public Health (Mascayano), and Department of Psychiatry, Vagelos College of Physicians and Surgeons (Florence, Patel, Amsalem, Pope, Drake), Columbia University, New York City; Westat, Lebanon, New Hampshire (Metcalfe).
在过去的30年里,个人安置和支持 (IPS) 在行为健康护理中显著增长. 然而,在扩大这种以证据为基础的就业模式,以吸引更多患有精神障碍的人,仍然存在挑战.
科学领域:
- 行为健康服务 研究 研究 行为健康服务
- 实施科学 实施科学
- 精神科康复 精神科康复
背景情况:
- 基于证据的实践是美国行为健康护理的政策标准,但实施往往不足.
- 关于扩大这些实践的纵向研究很少.
- 个人安置和支持 (IPS) 是为精神障碍患者提供就业服务的基于证据的模式.
研究的目的:
- 检查美国个人安置和支持 (IPS) 模式在过去30年的增长情况.
- 在扩大IPS计划中识别促进者和挑战.
- 为扩大基于证据的就业服务的未来战略提供信息.
主要方法:
- 30年来个人安置和支持 (IPS) 计划的增长和采用的纵向分析.
- 确定有助于IPS计划扩展的关键促进者.
- 分析阻碍进一步增长和覆盖的重大挑战.
主要成果:
- 美国IPS计划的数量已超过1000个,显示出稳定的增长.
- 关键的促进者包括客户需求,强有力的证据,基础和联邦资金,州领导,标准化培训和数据收集.
- 尽管有增长,但IPS覆盖范围仍然有限,面临着重大扩张挑战.
结论:
- 三十年来IPS的持续增长凸显了其作为一个基于证据的就业模式的有效性.
- 解决与资金,技术,新人口,边缘化群体,雇主参与和适应相关的挑战对于进一步扩张至关重要.
- 开发强大的研究方法来评估扩展策略对于推动行为健康领域的实施科学至关重要.
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