康复正在起作用:通过坚定的社区治疗团队试点个人安置和支持
Jacqueline A Pogue1, Noah Lipton1, I-Chin Chiang1
1Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Lebanon, New Hampshire (Pogue); New York State Psychiatric Institute, New York City (Lipton, Chiang, Scannevin, Margolies); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Margolies, Thorning); School of Global Public Health, New York University, New York City (Hameed).
Psychiatric services (Washington, D.C.)
|May 14, 2025
概括
在强有力的社区治疗 (ACT) 服务中实施个人安置和支持 (IPS) 模式显著提高了参与者的就业率. 试点项目证明了对IPS原则的忠诚度提高,以及对支持就业的积极文化转变.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 支持就业模式 支持就业模式
- 精神科康复 精神科康复
背景情况:
- 在纽约州接受强烈社区待遇 (ACT) 服务的个人拥有历史低的就业率 (9%).
- 个人安置和支持 (IPS) 模式是支持就业的公认方法.
研究的目的:
- 评估将IPS模型集成到现有ACT服务中的有效性.
- 确定在ACT团队中成功实施IPS所需的必要调整.
主要方法:
- 从2021年10月到2022年10月,与六个ACT团队进行了一项试点研究.
- 团队接受了IPS培训和持续咨询,并进行了前后忠诚度评估和半结构面试.
主要成果:
- 109名ACT参与者获得了IPS服务,每月就业率在25%至46%之间波动.
- 在试点期间,ACT参与者获得了71个工作位,IPS忠诚度得分提高了大约14分.
- ACT团队表现出文化转变,采用IPS原则,并为职业支持提供专门的资源.
结论:
- 在ACT服务中实施IPS可以改善参与者的就业成果.
- 持续的成功可能需要在ACT团队中的职业专家提供额外的支持和专注的时间.
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