参与个人安置和支持计划的严重精神疾病患者的就业结果及其预测因素
Amatul Bushra1, Milan Dragovic2, Marina Chalmers3
1Bentley Health Service, Bentley, WA, Australia.
概括
个人安置和支持 (IPS) 计划帮助严重精神疾病患者找到工作. 较短的支持等待时间和没有精神伴随性疾病显著提高了就业成功率.
科学领域:
- 心理健康服务研究
- 职业康复服务
- 精神病学流行病学
背景情况:
- 对影响个人安置和支持 (IPS) 计划就业结果的因素的研究有限.
- 了解客户端和程序变量对于优化IPS有效性至关重要.
- 这项研究通过研究IPS环境中的竞争性就业预测因素来弥补这一差距.
研究的目的:
- 评估个人安置和支持计划的有效性.
- 确定与获得有竞争力的就业相关的人口,临床和计划变量.
- 为改善严重精神疾病患者就业成果制定战略.
主要方法:
- 在IPS计划中从84名患有严重精神疾病的参与者收集回顾性数据.
- 对人口,临床和服务参与特征的分析.
- 获得竞争性就业的参与者与没有获得竞争性就业的参与者的比较.
主要成果:
- 42.9%的参与者获得了有竞争力的就业机会.
- 没有精神病并发症与积极的就业结果有关 (p = .037).
- 较短的面对面接触时间显著预测了成功的就业 (p < .001).
结论:
- 可修改的参与者和计划因素对严重精神疾病患者的IPS结果产生重大影响.
- 优化初始就业期和解决并发症可以提高职业康复的成功.
- 这些发现支持将IPS纳入常规临床环境以提高就业率.
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