McFarlane W R, Dushay R A, Deakins S M, Stastny P, Lukens E P, Toran J, Link B
Maine Medical Center, Portland, USA.
Am J Orthopsychiatry. 2000 Apr;70(2):203-14. doi: 10.1037/h0087819.
Family-aided assertive community treatment (FACT) was enhanced by adding vocational specialists to help persons with severe mental illness obtain competitive employment. Results were then tested against those of conventional vocational rehabilitation (CVR). The FACT cohort demonstrated significantly better employment rates than did the CVR, while negative symptoms declined in the former and increased in the latter. No evidence was found that competitive work presented a significant risk for relapse.
通过增加职业专家来帮助重症精神疾病患者获得竞争性就业,家庭辅助主动式社区治疗(FACT)得到了加强。然后将结果与传统职业康复(CVR)的结果进行对比测试。FACT组的就业率显著高于CVR组,同时FACT组的阴性症状有所减轻,而CVR组的阴性症状有所增加。没有证据表明竞争性工作会带来显著的复发风险。