Reker T, Hornung W P, Schonauer K, Eikelmann B
Westphalian Psychiatric Hospital, Muenster, Germany.
Acta Psychiatr Scand. 2000 Jun;101(6):457-63. doi: 10.1034/j.1600-0447.2000.101006457.x.
This paper aims at assessing the vocational integration attained after a 3-year period by psychiatric patients who participated in different vocational rehabilitation programmes.
In the north-western German region of Westphalia-Lippe a naturalistic follow-up study was carried out on 471 patients from three different types of vocational rehabilitation programmes. The sample comprised chronically ill patients with a history of repeated and long-term hospitalization.
After 3 years 11% of the patients were in competitive employment, 67% (still) in sheltered employment, 7% in out-patient work therapy programmes and 15% were unemployed. It is important to notice that 74% achieved their subjective rehabilitation goals expressed at baseline.
Vocational rehabilitation programmes are an essential part in the treatment of people with chronic mental illness. Integration into work varies markedly while patients' satisfaction is comparably good. Competitive employment represents a realistic objective only for patients with high motivation and favourable preconditions.
本文旨在评估参与不同职业康复项目的精神病患者在3年期间所实现的职业融合情况。
在德国西北部的威斯特法伦-利珀地区，对来自三种不同类型职业康复项目的471名患者进行了一项自然随访研究。样本包括有反复长期住院史的慢性病患者。
3年后，11%的患者实现了竞争性就业，67%（仍）在庇护性就业中，7%参加门诊工作治疗项目，15%处于失业状态。需要注意的是，74%的患者实现了他们在基线时表达的主观康复目标。
职业康复项目是慢性精神疾病患者治疗的重要组成部分。融入工作的情况差异显著，而患者的满意度相对较好。竞争性就业仅对积极性高且条件有利的患者来说是一个现实的目标。
