O'Day Bonnie, Killeen Mary
CESSI, 2455 North Stevens Street, Alexandria, VA 22311, USA.
Behav Sci Law. 2002;20(6):559-83. doi: 10.1002/bsl.514.
Evidence suggests that a high percentage of people with a psychiatric disability can recover--find meaningful work, develop positive relationships, and participate fully in their communities. Evidence also suggests that work is an essential component of recovery. However, few people with a serious psychiatric disability are actually employed and most of those who are employed work only part-time at barely minimum wages. To assess the impact of federal programs such as Social Security Disability Insurance, vocational rehabilitation, medical insurance, and psychiatric services upon employment, we conducted a qualitative study of 16 employed and 16 unemployed individuals with psychiatric disabilities. All of our participants had disabilities severe enough to qualify them for Social Security Disability benefits. They told us that current federal policies and practices encouraged employment and integration of only a few participants, in a particular stage of their recovery, and placed significant barriers in the employment path of others.
有证据表明，很大一部分患有精神疾病的人能够康复——找到有意义的工作、建立积极的人际关系并充分融入他们的社区。证据还表明，工作是康复的重要组成部分。然而，实际上很少有患有严重精神疾病的人被雇佣，而且大多数被雇佣的人也只是从事兼职工作，工资 barely 达到最低工资标准。为了评估诸如社会保障残疾保险、职业康复、医疗保险和精神科服务等联邦项目对就业的影响，我们对 16 名患有精神疾病的在职人员和 16 名失业人员进行了定性研究。我们所有的参与者所患残疾都严重到足以使他们有资格获得社会保障残疾福利。他们告诉我们，当前的联邦政策和做法仅鼓励少数处于康复特定阶段的参与者就业和融入社会，并在其他人的就业道路上设置了重大障碍。 （注：原文中“barely”翻译为“勉强，仅仅” ，这里结合语境，“工资 barely 达到最低工资标准”表述稍显不通顺，可能原文表述有误，正常理解应该是工资仅达到最低工资标准，供你参考。）
