哈特福德针对重度精神疾病患者的支持性就业研究。

The Hartford study of supported employment for persons with severe mental illness.

作者信息

Mueser Kim T, Clark Robin E, Haines Michael, Drake Robert E, McHugo Gregory J, Bond Gary R, Essock Susan M, Becker Deborah R, Wolfe Rosemarie, Swain Karin

机构信息

New Hampshire-Dartmouth Psychiatric Research Center, Dartmouth Medical School, Concord 03301, USA.

出版信息

J Consult Clin Psychol. 2004 Jun;72(3):479-90. doi: 10.1037/0022-006X.72.3.479.

DOI:10.1037/0022-006X.72.3.479

PMID:15279531

Abstract

The authors compared 3 approaches to vocational rehabilitation for severe mental illness (SMI): the individual placement and support (IPS) model of supported employment, a psychosocial rehabilitation (PSR) program, and standard services. Two hundred four unemployed clients (46% African American, 30% Latino) with SMI were randomly assigned to IPS, PSR, or standard services and followed for 2 years. Clients in IPS had significantly better employment outcomes than clients in PSR and standard services, including more competitive work (73.9% vs. 18.2% vs. 27.5%, respectively) and any paid work (73.9% vs. 34.8% vs. 53.6%, respectively). There were few differences in nonvocational outcomes between programs. IPS is a more effective model than PSR or standard brokered vocational services for improving employment outcomes in clients with SMI.

摘要

作者比较了针对严重精神疾病（SMI）的三种职业康复方法：支持性就业的个人安置与支持（IPS）模式、心理社会康复（PSR）项目和标准服务。204名患有SMI的失业客户（46%为非裔美国人，30%为拉丁裔）被随机分配到IPS、PSR或标准服务组，并随访2年。IPS组的客户在就业成果方面明显优于PSR组和标准服务组的客户，包括更具竞争力的工作（分别为73.9%、18.2%和27.5%）以及任何有偿工作（分别为73.9%、34.8%和53.6%）。各项目在非职业成果方面差异不大。对于改善患有SMI的客户的就业成果，IPS是比PSR或标准中介职业服务更有效的模式。