Kirsh Bonnie, Cockburn Lynn, Gewurtz Rebecca
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario.
Can J Occup Ther. 2005 Dec;72(5):265-79. doi: 10.1177/000841740507200503.
Despite the known benefits of work for people with mental illnesses, vocational outcomes of this group remain poor. Attempts at comparing the efficacy of various models of service delivery have met with limited success due to variations across studies.
The purpose of this paper is to provide information about key characteristics related to outcomes in the field of vocational rehabilitation for people with serious mental illnesses.
A comprehensive review of literature published between 1990 and 2003 was conducted, resulting in 39 articles for analysis.
A set of twelve characteristics was identified that appear to influence vocational outcomes across models. These characteristics relate to the types of services offered, the manner in which services are delivered, and the work environment.
The authors suggest these characteristics can be incorporated across models and practice settings. The findings are discussed in terms of implications for best practice in occupational therapy.
尽管工作对患有精神疾病的人有诸多已知益处,但该群体的职业成果仍然不佳。由于各项研究存在差异,比较不同服务提供模式疗效的尝试成效有限。
本文旨在提供有关严重精神疾病患者职业康复领域中与成果相关的关键特征的信息。
对1990年至2003年间发表的文献进行了全面综述,最终得到39篇文章用于分析。
确定了一组十二个特征,这些特征似乎会影响各种模式下的职业成果。这些特征涉及所提供服务的类型、服务提供方式以及工作环境。
作者建议这些特征可纳入各种模式和实践环境中。从对职业治疗最佳实践的影响方面对研究结果进行了讨论。