Drake Robert E, Becker Deborah R, Goldman Howard H, Martinez Rick A
Dartmouth Medical School, Lebanon, New Hampshire 03766, USA.
Psychiatr Serv. 2006 Mar;57(3):302-4. doi: 10.1176/appi.ps.57.3.302.
This column describes a private-public-academic collaboration in six states and the District of Columbia designed to provide evidence-based supported employment for persons with psychiatric disabilities by using best practices for program implementation. Dissemination strategies included collaborative state-level administrative oversight, longitudinal training based on established fidelity criteria, outcome-based supervision, problem solving by local experts, and selection of intervention sites on the basis of their motivation to participate. The number of clients served at participating sites increased steadily over 11 quarters, and the proportion of clients competitively employed stayed consistently over 40 percent. The project successfully combined industry's emphasis on outcomes with academia's emphasis on research-based interventions to enhance public services.
本专栏介绍了在六个州和哥伦比亚特区开展的一项公私学术合作项目,该项目旨在通过采用项目实施的最佳实践,为患有精神疾病的人提供循证支持性就业服务。传播策略包括州级协作行政监督、基于既定保真度标准的纵向培训、基于结果的监督、当地专家解决问题,以及根据参与积极性选择干预地点。在11个季度里,参与项目地点服务的客户数量稳步增加,有竞争力地就业的客户比例一直保持在40%以上。该项目成功地将行业对成果的重视与学术界对基于研究的干预措施的重视结合起来,以改善公共服务。