Hannah Gordon, Hall Judy
Indiana University of Pennsylvania, Department of Psychology, Uhler Hall, Indiana, PA 15705, USA.
J Behav Health Serv Res. 2006 Jul;33(3):287-303. doi: 10.1007/s11414-006-9026-2.
This study examined employment among individuals utilizing publicly funded mental health services in Washington State during a 2-year period through the analysis of archival administrative data. The mean income found in this study was higher than that reported in the supported employment literature. This difference likely reflects the inclusion of individuals with less severe mental illness and ongoing employment who are typically excluded from studies of supported employment. Individuals in this study were employed in all industrial sectors in a distribution similar to the general population, although somewhat over-represented in service industries. Employment rates varied from 15% to 21% over a 3-year period and did not appear to increase after treatment. Employment rates tended to decline after the receipt of public support. Among individuals who lost employment, service utilization was found to increase prior to the loss of employment. Policy implications are discussed.
本研究通过对档案管理数据的分析，考察了华盛顿州在两年期间利用公共资助心理健康服务的个人的就业情况。本研究发现的平均收入高于支持性就业文献中报告的收入。这种差异可能反映了纳入了病情不太严重且仍在就业的个人，而这些人通常被排除在支持性就业研究之外。本研究中的个人受雇于所有工业部门，其分布与普通人群相似，尽管在服务业中的比例略高。在三年期间，就业率从15% 到21% 不等，治疗后似乎没有增加。在获得公共支持后，就业率往往会下降。在失业的个人中，发现服务利用率在失业前有所增加。文中讨论了政策含义。
