Schonebaum Andrew D, Boyd Jeremy K, Dudek Kenneth J
Research Unit, Fountain House, Inc., New York, NY 10036, USA.
Psychiatr Serv. 2006 Oct;57(10):1416-20. doi: 10.1176/ps.2006.57.10.1416.
This study determined whether the clubhouse model of community support and psychiatric rehabilitation can produce competitive employment outcomes that are comparable or superior to those of the Program of Assertive Community Treatment (PACT) model.
This longitudinal study followed a group of 170 individuals with severe mental illness who were randomly assigned either to the experimental design, a clubhouse program (N=86), or to the control design, a PACT team (N=84). Study participants were tracked for 30 months, and employment outcome data were collected.
After 30 months, 72 clubhouse and 76 PACT participants remained active in the project. After 30 months, 74 percent of PACT participants and 60 percent of clubhouse participants had been placed in at least one job. The average clubhouse participant worked 21.8 weeks per job and earned $7.38 per hour, whereas the average PACT participant worked 13.1 weeks per job and earned $6.30 per hour.
Participants from both the PACT and clubhouse models achieved high employment levels, with no significant differences in weekly employment or 30-month job placement rates over the course of the study. During this time, clubhouse participants earned significantly higher wages and remained competitively employed for significantly more weeks per job than PACT participants.
本研究旨在确定社区支持与精神康复的俱乐部模式能否产生与积极社区治疗项目（PACT）模式相当或更优的竞争性就业成果。
这项纵向研究跟踪了170名患有严重精神疾病的个体，他们被随机分配到实验设计组（一个俱乐部项目，N = 86）或对照组（一个PACT团队，N = 84）。对研究参与者进行了30个月的跟踪，并收集了就业成果数据。
30个月后，72名俱乐部参与者和76名PACT参与者仍活跃在项目中。30个月后，74%的PACT参与者和60%的俱乐部参与者至少获得了一份工作。俱乐部参与者平均每份工作工作21.8周，每小时收入7.38美元，而PACT参与者平均每份工作工作13.1周，每小时收入6.30美元。
PACT模式和俱乐部模式的参与者都实现了较高的就业水平，在研究过程中，每周就业情况或30个月的工作安置率没有显著差异。在此期间，俱乐部参与者的工资显著更高，每份工作的竞争性就业周数也比PACT参与者显著更多。
