一项比较两种针对重度精神疾病患者的职业模式的随机对照试验。

A randomized controlled trial comparing two vocational models for persons with severe mental illness.

作者信息

Bond Gary R, Salyers Michelle P, Dincin Jerry, Drake Robert, Becker Deborah R, Fraser Virginia V, Haines Michael

机构信息

Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202-3275, USA.

出版信息

J Consult Clin Psychol. 2007 Dec;75(6):968-82. doi: 10.1037/0022-006X.75.6.968.

DOI:10.1037/0022-006X.75.6.968

PMID:18085913

Abstract

The authors compared 2 approaches to vocational rehabilitation for individuals with severe mental illness: the individual placement and support (IPS) model of supported employment and the diversified placement approach (DPA), which emphasizes work readiness and offers a range of vocational options, including agency-run businesses and agency-contracted placements with community employers. In all, 187 unemployed participants with severe mental illness were randomly assigned to IPS or DPA. Over 2 years, IPS had significantly better competitive employment outcomes than DPA. Competitive employment rates over the 2-year follow-up were 75.0% for IPS and 33.7% for DPA. However, IPS and DPA did not differ on paid employment outcomes. The authors conclude that IPS is more effective than DPA in achieving competitive employment, but not paid employment.

摘要

作者比较了针对重症精神疾病患者的两种职业康复方法

支持性就业的个体安置与支持（IPS）模式和多元化安置方法（DPA），后者强调工作准备情况并提供一系列职业选择，包括机构经营的企业以及与社区雇主签订合同的机构安置。共有187名患有重症精神疾病的失业参与者被随机分配至IPS或DPA。在两年时间里，IPS在竞争性就业成果方面显著优于DPA。在两年的随访期内，IPS的竞争性就业率为75.0%，DPA为33.7%。然而，IPS和DPA在有偿就业成果方面并无差异。作者得出结论，在实现竞争性就业方面，IPS比DPA更有效，但在有偿就业方面并非如此。