Cocks Errol, Boaden Ross
Centre for Research into Disability and Society, School of Occupational Therapy, Curtin University of Technology, Perth, Western Australia, Australia.
Aust Occup Ther J. 2009 Oct;56(5):300-6. doi: 10.1111/j.1440-1630.2008.00762.x.
The Individual Placement and Support (IPS) model aims to achieve open employment for people with mental illness. The Supported Employment Fidelity Scale (SEFS) is a 15-item instrument that evaluates the extent to which a service follows the IPS principles of best practice. This paper describes the IPS model and an evaluation of a specialist employment program for people with mental illness using the SEFS.
The SEFS enabled a quantitative assessment of service provision against the criteria of evidence-based practice principles. Data were collected from multiple sources. In addition, a literature review was conducted, and personnel engaged in implementation of the IPS model at other Australian employment programs were consulted.
The program achieved a score of 59 of a possible 75 on the SEFS, which is described as fair supported employment.
Analysis of the 15-scale items resulted in the identification of strengths, areas for further development, and a set of recommendations.
The program was operating substantially in line with evidence-based practice principles and had considerable scope for further development. Issues arising from the evaluation, areas of applicability of the SEFS and the underlying literature, and implications for occupational therapy are highlighted.
个体安置与支持（IPS）模式旨在帮助患有精神疾病的人实现公开就业。支持性就业保真度量表（SEFS）是一个包含15个条目的工具，用于评估一项服务遵循最佳实践的IPS原则的程度。本文介绍了IPS模式，并使用SEFS对一项针对患有精神疾病者的专业就业项目进行了评估。
SEFS能够根据循证实践原则的标准对服务提供情况进行定量评估。数据从多个来源收集。此外，还进行了文献综述，并咨询了在澳大利亚其他就业项目中参与实施IPS模式的人员。
该项目在SEFS上的得分为59分（满分75分），被描述为公平的支持性就业。
对15个量表项目的分析确定了优势、有待进一步发展的领域以及一系列建议。
该项目的运作基本符合循证实践原则，并且有很大的进一步发展空间。强调了评估中出现的问题、SEFS及其相关文献的适用领域以及对职业治疗的影响。
