Department of Psychiatric Rehabilitation and Counseling Professions, University of Medicine and Dentistry of New Jersey, NJ 07076, USA.
Psychiatr Rehabil J. 2011 Winter;34(3):233-42. doi: 10.2975/34.3.2011.233.242.
The purpose of this study was to identity barriers to implementing the social support intervention, Circle of Support, in supported employment (SE) services for people with psychiatric disabilities.
Semi-structured interviews were administered to SE staff at three month intervals up to one year. Two focus groups were held with service recipients who did not participate in a circle of support. Interviews were conducted with two individuals receiving SE services who participated in a pilot project in which study researchers implemented circles of support.
Common themes regarding the barriers to implementing a circle of support developed from the data. Service recipients who did not participate in a circle of support and those who did expressed the perceived and actual barriers to this approach as being: time, too much focus on the participant, and lack of control/facilitation of circle activities. Service recipients who participated in a pilot who had circles of support reported that this intervention was beneficial to them. Staff and service recipients identified time, running of the actual circle of support meetings, and supporter issues as barriers to implementing this technique.
Although certain barriers to this technique were identified, there were features of this approach that both staff and service recipients, who had a circle of support, found beneficial. Since ongoing support is a critical component of successful employment, individuals may benefit from the use of these Circles of Support techniques.
本研究旨在确定在精神病残疾人士的支持性就业（SE）服务中实施社会支持干预措施“支持圈”的障碍。
在一年的时间内，每隔三个月对 SE 工作人员进行半结构化访谈。与未参加支持圈的服务接受者举行了两次焦点小组会议。对两名参加试点项目的 SE 服务接受者进行了访谈，研究人员在该项目中实施了支持圈。
从数据中得出了实施支持圈的常见障碍主题。未参加支持圈的服务接受者和参加过支持圈的服务接受者表示，这种方法的感知和实际障碍是：时间、对参与者的过度关注以及缺乏对圈子活动的控制/促进。参加过试点项目并拥有支持圈的服务接受者报告说，这种干预对他们有益。工作人员和服务接受者确定了实施这项技术的障碍，包括时间、支持圈会议的实际运作以及支持者的问题。
尽管该技术存在某些障碍，但工作人员和服务接受者（他们有支持圈）发现了该方法的某些特点是有益的。由于持续的支持是成功就业的关键组成部分，因此，个人可能会受益于使用这些支持圈技术。
