ThresholdsInstitute, Thresholds Psychiatric RehabilitationCenters, Chicago, IL 60613, USA.
Psychiatr Serv. 2011 May;62(5):545-7. doi: 10.1176/ps.62.5.pss6205_0545.
People with serious mental illnesses and co-occurring substance use disorders are often excluded from vocational services, despite the lack of evidence that having a substance use disorder prevents them from being able to work. This study explored enrollment in supported employment services among clients with and without co-occurring substance use disorders.
With data from electronic medical records from a psychiatric rehabilitation agency, relationships between co-occurring substance use disorders and supported employment were examined among 1,748 clients with serious mental illnesses who were consecutively admitted to the agency over a two-year period.
Despite a similar interest in employment, clients with a co-occurring substance use disorder were 52% less likely than those without to enroll in a supported employment program. Those who were enrolled had similar competitive employment rates (25% for those with co-occurring disorders and 28% for those without).
People with co-occurring substance disorders have reduced rates of enrollment in supported employment services.
尽管没有证据表明物质使用障碍会妨碍人们工作，但患有严重精神疾病和并发物质使用障碍的人往往被排除在职业服务之外。本研究探讨了同时患有和不患有并发物质使用障碍的患者接受支持性就业服务的情况。
利用一家精神康复机构电子病历中的数据，对在两年期间连续入住该机构的 1748 名患有严重精神疾病的患者进行了并发物质使用障碍与支持性就业之间的关系研究。
尽管对就业同样感兴趣，但患有并发物质使用障碍的患者参加支持性就业项目的可能性比没有并发物质使用障碍的患者低 52%。那些参加的人具有相似的竞争性就业率（并发障碍患者为 25%，无并发障碍患者为 28%）。
同时患有物质障碍的患者参加支持性就业服务的比例较低。
