Department of Psychiatry, Dartmouth Medical School, and Dartmouth Psychiatric Research Center, 85 Mechanic St., Suite B4-1, Lebanon, NH 03766, USA.
Psychiatr Serv. 2011 Aug;62(8):950-3. doi: 10.1176/ps.62.8.pss6208_0950.
The individual placement and support (IPS) model has helped clients with severe mental illness obtain competitive jobs, but questions have been raised whether job tenure is brief. This study examined job tenure over 24 months among clients of high-fidelity IPS enrolled between November 2005 and June 2007.
Monthly data about job tenure were collected for 82 clients upon beginning competitive employment (prospective sample) and from 60 clients who had begun competitive employment in the preceding six months (retrospective sample).
The 142 clients worked a mean of 12.86 months overall and 9.96 months at their first job; compared with the prospective sample, the retrospective sample worked for more months (13.69 versus 11.02; p<.05) and worked more months at the first job (12.63 versus 8.01; p<.01).
Job tenure among employed clients of high-fidelity IPS was twice as long as previously reported, and about 40% became steady workers over two years.
个体安置和支持 (IPS) 模式帮助患有严重精神疾病的客户获得了竞争性工作，但有人质疑工作任期是否短暂。本研究调查了 2005 年 11 月至 2007 年 6 月期间参加高保真 IPS 的客户的 24 个月以上的工作任期。
在开始竞争性就业时（前瞻性样本）为 82 名客户收集了有关工作任期的每月数据，并为在过去六个月内开始竞争性就业的 60 名客户收集了数据（回顾性样本）。
142 名客户的总体工作时间平均为 12.86 个月，第一份工作为 9.96 个月；与前瞻性样本相比，回顾性样本的工作时间更长（13.69 与 11.02 相比；p<.05），第一份工作的工作时间也更长（12.63 与 8.01 相比；p<.01）。
高保真 IPS 就业客户的工作任期是之前报告的两倍，大约 40%的客户在两年内成为稳定工人。
