Fountain House, Inc., New York, New York 10036, USA.
Psychiatr Rehabil J. 2012 Sep;35(5):391-5. doi: 10.1037/h0094499.
This purpose of this study was to determine whether participation in the Work-Ordered Day program of the Clubhouse model has a positive effect on vocational outcomes.
The longitudinal study followed a group of individuals with severe mental illness who were randomly assigned either to a Clubhouse program or a Program of Assertive Community Treatment team. Study participants were tracked for 135 weeks. These analyses evaluated the relationship between Work-Ordered Day participation and employment duration for the 43 study participants enrolled in the Clubhouse program who were active throughout the study and competitively employed during the study.
Participation in the Work-Ordered Day program had a significant positive impact on average duration of employment. On average, a 1-hr increase in participation prior to employment led to an increase of 2.3 weeks in competitive employment.
Participants with more Work-Ordered Day program participation prior to employment had significantly longer average competitive employment duration even when controlling for prior work history. Participation in the Work-Ordered Day program is likely to improve work readiness. Further research is warranted to study which elements of the program may foment employment success. This could lead to increased implementation of the Work-Ordered Day program and its elements as precursors to employment for adults with severe mental illness.
本研究旨在确定参与会所模式下的有序工作日项目是否对职业结果产生积极影响。
这项纵向研究跟踪了一组患有严重精神疾病的个体，他们被随机分配到会所计划或主张社区治疗小组。研究参与者被跟踪了 135 周。这些分析评估了在参与会所计划的 43 名研究参与者中，工作有序日参与度与就业持续时间之间的关系，这些参与者在整个研究期间都积极参与并在研究期间从事竞争性就业。
参与有序工作日项目对就业持续时间的平均长度有显著的积极影响。平均而言，就业前增加 1 小时的参与度将导致竞争性就业增加 2.3 周。
即使在控制先前工作历史的情况下，就业前参与更多有序工作日项目的参与者的平均竞争性就业持续时间显著更长。参与有序工作日项目可能会提高工作准备度。需要进一步研究该计划的哪些要素可能促进就业成功。这可能会导致更多地实施有序工作日项目及其要素，作为严重精神疾病成年人就业的前奏。
