Division of Rehabilitation Services, Illinois Department of Human Services, USA.
Psychiatr Rehabil J. 2013 Mar;36(1):4-6. doi: 10.1037/h0094740.
Research has established the Individual Placement and Support (IPS) model of supported employment as an effective approach for persons with severe mental illnesses. This article examines strategies for Vocational Rehabilitation (VR) to enhance employment outcomes through better collaboration with IPS programs.
Twenty-one focus groups were conducted in rural and urban locations in Illinois with mental health consumers, VR counselors, IPS specialists, and mental health professionals. Thematic analysis was conducted to identify features of strong collaborations between VR and IPS programs.
Features of strong collaborations between VR and IPS programs included the following: (a) expertise, (b) consistency, (c) accessibility, and (d) integration. Five recommendations were developed from themes expressed in focus groups: (a) enhance mutual knowledge and understanding between VR and IPS practitioners, (b) examine and modify VR regulations and guidelines that conflict with IPS principles, (c) create clear guidelines for VR participation on IPS teams, (d) create guidelines for good relationships between VR and community mental health centers, and (e) develop tools to promote accountability in VR staff and systems to improve employment outcomes for people with mental illness.
Modest changes in the federal/state VR program could enhance that system's capability to foster employment outcomes for persons with severe mental illness.
研究已经证实，个体安置与支持（IPS）模式的支持性就业是一种针对严重精神疾病患者的有效方法。本文探讨了通过与 IPS 项目更好地合作，增强职业康复（VR）服务以改善就业结果的策略。
在伊利诺伊州的农村和城市地区，对精神健康消费者、VR 顾问、IPS 专家和精神健康专业人员进行了 21 次焦点小组讨论。采用主题分析方法，确定 VR 和 IPS 项目之间强有力合作的特征。
VR 和 IPS 项目之间强有力合作的特征包括：（a）专业知识，（b）一致性，（c）可及性，（d）整合性。从焦点小组表达的主题中提出了五条建议：（a）增强 VR 和 IPS 从业者之间的相互了解和理解，（b）审查和修改与 IPS 原则冲突的 VR 法规和指南，（c）为 VR 参与 IPS 团队制定明确的准则，（d）为 VR 和社区心理健康中心之间的良好关系制定准则，（e）开发工具以促进 VR 员工的问责制，并改善精神疾病患者的就业结果。
联邦/州 VR 计划的适度改变可以增强该系统促进严重精神疾病患者就业结果的能力。
