South of Tyne Early Intervention in Psychosis Service, Northumberland Tyne and Wear Foundation Trust and Institute of Neuroscience, Newcastle University, Newcastle Upon Tyne, UK.
Early Interv Psychiatry. 2014 Feb;8(1):98-102. doi: 10.1111/eip.12043. Epub 2013 Mar 14.
People with psychotic symptoms have poor social and occupational functioning. The aim of this research was to improve the engagement in meaningful education, training or employment for young people with psychosis. This was undertaken by introducing a vocational specialist into the early intervention service to implement the individual placement and support (IPS) model.
Two early intervention services provided information about the vocational status of their service users 6 and 1 months prior to the introduction of the vocational specialist into one of the services. Data were collected again 12 months following the intervention and then 6 months following the end of the intervention.
Unemployment was high in both services during the baseline period (approximately 75% in both), but in the service receiving the intervention this reduced to 62% whereas it remained high in the service that did not introduce the vocational specialist. Following the withdrawal of the vocational specialist the improvement was lost.
To enable people in first-episode services to live meaningful and valued lives occupational functioning needs to be considered a key performance indicator. Services can improve outcome by implementing and maintaining the IPS model.
有精神病症状的人社会和职业功能较差。本研究旨在通过在早期干预服务中引入职业专家来实施个体安置和支持 (IPS) 模式，从而提高精神病青年参与有意义的教育、培训或就业的机会。
在将职业专家引入其中一项服务的 6 个月和 12 个月前，两个早期干预服务向其服务使用者提供了有关其职业状况的信息。在干预结束后的 6 个月和 12 个月再次收集数据。
在基线期间，两个服务中的失业率都很高（都在 75%左右），但在接受干预的服务中，失业率降至 62%，而在未引入职业专家的服务中，失业率仍然很高。在职业专家撤出后，这种改善就消失了。
为了使首次发作的服务中的人能够过上有意义和有价值的生活，职业功能需要被视为关键绩效指标。通过实施和维持 IPS 模式，服务可以改善结果。
