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个体安置与支持对新享受社会福利精神疾病患者的效果:一项研究方案。

The effectiveness of individual placement and support for people with mental illness new on social benefits: a study protocol.

机构信息

Department of Psychiatry, Psychotherapy and Psychosomatics, University Hospital for Psychiatry, Militärstrasse 8, 8021, Zurich, Switzerland.

出版信息

BMC Psychiatry. 2013 Jul 24;13:195. doi: 10.1186/1471-244X-13-195.

Abstract

BACKGROUND

In Switzerland, people with a severe mental illness and unable to work receive disability benefits ('IV-pension'). Once they are granted these benefits, the chances to regain competitive employment are usually small. However, previous studies have shown that individual placement and support (IPS) supports a successful reintegration into competitive employment. This study focuses on the integration of newly appointed IV-pensioners, who have received an IV-pension for less than a year.

METHOD/DESIGN: The present pilot project ZHEPP (Zürcher Eingliederungs-Pilot Projekt; engl.: Zurich integration pilot project) is a randomized controlled trial (RCT). The 250 participants will be randomized to either the intervention or the control group. The intervention group receives support of a job coach according to the approach of IPS. Participants in the control group do not receive IPS support. Participation takes a total of two years for each participant. Each group is interviewed every six months (T0-T4). A two-factor analysis of variance will be conducted with the two factors group (intervention versus control group) and outcome (employment yes/no). The main criterion of the two-factor analysis will be the number of competitive employment contracts in each group.

DISCUSSION

This study will focus on the impact of IPS on new IV-pensioners and aims to identify predictors for a successful integration. Furthermore, we will examine the effect of IPS on stigma variables and recovery orientation.

TRIAL REGISTRATION

ISRCTN54951166.

摘要

背景

在瑞士,患有严重精神疾病且无法工作的人可领取残疾津贴(“IV 养老金”)。一旦他们获得这些福利,重新获得竞争性就业的机会通常很小。然而,先前的研究表明,个人安置和支持(IPS)有助于成功重新融入竞争性就业。本研究重点关注新任命的 IV 养老金领取者的融入情况,这些人领取 IV 养老金的时间不到一年。

方法/设计:本研究 ZHEPP(苏黎世融入试点项目;英文:Zurich integration pilot project)是一项随机对照试验(RCT)。250 名参与者将被随机分配到干预组或对照组。干预组将根据 IPS 方法接受职业教练的支持。对照组的参与者不接受 IPS 支持。每位参与者总共需要参与两年。每组每六个月进行一次访谈(T0-T4)。将采用两因素方差分析,两个因素是组(干预组与对照组)和结果(就业是/否)。两因素分析的主要标准将是每组的竞争性就业合同数量。

讨论

本研究将重点关注 IPS 对新 IV 养老金领取者的影响,并旨在确定成功融入的预测因素。此外,我们将研究 IPS 对耻辱变量和康复取向的影响。

试验注册

ISRCTN54951166。

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