Jäger Matthias, Paras Svetlana, Nordt Carlos, Warnke Ingeborg, Bärtsch Bettina, Rössler Wulf, Kawohl Wolfram
Universität Zürich, Militärstrasse 8, Postfach 1930, 8021, Zürich, Schweiz.
Neuropsychiatr. 2013;27(4):196-201. doi: 10.1007/s40211-013-0085-3. Epub 2013 Oct 24.
The largest European multicenter randomized controlled trial to date on the effectiveness of supported employment (EQOLISE) was conducted in six European centres until 2005. It revealed that the intervention "individual placement and support" was more effective than conventional prevocational training services. The aim of this investigation was to assess the Zurich sample (individuals with schizophrenic, schizoaffective or bipolar disorders) 24 months after termination of the EQOLISE trial in terms of working situation, income, and hospital admissions. More favorable outcomes concerning these parameters were assumed for the intervention group.
Assessment of the working situation and psychiatric hospitalizations since the end as well as the development of salaries since the start of EQOLISE. Comparisons between groups and illustration of incomes using a random coefficient model were conducted.
50% of the original sample could be assessed. All subjects who worked in competitive workplaces at the end of EQOLISE were met in a different situation. No differences were found concerning hospital admissions. The mean monthly income considerably increased during EQOLISE and decreased during the third year. At the time of follow-up it was approximately at the same level as the slightly increased control group.
This investigation points at limited sustainability of supported employment among individuals with severe mental disorders in terms of maintenance of employment and income if the job coaching is not continued.
迄今为止欧洲最大规模的关于支持性就业有效性的多中心随机对照试验（EQOLISE）在六个欧洲中心进行，直至2005年。该试验表明，“个别安置与支持”干预措施比传统的职业前培训服务更有效。本调查的目的是在EQOLISE试验结束24个月后，对苏黎世样本（患有精神分裂症、分裂情感性障碍或双相情感障碍的个体）的工作状况、收入和住院情况进行评估。预计干预组在这些参数方面会有更有利的结果。
评估EQOLISE结束后的工作状况和精神科住院情况，以及EQOLISE开始后的薪资发展情况。进行组间比较，并使用随机系数模型说明收入情况。
可以对原样本的50%进行评估。在EQOLISE结束时在竞争性工作场所工作的所有受试者情况有所不同。在住院情况方面未发现差异。EQOLISE期间月平均收入大幅增加，第三年下降。随访时，其水平与略有增加的对照组大致相同。
这项调查表明，如果不继续提供职业指导，对于患有严重精神障碍的个体，支持性就业在维持就业和收入方面的可持续性有限。
