Department of Psychiatry, Psychotherapy and Psychosomatics, Centre for Social Psychiatry, University Hospital for Psychiatry Zurich , Zurich , Switzerland.
Department of Psychiatry, Psychotherapy and Psychosomatics, Centre for Social Psychiatry, University Hospital for Psychiatry Zurich , Zurich , Switzerland ; University of Zurich , Zurich , Switzerland ; Laboratory of Neuroscience, LIM 27, Institute of Psychiatry, University of São Paulo , São Paulo , Brazil.
Front Public Health. 2015 Oct 20;3:237. doi: 10.3389/fpubh.2015.00237. eCollection 2015.
Work is beneficial for the recovery from mental illness. Although the approach of individual placement and support (IPS) has been shown to be effective in Europe, it has not yet been widely implemented in European health care systems. The aim of this randomized controlled trial was to assess the effectiveness of IPS for disability pensioners with mental illnesses new on disability benefits in Switzerland. In the study at hand, 250 participants were randomly assigned to either the control or the intervention group. The participants in the intervention group received job coaching according to IPS during 2 years. The control group received no structured support. Both groups were interviewed at baseline and followed up every 6 months (baseline, 6, 12, 16, 18, 24 months) for 2 years. Primary outcome was to obtain a job in the competitive employment. IPS was more effective for the reintegration into the competitive employment market for disability pensioners than the control condition. Thirty-two percent of the participants of the intervention group and 12% of the control group obtained new jobs in the competitive employment. IPS is also effective for the reintegration into competitive employment of people with mental illness receiving disability pensions.
工作有益于精神疾病的康复。尽管个体安置和支持（IPS）方法已在欧洲被证明有效，但它尚未在欧洲医疗保健系统中广泛实施。本随机对照试验的目的是评估 IPS 对瑞士新领取残疾津贴的精神疾病残疾退休人员的有效性。在本研究中，250 名参与者被随机分配到对照组或干预组。干预组的参与者在 2 年内接受了基于 IPS 的工作辅导。对照组没有接受结构化支持。两组均在基线和随后的每 6 个月（基线、6、12、16、18、24 个月）进行 2 年的随访。主要结果是在竞争性就业中获得工作。与对照组相比，IPS 更有利于残疾退休人员重新融入竞争性就业市场。干预组的 32%和对照组的 12%的参与者在竞争性就业中获得了新工作。IPS 对于重新融入竞争就业市场的残疾精神疾病患者也是有效的。
