Drake Robert E, Bond Gary R, Goldman Howard H, Hogan Michael F, Karakus Mustafa
Robert E. Drake (
Gary R. Bond is a professor of psychiatry at the Geisel Medical School at Dartmouth.
Health Aff (Millwood). 2016 Jun 1;35(6):1098-105. doi: 10.1377/hlthaff.2016.0001.
The majority of people with serious mental illnesses want to work. Individual placement and support services, an evidence-based supported employment intervention, enables about 60 percent of people with serious mental illnesses who receive the services to gain competitive employment and improve their lives, but the approach does not lead to fewer people on government-funded disability rolls. Yet individual placement and support employment services are still unavailable to a large majority of people with serious mental illnesses in the United States. Disability policies and lack of a simple funding mechanism remain the chief barriers. A recent federal emphasis on early-intervention programs may increase access to employment services for people with early psychosis, but whether these interventions will prevent disability over time is unknown.
大多数患有严重精神疾病的人都想工作。个别安置与支持服务是一种基于证据的支持性就业干预措施，能让约60%接受该服务的严重精神疾病患者获得竞争性就业机会并改善生活，但这种方法并不能减少政府资助的残疾名单上的人数。然而，在美国，绝大多数患有严重精神疾病的人仍然无法获得个别安置与支持就业服务。残疾政策和缺乏简单的资金机制仍然是主要障碍。最近联邦政府对早期干预项目的重视可能会增加早期精神病患者获得就业服务的机会，但这些干预措施能否长期预防残疾尚不清楚。
