Bavo-Europoort, Prins Constantijnweg 48-54, 3066 TA, Rotterdam, The Netherlands.
Department of Psychiatry, Epidemiological and Social Psychiatric Research Institute, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Community Ment Health J. 2019 Feb;55(2):350-359. doi: 10.1007/s10597-018-0233-0. Epub 2018 Jan 17.
We determined the proportions of clients treated in Flexible Assertive Community Treatment teams who were unemployed and gained employment and who were employed and lost employment. Secondly, we explored the demographical and clinical factors associated with employment. Data were collected during routine outcome monitoring. We calculated differences in employment rates over a year and explored differences in demographic characteristics at baseline between patient groups. Logistic regression analysis was used to estimate the role of clinical predictor variables on employment status. Over time, 10% remained employed, 5% lost their employment, 3% gained employment and 82% remained unemployed. Clients who found employment were younger, more often male, and had significantly fewer psychosocial problems and a higher subjective quality of life during follow-up than those who remained unemployed. Problems with motivation for treatment at baseline were related to losing employment or remaining unemployed. Better implementation of vocational services is very important for increasing the number of clients gaining employment.
我们确定了在灵活积极社区治疗团队中接受治疗的客户中未就业和获得就业以及已就业和失业的比例。其次，我们探讨了与就业相关的人口统计学和临床因素。数据是在常规结果监测期间收集的。我们计算了一年内的就业率差异，并探讨了患者组之间基线时人口统计学特征的差异。逻辑回归分析用于估计临床预测变量对就业状况的作用。随着时间的推移，10%的人保持就业，5%的人失业，3%的人获得就业，82%的人仍然失业。找到工作的客户比那些仍然失业的客户更年轻，更多是男性，并且在随访期间社会心理问题明显较少，主观生活质量更高。治疗动机方面的问题与失业或失业有关。更好地实施职业服务对于增加获得就业的客户数量非常重要。
