The Dartmouth Institute for Health Policy and Clinical Practice, 85 Mechanic Street, Suite C3-1, Box 4A, Lebanon, NH 03766, United States.
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Psychiatry Res. 2018 Jun;264:85-90. doi: 10.1016/j.psychres.2018.03.050. Epub 2018 Mar 22.
Individual Placement and Support (IPS) is an evidence-based model of supported employment for people with serious mental illness. We assessed the effects and relative contributions of predictors of employment among IPS recipients using measures of baseline client characteristics, local economic context, and IPS fidelity. A recent work history, less time on the Social Security rolls, greater cognitive functioning, and a lower local unemployment rate were associated with greater probability of employment. The ability of the model to discriminate between outcomes was limited, and substantial improvements in our understanding of IPS employment outcomes will require the study of novel client, environmental, and IPS implementation factors.
个体安置与支持(IPS)是一种针对严重精神疾病患者的、有循证医学证据的支持性就业模式。我们使用基线客户特征、当地经济环境和 IPS 保真度的指标,评估了 IPS 接受者就业的效果和预测因素的相对贡献。最近的工作经历、在社会保障名单上的时间较短、认知功能较好和当地失业率较低与更高的就业可能性相关。该模型区分结果的能力有限,要进一步了解 IPS 就业结果,需要研究新的客户、环境和 IPS 实施因素。