Mattei Giorgio, Sacchi Valentina, Alfieri Salvatore, Bisi Antonella, Colombini Niccolò, Ferrari Silvia, Giubbarelli Giuseppe, Gobba Fabriziomaria, Modenese Alberto, Pingani Luca, Rigatelli Marco, Rossetti Marisa, Venturi Giulia, Starace Fabrizio, Galeazzi Gian Maria
Department of Diagnostic, Clinical and Public Health Medicine, Section of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy Department of Diagnostic, Clinical and Public Health Medicine, Section of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy and "Marco Biagi" Department of Economics and Marco Biagi Foundation, University of Modena and Reggio Emilia, Modena, Italy and Association for Research in Psychiatry, Castelnuovo Rangone (Modena), Italy.
Department of Diagnostic, Clinical and Public Health Medicine, Section of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy - Via del Pozzo, 71 - 41124 Modena (Italy).
Med Lav. 2018 May 11;109(3):201-9. doi: 10.23749/mdl.v109i3.6844.
The triple-dip recession taking place in Italy in 2008-2014 impacted negatively on health, mainly by increasing the rate of unemployment. This increased the prevalence of mental health disorders, while reducing the number of available places on vocational rehabilitation programs (VRPs) delivered by the psychiatric services.
To explore the different points of views of stakeholders (namely, users and professionals) involved in VRPs developed inside an Italian Community Mental Health Center (CMHC).
A sample of users, psychiatrists, educators and nurses of an Italian CMHC involved in VRPs took part in a focus group. Content analysis was performed with MAXQDA 12, by developing a hierarchical code system a posteriori (i.e., derived from the data). The respondent validation phase was carried out by means of a multiple-choice questionnaire, administered to all participants.
A total of 86 emerging issues were coded, divided into two macro-areas: Positive and Negative Reinforcements (48 contributions, 56%, and 38 contributions, 44%, respectively), further subdivided into three areas: professional (service) factors, personal (i.e, user-related) factors, and work environment features (including relationships in the workplace). Some contributions raised issues concerning occupational health protection (e.g. need of information about the rights and duties of the users-workers, as well as the risks they are exposed to in the workplace).
The analysis suggested to address specific issues concerning work and VRPs by means of psycho-education group interventions currently carried out at CMHCs, and pointed to the need to foster collaboration between mental health professionals and the occupational health physician of the company where the VRP is started and where the user might be employed.
2008 - 2014年意大利发生的三次衰退对健康产生了负面影响，主要是通过提高失业率。这增加了心理健康障碍的患病率，同时减少了精神科服务提供的职业康复项目（VRP）的可用名额。
探讨参与意大利社区心理健康中心（CMHC）内开展的VRP的利益相关者（即用户和专业人员）的不同观点。
参与VRP的意大利CMHC的用户、精神科医生、教育工作者和护士样本参加了焦点小组。使用MAXQDA 12进行内容分析，通过事后开发分层编码系统（即从数据中得出）。通过向所有参与者发放多项选择题问卷来进行受访者验证阶段。
总共编码了86个新出现的问题，分为两个宏观领域：积极强化和消极强化（分别有48条意见，占56%，以及38条意见，占44%），进一步细分为三个领域：专业（服务）因素、个人（即与用户相关）因素和工作环境特征（包括工作场所的人际关系）。一些意见提出了职业健康保护方面的问题（例如需要了解用户 - 工人的权利和义务以及他们在工作场所面临的风险）。
分析建议通过目前在CMHC开展的心理教育小组干预来解决与工作和VRP相关的具体问题，并指出需要促进心理健康专业人员与VRP启动地及用户可能就业的公司的职业健康医生之间的合作。
