Lee Hui-Ling, Hwang Eric J, Wu Shang-Liang, Tu Wei-Mo, Wang Ming Hung, Chan Fong
Hui-Ling Lee, MS, OT, is Director, Department of Occupational Therapy, Tsao-Tun Psychiatric Center, Nantou County, Taiwan.
Eric J. Hwang, PhD, OTR/L, is Professor, Department of Occupational Therapy, College of Health, Human Services and Nursing, California State University, Dominguez Hills;
Am J Occup Ther. 2018 Sep/Oct;72(5):7205195010p1-7205195010p9. doi: 10.5014/ajot.2018.028621.
People with a chronic psychiatric disorder (CPD) have low employment rates worldwide. This multicenter retrospective cohort study examined the employment outcomes of an innovative in-house vocational training program for people with CPD in Taiwan and explored which program parameters significantly predicted outcomes. Data were retrieved from the records of 323 participants who completed the training program. Satisfactory employment rates were found at 1 (52.9%), 3 (60.4%), and 6 (65.6%) mo posttraining, and 38.7% of participants demonstrated high employment sustainability (employed throughout the first 6 mo posttraining). Three program parameters significantly predicted employment outcomes: (1) occupational therapists' pursuit of additional training or short-term apprenticeship pertinent to clients' job interests, (2) posttraining vocational counseling provided by community-based occupational therapists, and (3) the duration of 6 mo posttraining to allow clients to prepare for competitive employment. Occupational therapist-led in-house vocational training is a promising alternative to traditional vocational training for people with CPD.
在全球范围内，患有慢性精神疾病（CPD）的人群就业率较低。这项多中心回顾性队列研究考察了台湾一项针对CPD患者的创新性内部职业培训项目的就业成果，并探讨了哪些项目参数能显著预测结果。数据取自323名完成培训项目参与者的记录。培训后1个月（52.9%）、3个月（60.4%）和6个月（65.6%）的就业率令人满意，38.7%的参与者表现出较高的就业持续性（在培训后的前6个月内一直就业）。三个项目参数显著预测了就业结果：（1）职业治疗师寻求与客户工作兴趣相关的额外培训或短期学徒机会；（2）由社区职业治疗师提供培训后的职业咨询；（3）培训后6个月的时长，以便客户为竞争性就业做准备。由职业治疗师主导的内部职业培训对于CPD患者而言，是传统职业培训的一个有前景的替代方案。
