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对精神障碍患者工作适应性的系统评价。

A systematic review of work accommodations for people with mental disorders.

作者信息

Zafar Nayab, Rotenberg Martin, Rudnick Abraham

机构信息

Previously: McMaster University, Hamilton, Ontario, Canada.

Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.

出版信息

Work. 2019;64(3):461-475. doi: 10.3233/WOR-193008.

DOI:10.3233/WOR-193008
PMID:31658080
Abstract

BACKGROUND

Work accommodations are adjustments made in the work place or to policies surrounding employment to accommodate an individual with a mental disorder to be successful in completing work related tasks.

OBJECTIVE

The purpose of this systematic review is to identify work accommodations that are available and that are provided to individuals with mental disorders. In addition, associated cost-effectiveness and cost-benefits of these accommodations are examined.

METHODS

Studies published between 1990-2016 from four databases were reviewed. From these databases, studies that specified accommodations that were available/provided and/or addressed cost-effectiveness or cost-benefit analysis of work accommodations were included.

RESULTS

Of the 1362 eligible studies, only 15 were included. Work accommodations that were provided to individuals assisted in mitigating limitations in the work place and improved length of job tenure, as well as reduced the severity of certain mental disorders. The costs associated with these accommodations were found to be minimal and had positive economic benefits for employers.

CONCLUSION

Work accommodations help individuals with mental disorders meet employment expectations with minimal cost.

摘要

背景

工作调整是指在工作场所或围绕就业的政策方面所做的调整,以帮助患有精神障碍的个人成功完成与工作相关的任务。

目的

本系统评价的目的是确定可供使用且提供给患有精神障碍者的工作调整措施。此外,还将考察这些调整措施的相关成本效益和成本收益情况。

方法

对1990年至2016年间从四个数据库发表的研究进行了综述。从这些数据库中,纳入了明确指出可供使用/已提供的调整措施和/或涉及工作调整措施的成本效益或成本收益分析的研究。

结果

在1362项符合条件的研究中,仅纳入了15项。为个人提供的工作调整措施有助于减轻工作场所的限制,提高工作任期时长,并减轻某些精神障碍的严重程度。发现与这些调整措施相关的成本微乎其微,且对雇主具有积极的经济效益。

结论

工作调整措施有助于患有精神障碍的个人以最低成本达到就业期望。

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