Avedis Donabedian Research Institute (FAD).
Advisory Council of the Master Plan for Mental Health and Addictions of the Government of Catalonia and Mental Health Cluster of Catalonia.
Psychiatr Rehabil J. 2020 Mar;43(1):65-71. doi: 10.1037/prj0000398. Epub 2020 Jan 13.
This article describes the adoption of Individual Placement and Support (IPS) supported employment between 2013 and 2017 in Catalonia (Spain) in the context of high unemployment and a predominance of traditional preemployment training approaches. It reports the experience of implementing IPS to promote competitive job placement of people with mental disorders.
The Avedis Donabedian Research Institute (FAD) designed, trained, implemented, and evaluated the project. We used a longitudinal, mixed-methods approach.
The demonstration project comprised 7 employment services and 12 ambulatory mental health centers. It followed up programs and participants from October 2013 to December 2017. The project added 1,188 new competitive jobs, increased the rate of competitive employment from 16% to 43%, and improved the fidelity of IPS by 44% on the organizational dimension and by 34% on services dimension. The quality of employment was similar to the overall employment market, with 94% of temporary jobs. The qualitative analysis confirmed several areas of improvement, including the vision of recovery, collaborations between vocational and mental health services, work patterns of practitioners, and views of work as an important treatment.
A strong leadership team, consistent training, and commitment to model fidelity have established IPS in the pilot region as an important intervention to obtain and maintain competitive employment and recovery for people with a mental health condition. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
本文描述了 2013 年至 2017 年间在高失业率和传统岗前培训方法占主导地位的背景下，在加泰罗尼亚（西班牙）采用个体化就业支持（IPS）支持就业的情况。报告了实施 IPS 以促进精神障碍患者获得竞争性就业的经验。
Avedis Donabedian 研究所（FAD）设计、培训、实施和评估了该项目。我们使用了纵向混合方法。
示范项目包括 7 个就业服务和 12 个门诊心理健康中心。从 2013 年 10 月到 2017 年 12 月，对项目和参与者进行了跟踪。该项目新增了 1188 个新的竞争性工作岗位，将竞争性就业的比例从 16%提高到 43%，并在组织维度上将 IPS 的保真度提高了 44%，在服务维度上提高了 34%。就业质量与整体就业市场相似，临时工作岗位占 94%。定性分析证实了几个改进领域，包括康复的愿景、职业和心理健康服务之间的合作、从业者的工作模式以及将工作视为重要治疗的观点。
一个强大的领导团队、持续的培训和对模型保真度的承诺，使 IPS 在试点地区确立了作为获得和维持有精神健康状况的人获得竞争性就业和康复的重要干预措施的地位。（PsycINFO 数据库记录（c）2020 APA，保留所有权利）。
