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与职业康复计划结果相关的临床和社会人口学变量:一项基于社区的意大利研究。

Clinical and Socio-demographic Variables Associated with the Outcome of Vocational Rehabilitation Programs: A Community-Based Italian Study.

机构信息

Department of Biomedical, Metabolic and Neural Sciences, Section of Clinical Neurosciences, University of Modena and Reggio Emilia, Modena, Italy.

Ph.D. School in Labor, Development and Innovation, "Marco Biagi" Department of Economics & Marco Biagi Foundation, University of Modena and Reggio Emilia, Modena, Italy.

出版信息

Community Ment Health J. 2020 Oct;56(7):1380-1390. doi: 10.1007/s10597-020-00577-9. Epub 2020 Feb 21.

Abstract

This study aims to identify clinical and socio-demographic variables associated with the outcome of vocational rehabilitation programs (VRPs). All users of an Italian Community Mental Health Centre (CMHC) included in VRPs delivered according to the model of Supported Employment in years 2011-2016 were retrospectively enrolled. Fifty users who ended the program with employment were compared with fifty users who dropped out, with respect to clinical and socio-demographic variables. VRPs lasting less than 6 months and oriented toward the competitive labor market had a higher probability of employment. Among users who successfully ended the VRP, the median of health interventions significantly decreased after employment. In the same group of users, less non-health interventions strictly linked to the VRP were required, when compared with users who dropped out. We conclude that employment is associated with improvement of users' clinical conditions and reduced workload for the CMHC.

摘要

本研究旨在确定与职业康复计划(VRP)结果相关的临床和社会人口统计学变量。 回顾性纳入了 2011 年至 2016 年期间按照支持性就业模式提供的意大利社区心理健康中心(CMHC)中所有参与 VRP 的用户。 将 50 名以就业结束项目的用户与 50 名中途退出的用户进行比较,比较了临床和社会人口统计学变量。 持续时间少于 6 个月且面向竞争劳动力市场的 VRP 更有可能就业。 在成功结束 VRP 的用户中,就业后健康干预的中位数显着降低。 在同一组用户中,与中途退出的用户相比,与 VRP 严格相关的非健康干预措施所需的数量减少。 我们得出结论,就业与用户临床状况的改善以及 CMHC 工作量的减少有关。

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