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[日间医院和住院精神科治疗中患者与工作相关的参与障碍及支持需求]

[Patients' Work-Related Participation Impairments and Need for Support in Day Hospital and Inpatient Psychiatric Treatment].

作者信息

Jäckel Dorothea, Siebert Stefan, Baumgardt Johanna, Leopold Karolina, Bechdolf Andreas

机构信息

Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Vivantes Klinikum Am Urban und Vivantes Klinikum im Friedrichshain, Akademische Lehrkrankenhäuser der Charité - Universitätsmedizin Berlin.

Klinik und Poliklinik für Psychiatrie und Psychotherapie, Arbeitsgruppe Sozialpsychiatrische und partizipative Forschung, Universitätsklinikum Hamburg-Eppendorf.

出版信息

Psychiatr Prax. 2020 Jul;47(5):235-241. doi: 10.1055/a-1112-5519. Epub 2020 Mar 20.

DOI:10.1055/a-1112-5519
PMID:32198734
Abstract

OBJECTIVE

Approximately 80 % of patients in psychiatric treatment are significant impaired in participation work and are excluded from the labor market.

METHOD

Survey of 176 patients in day hospital and inpatient psychiatric treatment regarding work-related participation impairments, need for support in competitive employment, education or study and actually received support.

RESULTS

Data of 90 patients were available. 63 % of patients indicated a need for support in work-related participation, 53 % of them would participate in a job coaching. 49 % of the patients were addressed on the topic of work. Regardless of the need for support, only 1/5 of patients received concrete help. There is a strong need for support for young adults (77 %) and first-admission patients (73 %).

CONCLUSION

There is a high but unmet need for support in managing work-related participation impairment. Routine needs assessment and the implementation of evidence-based methods could improve work-related inclusion.

摘要

目的

接受精神科治疗的患者中约80%在工作参与方面存在显著障碍,被排除在劳动力市场之外。

方法

对176名日间医院和住院精神科治疗患者进行调查,了解与工作相关的参与障碍、竞争性就业、教育或学习方面的支持需求以及实际获得的支持。

结果

获得了90名患者的数据。63%的患者表示在与工作相关的参与方面需要支持,其中53%的患者愿意参加工作指导。49%的患者被提及工作相关话题。无论支持需求如何,只有五分之一的患者得到了具体帮助。年轻人(77%)和首次入院患者(73%)对支持的需求强烈。

结论

在管理与工作相关的参与障碍方面,支持需求很高但未得到满足。常规需求评估和循证方法的实施可以改善与工作相关的融入情况。

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