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印度针对严重精神障碍患者的支持性就业项目:一项可行性研究。

Supported employment programme for persons with severe mental disorders in India: A feasibility study.

机构信息

Faculty of Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.

Senior Research Fellow, Department of Empowerment of Persons with Disabilities (DEPD), Govt of India funded research project, NIMHANS, Bengaluru, India.

出版信息

Int J Soc Psychiatry. 2020 Sep;66(6):607-613. doi: 10.1177/0020764020918278. Epub 2020 May 30.

Abstract

BACKGROUND

A number of persons with severe mental illnesses are unable to prepare for, find or keep a job due to factors linked to their illness as well as psychosocial issues.

AIM

To test the feasibility of a supported employment programme to help persons with severe mental disorders obtain and sustain employment.

METHODS

A supported employment programme was developed for persons with severe mental disorders with components of (a) assessment of vocational potential, (b) vocational counselling, (c) networking and liaison with prospective employers, (d) job-related training and placement and (e) continued support for 6 months. Job placement status, social occupational functioning and disability (quantitative data) and benefits of enrolling in the employment programme (qualitative data) were assessed.

RESULTS

A total of 40 employers were liaised with for providing job placement and reasonable accommodation. Out of 63 participants recruited into the study, 32 (50.8%) participants were placed in competitive jobs, placement was actively attempted for 17 (27.0%) participants, 7 (11.1%) were referred for skill training and 7 (11.1%) dropped out from the study. The disability score significantly reduced and socio-occupational functioning significantly improved in those who were placed over a period of 6 months.

CONCLUSION

The supported employment programme was found to be feasible as it showed good placement rates and improvement in socio-occupational functioning and disability scores.

摘要

背景

由于与疾病相关的因素以及心理社会问题,许多患有严重精神疾病的人无法准备、寻找或保住工作。

目的

测试支持性就业计划帮助严重精神障碍患者获得和维持就业的可行性。

方法

为严重精神障碍患者制定了支持性就业计划,其中包括(a)职业潜力评估、(b)职业咨询、(c)与潜在雇主建立联系和联络、(d)与工作相关的培训和安置,以及(e)持续支持 6 个月。评估了就业安置状况、社会职业功能和残疾(定量数据)以及参加就业计划的收益(定性数据)。

结果

共与 40 名雇主联系,为他们提供就业安置和合理的住宿。在招募的 63 名参与者中,有 32 名(50.8%)参与者被安置在竞争性工作中,有 17 名(27.0%)参与者积极寻求安置,7 名(11.1%)被转介进行技能培训,7 名(11.1%)退出研究。在 6 个月的时间里,那些被安置的人的残疾评分显著降低,社会职业功能显著改善。

结论

支持性就业计划被证明是可行的,因为它显示出了良好的安置率以及社会职业功能和残疾评分的改善。

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