就业是一项重要的心理健康干预措施。
Employment is a critical mental health intervention.
机构信息
Westat, Lebanon, New Hampshire, USA.
Department of Psychology and Neuroscience, Duke University, Durham, North Carolina, USA.
出版信息
Epidemiol Psychiatr Sci. 2020 Nov 5;29:e178. doi: 10.1017/S2045796020000906.
Abstract
employment is critically important in mental health care. Unemployment worsens mental health and gaining employment can improve mental health, even for people with the most serious mental illnesses. In this editorial, we argue for a new treatment paradigm in mental health that emphasises employment, because supported employment is an evidence-based intervention that can help the majority of people with mental health disability to succeed in integrated, competitive employment. Unlike most mental health treatments, employment engenders self-reliance and leads to other valued outcomes, including self-confidence, the respect of others, personal income and community integration. It is not only an effective short-term treatment but also one of the only interventions that lessen dependence on the mental health system over time.
摘要
就业在精神卫生保健中至关重要。失业会使精神健康状况恶化，而就业则可以改善精神健康，即使是对患有最严重精神疾病的人也是如此。在本社论中，我们主张在精神卫生领域采用一种新的治疗模式，强调就业，因为支持性就业是一种基于证据的干预措施，可以帮助大多数精神残疾人士在融合性、竞争性就业中取得成功。与大多数精神卫生治疗方法不同，就业能使人自立，并带来其他有价值的结果，包括自信、他人的尊重、个人收入和社区融合。它不仅是一种有效的短期治疗方法，而且是随着时间的推移减少对精神卫生系统依赖的唯一干预措施之一。
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2
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Psychiatr Rehabil J. 2020 Mar;43(1):1. doi: 10.1037/prj0000401.
3
Economics and mental health: the current scenario.经济学与心理健康：当前状况
World Psychiatry. 2020 Feb;19(1):3-14. doi: 10.1002/wps.20692.
4
Supporting a Working Life When Disability Is Not Permanent.在残疾并非永久性的情况下支持工作生活。
Psychiatr Serv. 2020 Apr 1;71(4):310-311. doi: 10.1176/appi.ps.201900478. Epub 2020 Jan 8.
5
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PLoS One. 2019 Feb 20;14(2):e0212208. doi: 10.1371/journal.pone.0212208. eCollection 2019.
6
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Schizophr Bull. 2018 Jan 13;44(1):22-31. doi: 10.1093/schbul/sbx132.
7
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Am J Public Health. 2012 Mar;102(3):541-56. doi: 10.2105/AJPH.2011.300401. Epub 2012 Jan 19.
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Psychiatr Serv. 2009 Aug;60(8):1024-31. doi: 10.1176/ps.2009.60.8.1024.
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