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[德国支持性就业原则的实施:德国精神科、心理治疗与神经病学专业协会特别工作组立场文件]

[Implementation of the principle of supported employment in Germany : Position paper of a task force of the DGPPN].

作者信息

Stengler K, Bechdolf A, Becker T, Döring A, Höhl W, Jäckel D, Kilian H, Theißing A, Torhorst A, Wirtz G, Zeidler R, Riedel-Heller S

机构信息

Klinik für Psychiatrie, Psychosomatik und Psychotherapie, Helios Park-Klinikum Leipzig, Leipzig, Deutschland.

Vivantes Klinikum am Urban und Vivantes Klinikum im Friedrichshain, Akademische Lehrkrankenhäuser, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.

出版信息

Nervenarzt. 2021 Sep;92(9):955-962. doi: 10.1007/s00115-020-01038-0. Epub 2021 Feb 11.

Abstract

The effects of mental diseases on the employment and working situation can be substantial. They are one of the main reasons for inability to work and reduced earning capacity. Against this background the question arises about suitable occupational reintegration measures for people with severe mental illnesses. In recent years, the principle of supported employment has been internationally shown to be increasingly more successful. In this context mentally ill people are primarily placed at a position of the first employment market and supported on-site by a job coach. This concept is inclusive, individual and evidence based. Despite proven effectiveness, it has so far been insufficiently implemented in German-speaking regions. In the future it will be a matter of considering the individual needs for assistance of mentally ill people more intensively than previously and to respond with functional and in a best-case scenario, multiprofessional and flexible offers.

摘要

精神疾病对就业和工作状况的影响可能很大。它们是无法工作和收入能力下降的主要原因之一。在此背景下,出现了针对重度精神疾病患者的合适职业再融入措施的问题。近年来,支持性就业原则在国际上已被证明越来越成功。在这种情况下,精神病患者主要被安置在第一就业市场的岗位上,并由一名就业指导教练在现场提供支持。这一概念具有包容性、个性化且基于证据。尽管已证明其有效性,但到目前为止,它在德语区的实施还不够充分。未来的关键在于比以往更深入地考虑精神病患者的个人援助需求,并以功能性的、在最佳情况下多专业且灵活的服务来做出回应。

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