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“我在小组中感受到了同伴的支持”:分析加拿大一项支持性就业计划中面临心理健康挑战的青年的体验。

"I Felt Supported by the Peers in My Group": Analyzing Experiences of Youths with Mental Health Challenges of a Supported Employment Program in Canada.

机构信息

Department of Occupational Science and Occupational Therapy, Faculty of Medicine, The University of British Columbia, St. Paul's Hospital, 2255 Wesbrook Mall, Vancouver, BC, V6T 2A1, Canada.

Department of Psychiatry, UBC, Vancouver, BC, Canada.

出版信息

J Occup Rehabil. 2022 Dec;32(4):753-763. doi: 10.1007/s10926-022-10039-6. Epub 2022 Apr 22.

DOI:10.1007/s10926-022-10039-6
PMID:35451694
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9025999/
Abstract

PURPOSE

The objectives of this study were to gain an understanding of the experiences of youths with mental health conditions who have undergone a 16-week supported employment program (SEP) conducted in an urban centre in Canada.

METHODS

Focus groups and individual semi-structured interviews were used to capture the experience of youths who had completed the program. Youths were eligible if they were aged 19 to 30 years diagnosed with a mental illness and enrolled in the program. Purposeful sampling was used to recruit participants. Thematic analysis was conducted to analyze the data. Primary codes were organized and mapped onto Donebedian's Structure-Process-Outcome Model.

RESULTS

Altogether, 34 participants, aged 17 to 30 years old, described their experiences participating in this 16-week supported employment program. Participants' experiences of this program and with employment were categorized into four main themes focusing on the (1) structure of program, (2) process of care (3) outcomes of program, and (4) improvements to the program.

CONCLUSION

Overall, the experience of a supported employment program was perceived as valuable, with unexpected benefits of the program beyond employment including the establishment of routine, friendship, and self-confidence. The proposed model can be used as a structure for monitoring and evaluating SEP.

摘要

目的

本研究的目的是了解在加拿大城市中心接受为期 16 周的支持性就业计划(SEP)的有心理健康状况的青年的经历。

方法

使用焦点小组和个人半结构化访谈来捕捉完成该计划的青年的经验。如果他们年龄在 19 至 30 岁之间,被诊断患有精神疾病并参加该计划,则有资格参加。采用目的性抽样来招募参与者。对数据进行了主题分析。主要代码被组织并映射到多尼班德的结构-过程-结果模型上。

结果

共有 34 名年龄在 17 至 30 岁之间的参与者描述了他们参加这个为期 16 周的支持性就业计划的经历。参与者对该计划及其就业的体验分为四个主要主题,重点是(1)计划的结构,(2)护理过程,(3)计划的结果,以及(4)计划的改进。

结论

总体而言,支持性就业计划的体验被认为是有价值的,该计划除了就业之外还有意想不到的好处,包括建立常规、友谊和自信。拟议的模型可用作监测和评估 SEP 的结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783a/9025999/64657cbd3a71/10926_2022_10039_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783a/9025999/c89ae29b544d/10926_2022_10039_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783a/9025999/64657cbd3a71/10926_2022_10039_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783a/9025999/c89ae29b544d/10926_2022_10039_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783a/9025999/64657cbd3a71/10926_2022_10039_Fig2_HTML.jpg

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