Davis Maryann, Koroloff Nancy, Mizrahi Raphael, Morrison Emily
Transitions to Adulthood Center for Research, Implementation Science and Practice Advances Research Center, Department of Psychiatry, UMass Chan Medical School.
Regional Research Institute for Human Services, School of Social Work, Portland State University.
Psychiatr Rehabil J. 2022 Dec;45(4):303-313. doi: 10.1037/prj0000539. Epub 2022 Oct 6.
Transition-age youth (TAY) with serious mental health conditions (SMHC) face many challenges as they establish adult employment. Mental health (MH) programs and vocational rehabilitation (VR) programs each provide key supports toward this goal, but collaboration is required.
The present study's objective was to assess the extent of collaboration between VR programs and MH programs that serve this age group and to identify interorganizational factors associated with collaboration levels.
Participants were 100 key informants from VR, and child mental health (CMH), transition-age youth MH (TAYMH), and adult mental health (AMH) programs in communities that received federal funding to improve services for TAY with or at risk of SMHC. Participants completed web surveys that queried four interorganizational factors and employed a modified social network analysis methodology to assess collaboration levels.
The interorganizational factor, depth of knowledge, had a strong and consistent association with collaboration levels. There was little difference in MH-VR collaboration levels between MH programs serving different age groups. However, VR programs and CMH programs had both lower depth of knowledge of each other and lower collaboration levels, compared to TAY and AMH programs.
Collaboration between VR and MH programs is instrumental to making sure that TAY with SMHC receive appropriate career development and employment services. Increasing the depth of knowledge that programs have about each other may enhance collaboration and appears particularly needed between VR and CMH programs. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
患有严重精神健康状况(SMHC)的过渡年龄青年(TAY)在确立成人就业时面临诸多挑战。精神健康(MH)项目和职业康复(VR)项目都为实现这一目标提供了关键支持,但需要二者开展合作。
本研究的目的是评估为该年龄组提供服务的VR项目和MH项目之间的合作程度,并确定与合作水平相关的组织间因素。
参与者为来自VR项目、儿童精神健康(CMH)项目、过渡年龄青年精神健康(TAYMH)项目和成人精神健康(AMH)项目的100名关键信息提供者,这些项目所在社区获得了联邦资金,用于改善为患有SMHC或有患SMHC风险的TAY提供的服务。参与者完成了网络调查,该调查询问了四个组织间因素,并采用了一种改良的社会网络分析方法来评估合作水平。
组织间因素,即了解程度,与合作水平有着强烈且一致的关联。为不同年龄组提供服务的MH项目之间,MH-VR合作水平几乎没有差异。然而,与TAY项目和AMH项目相比,VR项目和CMH项目对彼此的了解程度较低,合作水平也较低。
VR项目和MH项目之间的合作对于确保患有SMHC的TAY获得适当的职业发展和就业服务至关重要。提高各项目对彼此的了解程度可能会加强合作,VR项目和CMH项目之间似乎尤其需要这样做。(《心理学文摘数据库记录》(c)2023美国心理学会,保留所有权利)