Columbia University Vagelos College of Physicians and Surgeons, New York City (Drake); Westat, Lebanon, New Hampshire (Drake, Bond); New York State Psychiatric Institute and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City (Mascayano).
Psychiatr Serv. 2023 Jun 1;74(6):656-658. doi: 10.1176/appi.ps.20220484. Epub 2023 Jan 31.
Individual placement and support (IPS) is a robust evidence-based model of supported employment for people with mental health conditions that has been implemented in high-income countries. The model is now being extended to new populations and settings, often with modifications. Current evidence indicates that minor modifications may increase fit, major alterations of core principles generally reduce effectiveness, and augmentations have mixed success. The authors recommend that those who implement IPS adhere to its core principles whenever possible, use standardized methods to document and assess modifications, and follow basic scientific procedures to develop, measure, and evaluate modifications before recommending policy changes.
个体安置与支持（IPS）是一种针对精神健康状况人群的支持性就业的强有力的循证模式，已在高收入国家实施。该模式现正在向新的人群和环境扩展，通常需要进行修改。现有证据表明，较小的修改可能会增加适配性，而对核心原则的重大改变通常会降低效果，而增加则成效不一。作者建议，实施 IPS 的人员尽可能遵循其核心原则，使用标准化方法记录和评估修改，并遵循基本的科学程序来开发、衡量和评估修改，然后再提出政策变更建议。
