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为青年成年人提供的个体化安置和支持计划:它们在哪里,为谁服务?

Individual placement and support programmes for young adults: Where are they and whom do they serve?

机构信息

Social Policy and Economics Research, Westat, Rivermill Commercial Center, Lebanon, New Hampshire, USA.

The IPS Employment Center, Research Foundation for Mental Hygiene, New York, New York, USA.

出版信息

Early Interv Psychiatry. 2023 Aug;17(8):824-836. doi: 10.1111/eip.13440. Epub 2023 May 21.

Abstract

AIM

Individual Placement and Support (IPS), an evidence-based supported employment model developed for adults with serious mental illness, has been recently targeted to young adults with mental health conditions, but little is known about its adoption in this age group in the United States.

METHODS

We recruited a volunteer sample of nine IPS programmes in five states serving young adults with mental health conditions aged 16 to 24. IPS team leaders reported programme and participant characteristics and rated barriers to employment and education.

RESULTS

Most IPS programmes were located in community mental health centres, served a small number of young adults, and received most referrals from external sources. The study sample of 111 participants included 53% female, 47% under 21 years old, 60% diagnosed with a depressive disorder; 92% had an employment goal, and 40% had an education goal. IPS specialists reported that managing mental health symptoms was the most common barrier to achieving employment and education goals.

CONCLUSION

Future research should examine how IPS programmes could best provide services to young adults.

摘要

目的

个体安置与支持(IPS)是一种针对严重精神疾病成人开发的循证支持性就业模式,最近已针对有心理健康问题的青年人群体,但是在美国,关于 IPS 在该年龄组中的应用知之甚少。

方法

我们招募了来自五个州的九家为 16 至 24 岁有心理健康问题的青年提供服务的 IPS 项目的志愿者样本。IPS 团队负责人报告了方案和参与者的特征,并对就业和教育障碍进行了评估。

结果

大多数 IPS 项目位于社区心理健康中心,为少数青年提供服务,并且主要从外部来源获得转介。该研究的 111 名参与者样本中,53%为女性,47%年龄在 21 岁以下,60%被诊断患有抑郁症;92%有就业目标,40%有教育目标。IPS 专家报告称,管理心理健康症状是实现就业和教育目标的最常见障碍。

结论

未来的研究应探讨 IPS 项目如何为青年人群体提供最佳服务。

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