Johnson Rebecca P, LaPelusa Brianne, Mayhue Abby, Schneider Ava, Crowe Autumn, Diggins Terria, Brown Adrienne, Spencer Eshawn, Cohen Deborah A, Klodnick Vanessa V
Texas Institute for Excellence in Mental Health, Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
DePaul University, Chicago, IL, USA.
Community Ment Health J. 2024 Dec 19. doi: 10.1007/s10597-024-01431-y.
Transition-age youth (TAY) diagnosed with serious mental health diagnoses have low employment rates. Supported Employment (SE) is a widely adopted evidence-based approach. However, SE engagement and outcomes are mixed with TAY, who have unique developmental needs. This study evaluates the "Career Opportunity Readiness Experience" (CORE), a TAY transitional employment SE add-on. CORE runs in 15-week cycles with 6-8 TAY, supported by Vocational Peer Mentors. CORE includes: (1) workshops, (2) paid internship, and (3) SE transition. CORE participation, key outcomes and feedback were tracked over nine cycles, and for six-months post-CORE participation. Most (97%; 55 of 57) experienced positive outcomes: 74% enrolled in SE, 42% secured employment and 23% enrolled in an education program. Most (82%) reported positive CORE experiences. CORE workshops, internships and vocational peer mentoring are promising TAY SE practices. More research is needed to understand CORE implementation barriers and facilitators and key change mechanisms.
被诊断患有严重精神健康问题的转型期青年(TAY)就业率较低。支持性就业(SE)是一种广泛采用的循证方法。然而,TAY参与支持性就业的情况和结果参差不齐,因为他们有独特的发展需求。本研究评估了“职业机会准备体验”(CORE),这是一种针对TAY的过渡性就业支持性就业附加项目。CORE以15周为一个周期运行,每组有6 - 8名TAY,并由职业同伴导师提供支持。CORE包括:(1)工作坊,(2)带薪实习,以及(3)支持性就业过渡。在九个周期以及CORE参与结束后的六个月内,对CORE的参与情况、关键结果和反馈进行了跟踪。大多数(97%;57人中有55人)取得了积极成果:74%参加了支持性就业,42%获得了工作,23%参加了教育项目。大多数(82%)报告称CORE体验良好。CORE工作坊、实习和职业同伴指导是很有前景的TAY支持性就业实践方法。需要更多研究来了解CORE实施过程中的障碍和促进因素以及关键的变革机制。