Mowbray C T, Bybee D, Shriner W
School of Social Work, University of Michigan, Ann Arbor 48109, USA.
Psychiatr Serv. 1996 Dec;47(12):1371-7. doi: 10.1176/ps.47.12.1371.
Supported education programs provide assistance, preparation, and support to individuals with psychiatric disabilities who desire to pursue postsecondary education. To determine the extent to which "typical" clients with severe mental illness can participate in a supported education program, the study examined characteristics of participants in a large supported education program.
Baseline interviews with participants in a supported education program in the metropolitan Detroit area gathered demographic data, as well as information about school, work, and psychiatric history; social adjustment and support; psychiatric symptoms; and self-perceptions in the areas of school efficacy and self-esteem. Cluster analysis used five variables (sex, age, educational attainment, work background, and symptoms) to produce a client typology.
Five clusters emerged: well-functioning young men, young aspiring women, young dependent men, well-functioning but unemployed participants, and distressed unemployed participants. The clusters also differed on a large number of variables not used in the cluster analysis. However, members of all clusters had similar rates of program participation and first-semester attendance. Overall, the supported education participants were younger, better educated, and higher functioning than subjects in general samples of persons with severe mental illness. Although many participants had significant problems with symptoms, social adjustment, and substance abuse, they were able to remain active program participants.
The results indicate that supported education is a feasible alternative for many individuals to meet goals for educational advancement, personal development, and better jobs.
支持性教育项目为渴望接受高等教育的精神疾病患者提供帮助、准备工作和支持。为了确定患有严重精神疾病的“典型”患者参与支持性教育项目的程度,该研究调查了一个大型支持性教育项目中参与者的特征。
对底特律都会区一个支持性教育项目的参与者进行基线访谈,收集人口统计学数据,以及有关学校、工作和精神病史的信息;社会适应与支持;精神症状;以及在学业效能和自尊方面的自我认知。聚类分析使用五个变量(性别、年龄、教育程度、工作背景和症状)来生成患者类型。
出现了五个类别:功能良好的年轻男性、有抱负的年轻女性、依赖他人的年轻男性、功能良好但失业的参与者以及苦恼的失业参与者。这些类别在大量未用于聚类分析的变量上也存在差异。然而,所有类别的成员参与项目和第一学期出勤的比例相似。总体而言,支持性教育项目的参与者比严重精神疾病患者一般样本中的受试者更年轻、受教育程度更高且功能更好。尽管许多参与者在症状、社会适应和药物滥用方面存在重大问题,但他们能够继续积极参与项目。
结果表明,支持性教育是许多人实现教育进步、个人发展和获得更好工作目标的可行选择。