Reker T, Eikelmann B
Nervenarzt. 1998 Mar;69(3):210-8. doi: 10.1007/s001150050262.
Within the framework of a study on vocational rehabilitation of the mentally ill, we examined 83 schizophrenic outpatients enrolled in a work therapy program. The course of illness and rehabilitation was documented over a 3-year period by means of annual follow-up examinations. The sample comprised 44 men and 39 women with an average age of 35 years (SD +/- 8.5). The majority were chronically ill patients with a history of frequent and long psychiatric hospitalization. After 3 years, 22% of the patients were integrated into the general labor market, 26% had sheltered employment, 23% were still in work therapy, and 29% were unemployed. Besides the patients' subjective expectations, early introduction of rehabilitative measures and a favourable course of illness were found to be predictors of a successful rehabilitation leading to vocational integration. Outpatient work therapy is a contemporary, effective organizational form of sociotherapy. It may contribute to improved vocational competence and integration, reduced psychiatric hospitalization and stabilized psychopathology.
在一项关于精神病患者职业康复的研究框架内，我们对83名参加工作治疗项目的精神分裂症门诊患者进行了检查。通过年度随访检查，记录了这些患者三年期间的疾病进程和康复情况。样本包括44名男性和39名女性，平均年龄为35岁（标准差±8.5）。大多数是慢性病患者，有频繁且长期的精神科住院史。三年后，22%的患者融入了普通劳动力市场，26%有庇护性就业，23%仍在接受工作治疗，29%失业。除了患者的主观期望外，早期引入康复措施和良好的疾病进程被发现是成功康复并实现职业融入的预测因素。门诊工作治疗是一种现代、有效的社会治疗组织形式。它可能有助于提高职业能力和融入程度，减少精神科住院次数并稳定精神病理学状况。
