A randomized controlled trial comparing two vocational models for persons with severe mental illness

被引：95

作者：

Bond, Gary R. ^{[1
]}

Salyers, Michelle P. ^{[1
,2
,3
,4
]}

Dincin, Jerry ^{[5
]}

Drake, Robert E. ^{[6
,7
]}

Becker, Deborah R. ^{[6
,7
]}

Fraser, Virginia V. ^{[5
]}

Haines, Michael ^{[8
]}

机构：

[1] Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA

[2] Indiana Univ Purdue Univ, ACT Ctr Indiana, Indianapolis, IN 46202 USA

[3] Richard L Roudebush VA Med Ctr, Dept Vet Affairs Hlth Serv Res & Dev Serv, Ctr Implementing Evidence Based Practice, Indianapolis, IN 46202 USA

[4] Regenstrief Inst Hlth Care, Indianapolis, IN 46202 USA

[5] Thresholds Psychiat Rehabil Ctr, Chicago, IL USA

[6] Dartmouth Med Sch, Dept Psychiat, Dartmouth Psychiat Res Ctr, Hanover, NH 03755 USA

[7] Dartmouth Med Sch, Dept Community & Family Med, Hanover, NH 03755 USA

[8] Boley Ctr, St Petersburg, FL USA

来源：

JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY | 2007年 / 75卷 / 06期

关键词：

supported employment; individual placement and support; employment; severe mental illness; psychiatric rehabilitation;

D O I：

10.1037/0022-006X.75.6.968

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

The authors compared 2 approaches to vocational rehabilitation for individuals with severe mental illness: the individual placement and support (IPS) model of supported employment and the diversified placement approach (DPA), which emphasizes work readiness and offers a range of vocational options, including agency-run businesses and agency-contracted placements with community employers. In all, 187 unemployed participants with severe mental illness were randomly assigned to IPS or DPA. Over 2 years, IPS had significantly better competitive employment outcomes than DPA. Competitive employment rates over the 2-year follow-up were 75.0% for IPS and 33.7% for DPA. However, IPS and DPA did not differ on paid employment outcomes. The authors conclude that IPS is more effective than DPA in achieving competitive employment, but not paid employment.

引用

页码：968 / 982

页数：15

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