Clinical and Socio-demographic Variables Associated with the Outcome of Vocational Rehabilitation Programs: A Community-Based Italian Study

被引：2
|
作者：
Mattei, G. [1 ,2 ,3 ,4 ]
Venturi, G. [1 ]
Alfieri, S. [5 ]
Colombini, N. [5 ]
Ferrari, S. [1 ,5 ]
Rigatelli, M. [1 ]
Starace, F. [5 ]
Galeazzi, G. M. [1 ,5 ]
机构：
[1] Univ Modena & Reggio Emilia, Sect Clin Neurosci, Dept Biomed Metab & Neural Sci, Modena, Italy
[2] Univ Modena & Reggio Emilia, Marco Biagi Dept Econ, PhD Sch Labor Dev & Innovat, Modena, Italy
[3] Univ Modena & Reggio Emilia, Marco Biagi Fdn, Modena, Italy
[4] Assoc Res Psychiat, Modena, Italy
[5] AUSL Modena, Dept Mental Hlth & Drug Abuse, Modena, Italy
来源：
COMMUNITY MENTAL HEALTH JOURNAL | 2020年 / 56卷 / 07期
关键词：
Vocational rehabilitation programs; Supported employment; Community mental health care; Italy; Recovery; SEVERE MENTAL-ILLNESS; SUPPORTED EMPLOYMENT; INDIVIDUAL PLACEMENT; ECONOMIC-CRISIS; GREAT RECESSION; SOCIAL ENTERPRISES; PEOPLE; HEALTH; IMPACT; SCHIZOPHRENIA;
D O I：
10.1007/s10597-020-00577-9
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
This study aims to identify clinical and socio-demographic variables associated with the outcome of vocational rehabilitation programs (VRPs). All users of an Italian Community Mental Health Centre (CMHC) included in VRPs delivered according to the model of Supported Employment in years 2011-2016 were retrospectively enrolled. Fifty users who ended the program with employment were compared with fifty users who dropped out, with respect to clinical and socio-demographic variables. VRPs lasting less than 6 months and oriented toward the competitive labor market had a higher probability of employment. Among users who successfully ended the VRP, the median of health interventions significantly decreased after employment. In the same group of users, less non-health interventions strictly linked to the VRP were required, when compared with users who dropped out. We conclude that employment is associated with improvement of users' clinical conditions and reduced workload for the CMHC.
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页码：1380 / 1390
页数：11
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