EFFICACY OF TWO MODELS OF VOCATIONAL SERVICE TO THE CMI

两种职业服务模式对 CMI 的功效

• 批准号: 3384412
• 负责人: JUDITH A COOK
• 金额: $ 12.87万
• 依托单位: THRESHOLDS
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-09-30 至 1993-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3384412
• 关键词: chronic disease /disorder; employment /unemployment; human subject; job performance; longitudinal human study; mathematical model; mental disorders; mental health counseling; patient care management; psychosocial service; social service evaluation; vocational rehabilitation

The primary aim of the proposed project is to assess whether provision of supported employment services enhances the vocational success of chronically mentally ill persons participating in a transitional job placement program. This will be accomplished by applying a quasi-experimental pretest-posttest group design utilizing regression-discontinuity techniques to analyze longitudinal data from clients at a large, urban psychosocial rehabilitation agency. These data will be collected as part of the implementation of a three-year model program of supported competitive employment services for the psychiatrically disabled. In addition to the primary aim of determining the effectiveness of this method with a psychiatric population, the proposed research will also explore the effects of a series of mediating influences that are expected to have an impact on employment outcomes. The study's large sample size (N<lOOO) will enable the construction of regression models testing the simultaneous effects of factors identified as important in previous research on vocational performance of the mentally ill. First, previous employment history and level of occupational status measures will be used in models predicting the effect of supported employment on vocational outcomes such as hourly wage and length of employment. Second, assessments of psychiatric impairment and features of illness history will be examined to determine whether or not these factors influence clients' vocational outcomes. Third, the quality of the relationship between clients and agency caseworkers and vocational counselors will be explored to assess the extent to which these interpersonal variables influence how will clients perform vocationally. Fourth, the nature of the work environment and tasks performed at clients' job placements will be investigated to ascertain their impact on clients' employment outcomes. Finally, the types of other social services received (such as housing and medication management) and the intensity and duration of these services will be followed and related to clients' eventual vocational performance.

拟议项目的主要目的是评估是否 提供就业支持服务可提高职业技能 慢性精神疾病患者成功参与 过渡性就业安置计划。 这将通过以下方式完成 应用准实验前测后测组设计 利用断点回归技术进行分析 来自大型城市心理社会客户的纵向数据 康复机构。 这些数据将作为 实施三年期示范计划 为精神障碍者提供有竞争力的就业服务。 除了确定有效性的主要目标之外 这种方法适用于精神病人群，拟议的研究 还将探讨一系列中介影响的效果 预计将对就业结果产生影响。 这 研究的大样本量（N<1000）将能够构建 回归模型测试因素的同时影响 在之前的职业研究中被认为是重要的 精神病人的表现。 一、以前的工作经历 职业地位衡量标准的历史和水平将用于 预测支持性就业对职业影响的模型 结果，例如小时工资和工作年限。 第二， 精神障碍和疾病特征的评估 将检查历史以确定这些因素是否 影响客户的职业成果。 三、质量 客户与机构个案工作者和职业之间的关系 将探讨辅导员评估这些问题的程度 人际关系变量影响客户的表现 职业上。 四、工作环境和任务性质 在客户的工作安置中进行的工作将受到调查 确定它们对客户就业结果的影响。 最后， 获得的其他社会服务的类型（例如住房和 药物管理）以及这些措施的强度和持续时间 服务将被跟踪并与客户的最终结果相关 职业表现。