The effects of an interdisciplinary employment program on paid employment and mental health among persons with severe mental disorders.

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
R W Hijdra, S J W Robroek, Y Sadigh, A Burdorf, M Schuring
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引用次数: 0

Abstract

Purpose: This study evaluates the effects of the interdisciplinary employment program 'Work As Best Care (WABC)' on employment participation and mental health of persons with severe mental disorders.

Methods: WABC is a 'work first' employment program for unemployed persons with severe mental disorders in which employment professionals work closely together with mental health professionals. In a longitudinal non-randomized controlled study, participants of WABC (n = 35) are compared with participants of the control group (n = 37), who received regular employment support. Participants were followed for 1 year and filled out questionnaires on individual characteristics and health at baseline, after 6 and 12 months. This information was enriched with monthly register data on employment status from 2015 until 2020. Difference-in-differences analyses were performed to investigate changes in employment participation among participants of WABC and the control group. A generalized linear mixed-effects model was used to compare changes in mental health (measured on 0-100 scale) between the two groups.

Results: Before WABC, employment participation was 22.0%points lower among participants of WABC compared to the control group. After starting WABC, employment participation increased with 15.3%points per year among participants of WABC, compared to 5.6%points in the control group. Among all participants of WABC, no change in mental health was found (β 1.0, 95% CI - 3.4; 5.5). Only female participants of WABC showed a significant change in mental health (β 8.0, 95% CI 2.6; 13.4).

Conclusion: To enhance employment participation of persons with severe mental disorders, an interdisciplinary 'work-first' approach in which professionals of employment services and mental health services work in close collaboration, is of paramount importance.

Abstract Image

跨学科就业计划对严重精神障碍患者有偿就业和心理健康的影响。
目的:本研究评估了跨学科就业项目 "最佳工作护理(WABC)"对严重精神障碍患者的就业参与和心理健康的影响:WABC 是一项针对严重精神障碍失业者的 "工作第一 "就业计划,在该计划中,就业专业人员与精神健康专业人员密切合作。在一项纵向非随机对照研究中,WABC 的参与者(35 人)与接受常规就业支持的对照组参与者(37 人)进行了比较。研究人员对参与者进行了为期一年的跟踪调查,并在基线期、6 个月后和 12 个月后填写了有关个人特征和健康状况的调查问卷。从 2015 年到 2020 年,这些信息通过每月就业状况登记数据得到了丰富。为了研究 WABC 参与者和对照组在就业参与方面的变化,我们进行了差异分析。使用广义线性混合效应模型比较了两组参与者的心理健康变化(以 0-100 分制衡量):结果:与对照组相比,参加 WABC 前,参加 WABC 者的就业率低 22.0 个百分点。开始 WABC 后,WABC 参与者的就业率每年提高 15.3 个百分点,而对照组仅提高 5.6 个百分点。在所有 WABC 参与者中,心理健康没有发生变化(β 1.0,95% CI - 3.4; 5.5)。只有女性 WABC 参与者的心理健康有显著变化(β 8.0,95% CI 2.6;13.4):结论:要提高严重精神障碍患者的就业率,跨学科的 "工作第一 "方法至关重要,就业服务和精神健康服务的专业人员应密切合作。
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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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