Impact of the COVID-19 pandemic on individual placement and support services for young adults.

IF 1.8 3区 医学 Q3 PSYCHIATRY
Ana Carolina Florence, Jennie Keleher, Monirah Al-Abdulmunem, Daniel Ressler, Gary R Bond
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Abstract

Objective: Individual placement and support (IPS) is an evidence-based model designed to help individuals with mental health conditions secure and maintain competitive employment. Young adults are a particularly vulnerable group in need of these services. The COVID-19 pandemic led many public institutions to curtail face-to-contacts, which affected IPS service delivery. This study was part of a broader mixed-methods evaluation examining employment and education outcomes of young adults in nine IPS programs across the United States. A secondary analysis of the qualitative component explored the experiences of IPS teams and state leaders delivering IPS to young adults with mental health conditions during the COVID-19 pandemic.

Method: Participants from the nine IPS programs across five states were interviewed twice during the project. For this secondary data analysis, we focused on COVID-19-related codes. Two coauthors independently reviewed and aggregated the open codes, and the coauthors collaborated to reach consensus. The analysis followed a qualitative descriptive approach.

Results: Two major themes were created from 29 interviews with 30 participants: adaptations and challenges. Adaptations centered on transitioning to virtual communication and remote IPS delivery. Challenges included reduced referral rates and difficulties in building rapport and maintaining engagement.

Conclusions: The COVID-19 pandemic significantly disrupted IPS services for young adults with mental health conditions. Despite these challenges, the need for adaptation spurred innovation, fostering positive changes, some of which may become permanent in the future, showcasing the resilience and creativity of IPS programs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

2019冠状病毒病大流行对青年个人安置和支持服务的影响。
目标:个人安置和支持(IPS)是一个以证据为基础的模式,旨在帮助有精神健康状况的个人获得和保持竞争性就业。年轻人是特别需要这些服务的弱势群体。2019冠状病毒病大流行导致许多公共机构减少面对面接触,影响了IPS服务的提供。这项研究是一项更广泛的混合方法评估的一部分,该评估考察了美国九个IPS项目中年轻人的就业和教育成果。对定性部分的二次分析探讨了在2019冠状病毒病大流行期间,IPS团队和国家领导人向有精神健康问题的年轻人提供IPS的经验。方法:来自五个州的九个IPS项目的参与者在项目期间接受了两次采访。对于二次数据分析,我们重点关注与covid -19相关的代码。两位共同作者独立审查和汇总开放代码,共同作者合作达成共识。分析采用定性描述方法。结果:对30名参与者进行了29次访谈,形成了两个主要主题:适应和挑战。适应主要集中在向虚拟通信和远程IPS交付的过渡上。面临的挑战包括转诊率降低,以及在建立融洽关系和保持参与方面存在困难。结论:2019冠状病毒病大流行严重扰乱了为有精神健康状况的年轻人提供的IPS服务。尽管存在这些挑战,但适应的需求刺激了创新,促进了积极的变化,其中一些变化可能在未来成为永久性的,展示了IPS项目的弹性和创造力。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.80
自引率
5.30%
发文量
40
期刊介绍: The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.
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