Does transitional work improve vocational and mental health outcomes? A systematic narrative review of the evidence.

IF 1.8 3区医学 Q3 PSYCHIATRY

Psychiatric Rehabilitation Journal Pub Date : 2025-06-09 DOI:10.1037/prj0000650

Brian J Stevenson, Ummul Kiram-Kathawalla, Taina Teravainen, Sarah Wilkins, Lisa Mueller, Amanda Falcón, Cheyenne Reed, Gabriela Marpozan, Charles Drebing, Shana Bakken

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引用次数: 0

Abstract

Objective: To examine and synthesize the available empirical evidence on the impact of transitional work (TW) on vocational (i.e., rates of competitive employment, time to competitive employment, tenure in competitive employment, income earned) and mental health outcomes.

Methods: APA PsycArticles, APA PsycInfo, Psychiatry Online, PubMed, and Social Sciences Citation Index were searched using the key terms: "transitional work," "compensated work therapy," "transitional employment," "noncompetitive employment," and "diversified placement approach." A gray literature search was conducted through Google Scholar.

Results: 28 studies met inclusion criteria for this review. There is some evidence indicating that TW improves vocational outcomes compared with general vocational support or no services at all, but that TW is less effective at improving vocational outcomes compared with job placement services (e.g., individual placement and support). With regard to mental health, there is some evidence that TW improves substance use outcomes when paired with other substance use-related services (e.g., transitional housing, drug screen protocols).

Conclusions and implications for practice: TW appears to be an effective approach for improving vocational outcomes compared with no treatment, incentive therapy, workshops, or other general vocational supports, and less effective than job placement services that are designed for individuals with immediate competitive employment goals (e.g., individual placement and support). Recommendations for practice and research are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

过渡性工作能改善职业和心理健康状况吗？对证据进行系统的叙述性回顾。

目的：对过渡性工作（TW）对职业（即竞争性就业率、进入竞争性就业的时间、竞争性就业的任期、获得的收入）和心理健康结果的影响进行检验和综合现有的经验证据。方法：使用关键词：“过渡性工作”、“有偿工作治疗”、“过渡性就业”、“非竞争性就业”和“多样化安置方法”对APA PsycArticles、APA PsycInfo、Psychiatry Online、PubMed和Social Sciences Citation Index进行检索。通过b谷歌Scholar进行灰色文献检索。结果：28项研究符合本综述的纳入标准。有一些证据表明，与一般职业支持或根本没有服务相比，培训可以改善职业结果，但与就业安置服务（例如，个人安置和支持）相比，培训在改善职业结果方面的效果较差。在精神健康方面，有一些证据表明，与其他与药物使用有关的服务（如过渡性住房、药物筛选协议）配合使用TW可改善药物使用结果。结论和实践意义：与没有治疗、激励治疗、讲习班或其他一般职业支持相比，TW似乎是改善职业结果的有效方法，但不如为具有直接竞争就业目标的个人设计的就业安置服务（例如，个人安置和支持）有效。讨论了对实践和研究的建议。（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

Psychiatric Rehabilitation Journal Multiple-

CiteScore

3.80

自引率

5.30%

发文量

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.