Illness Management and Recovery Program in Community-Based Continuous Employment Support Centers in Japan: Preliminary Study on Effects and Feasibility
Illness Management and Recovery Program in Community-Based Continuous Employment Support Centers in Japan: Preliminary Study on Effects and Feasibility
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日本社区持续就业支持中心的疾病管理和康复计划：效果和可行性的初步研究
DOI：
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Aoi Suzuki
中科院分区：
文献类型：
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作者：
Kiyoko Fukushima;Manami Kodaka;Aoi Suzuki
我们为经常利用日本东京社区连续就业支持中心的严重和持续性精神障碍人士实施了疾病管理和康复（IMR）计划，对这些中心的 IMR 计划的效果和可行性进行了初步研究。从四个中心招募了 23 名患有严重和持续性精神障碍的参与者。在干预前后测量康复水平、生活质量、疾病管理技能、激活、护理需求和功能程度。忠诚度分数是通过对工作人员和参与者的访谈进行评估的。二十名参与者完成了该计划。随访时 GAF 评分显着升高。危机情况下的护理需求在干预后有所改善，但在后续行动中没有改善。除了“相关他人的参与”和“认知行为技术”的得分外，忠诚度量表得分总体较高。我们的研究结果证实了 IMR 计划对日本社区持续就业支持中心的严重精神障碍人士的初步效果。可以通过提供预培训、持续监督以及适合文化和社会的讲义来确保该计划的可行性。
We implemented the illness management and recovery (IMR) program for people with severe and persistent mental disabilities who regularly utilize community-based continuous employment support centers in Tokyo, Japan, to conduct a preliminary study on effects and feasibility of the IMR program in these centers. Twenty-three participants with severe and persistent mental disabilities were recruited from four centers. The level of recovery, quality of life, illness management skills, activation, need for care, and degree of functioning were measured before and after intervention. Fidelity scores were assessed through interviews with staff and participants. Twenty participants completed the program. GAF scores were significantly higher at the follow-up time. Needs for care in crisis situations, were improved after intervention but not at followup. Fidelity scale scores were relatively high overall, except for scores for “involvement of relevant others” and “cognitive behavioral techniques.” Our findings confirm the preliminary effects of the IMR program for people with severe mental disabilities at community-based continuous employment support centers in Japan. Feasibility of the program can be ensured by providing pre-training, on-going supervision, and culturally appropriate and socially suitable handouts.