Adapting the Individual Placement and Support Model with Homeless Young Adults
Adapting the Individual Placement and Support Model with Homeless Young Adults
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DOI：
10.1007/s10566-011-9163-5
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发表时间：
2012-06-01
影响因子：
1.8
通讯作者：
Glynn, Shirley
中科院分区：
文献类型：
--
作者：
Ferguson, Kristin M.;Xie, Bin;Glynn, Shirley
先前的研究显示无家可归的年轻人失业率很高。文献提供了许多针对弱势群体使用基于证据的支持性就业模型的例子，以帮助他们获得和维持有竞争力的就业；然而迄今为止，患有精神疾病的无家可归的年轻人的例子还很少。因此，本研究的目的是对患有精神疾病的无家可归的年轻人采取基于证据的干预措施[即个人安置和支持（IPS）]。使用便利抽样从主办机构招募了 20 名患有精神疾病的无家可归的年轻人（18-24 岁）。参与者接受了 10 个月以上的 IPS 干预。比较样本是在一个单独的机构中使用的，其中包括 16 名患有精神疾病的无家可归的年轻人，他们接受了标准机构服务。使用岗前、自我比较准实验设计，IPS 对五种就业结果的影响进行了评估：(1) 曾经工作过的比率，(2) 后续工作率，(3) 每月工作率，(4) 每周工作时间和 (5) 每周收入。在 10 个月的研究中，IPS 组在某个时间点工作的可能性明显更大，并且总体上工作的月数更长。深入了解针对患有精神疾病的无家可归的年轻人调整、实施和评估 IPS 模型。该研究表明，IPS 模型适用于患有精神疾病的无家可归的年轻人，并且与成功的保留和就业结果相关。
Prior research reveals high unemployment rates among homeless young adults. The literature offers many examples of using evidence-based supported employment models with vulnerable populations to assist them in obtaining and maintaining competitive employment; yet few examples exist to date with homeless young adults with mental illness.The purpose of this study was thus to adapt an evidence-based intervention for adults with psychiatric illnesses [i.e., the Individual Placement and Support (IPS)] with homeless young adults with mental illness.Convenience sampling was used to recruit 20 homeless young adults (ages 18-24) with mental illness from the host agency. Participants received the IPS intervention over 10 months. A comparison sample was used at a separate agency of 16 homeless young adults with mental illness, who received standard agency services. Using a pre-post, self-comparison quasi-experimental design, the impact of the IPS was assessed on five employment outcomes: (1) ever-worked rate, (2) working-at-follow-up rate, (3) monthly work rate, (4) weekly work hours and (5) weekly income.The IPS group was significantly more likely to have worked at some point over the 10-month study as well as to have worked a greater number of months overall.Findings provide greater insight into adapting, implementing and evaluating the IPS model with homeless young adults with mental illness. The study demonstrates that the IPS model is adaptable to work with homeless young adults with mental illness and is associated with successful retention and employment outcomes.