MEANING OF WORK FOR YOUNG ADULTS WITH SCHIZOPHRENIA

为患有精神分裂症的年轻人提供的职业康复和辅助就业服务并没有产生令人鼓舞的就业率。尽管提供了康复服务并通过了《美国残疾人法案》（1990年），但劳动力参与率仍固定在25%以下。先前的研究表明，药物治疗、心理社会服务、就业政策、家庭和社会支持以及就业史有助于重新就业，但竞争性就业率仍然很低。大样本的研究并没有完全帮助理解复杂的现象返回工作，因此，本研究将分析从一个小的工作竞争力的个别主题。还将分析症状和受试者变量的其他横截面数据。解释什么使返回工作场所的因素还没有很好地定义。这种定性和定量相结合的研究将侧重于工作场所成功的多个前因，而不是将先前的就业作为重新进入工作的单一预测因素。从个人角度理解工作领域（即工作动机、内部和外部资源）将有助于了解信仰、价值观和工作能力、康复服务的贡献以及工作空间支持的利用。质性探究作为本研究的主要方法，是回答这一研究问题的独特方法。将对20名具有一系列病前工作史、目前正在竞争性工作或寻找工作的健康状况稳定的年轻人进行为期三个半小时的访谈。通过半结构化访谈获得的工作的叙述性描述将包括一个基于文本的数据库，在该数据库中可以进行严格的分析，利用扎根理论原则，这将证明数据对新兴理论的充分性、可信性和适当性。这项研究的重要意义包括弥合个人的独特视角与现有的知识设计和提供职业康复服务，包括案件管理，这还没有被以前的研究。紧急采访的主题集中在领域的动机，这甚至没有捕捉到以前的研究。紧急采访主题集中在领域的动机，发病前的工作经验，症状对工作功能的影响，内部和外部资源，工作住宿，生活质量和工作场所的支持，将有助于了解异质性的工作成果，为这一人群，并指导未来的研究。

Vocational rehabilitation and supported employment services for young adults with schizophrenia have not produced encouraging rates of employment. Labor force participation has been fixed at less than 25% despite rehabilitation services and passage of the Americans with Disabilities Act (1990). Prior studies indicate that medication, psychosocial services, employment policies, family and social support, and employment history contribute to work re-entry but rates of competitive employment still remain low. Large sample studies have not fully aided understanding of the complex phenomenon of return to work; therefore this study will analyze individual themes from a small working competitively. Additional cross-sectional data of symptom and subject variables will also be analyzed Factors that explain what enables return to the workplace are not well defined. Rather than focus on prior employment as a single predictor of work re-entry, this combined qualitative and quantitative study will focus on multiple antecedents of workplace success. Understanding the domains of work (i.e. motivation for work, internal and external resources) from an individual point of view will contribute knowledge about beliefs, values, and capacity for work, contributions of rehabilitation services, and utilization of workspace supports. Qualitative inquiry, as the principal methodology of the study, is uniquely suited to answer this research question. Twenty medically stabilized young adults with a range of pre-morbid work history who are currently working competitively or seeking work will be interviewed over three 1 1/2 hour sessions. The narrative description of work obtained through semi-structured interviews will comprise a text based data bank within which rigorous analysis can occur utilized grounded theory principals which will attest to the adequacy, trustworthiness, and appropriateness of the data to the emerging theory. Important implications for the study include bridging the unique perspective of the individual with the existing knowledge of design and delivery of vocational rehabilitation services, including case management, which have not been captured by prior studies. Emergent interview themes focused on the domains of motivation, which have not even captured by prior studies. Emergent interview themes focused on the domains of motivation, pre-morbid work experience, effects of symptoms on work functioning, internal and external resources, work accommodations, quality of life, and workplace supports will contribute to understanding the heterogeneity of work outcome for this population and guide future research.