EFFICACY OF TWO MODELS OF VOCATIONAL SERVICE TO THE CMI

两种职业服务模式对 CMI 的功效

• 批准号: 3384415
• 负责人: JUDITH A COOK
• 金额: $ 13.09万
• 依托单位: THRESHOLDS
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-09-30 至 1993-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3384415
• 关键词: chronic disease /disorder; employment /unemployment; human subject; job performance; longitudinal human study; mathematical model; mental disorders; mental health counseling; patient care management; psychosocial service; social service evaluation; vocational rehabilitation

The primary aim of the proposed project is to assess whether provision of supported employment services enhances the vocational success of chronically mentally ill persons participating in a transitional job placement program. This will be accomplished by applying a quasi-experimental pretest-posttest group design utilizing regression-discontinuity techniques to analyze longitudinal data from clients at a large, urban psychosocial rehabilitation agency. These data will be collected as part of the implementation of a three-year model program of supported competitive employment services for the psychiatrically disabled. In addition to the primary aim of determining the effectiveness of this method with a psychiatric population, the proposed research will also explore the effects of a series of mediating influences that are expected to have an impact on employment outcomes. The study's large sample size (N<lOOO) will enable the construction of regression models testing the simultaneous effects of factors identified as important in previous research on vocational performance of the mentally ill. First, previous employment history and level of occupational status measures will be used in models predicting the effect of supported employment on vocational outcomes such as hourly wage and length of employment. Second, assessments of psychiatric impairment and features of illness history will be examined to determine whether or not these factors influence clients' vocational outcomes. Third, the quality of the relationship between clients and agency caseworkers and vocational counselors will be explored to assess the extent to which these interpersonal variables influence how will clients perform vocationally. Fourth, the nature of the work environment and tasks performed at clients' job placements will be investigated to ascertain their impact on clients' employment outcomes. Finally, the types of other social services received (such as housing and medication management) and the intensity and duration of these services will be followed and related to clients' eventual vocational performance.

拟议项目的主要目的是评估是否 提供支持的就业服务增强了职业 长期患有精神疾病的人参加 过渡工作安置计划。 这将通过 应用准实验预测试组设计 利用回归 - 透视技术分析 来自大型城市社会心理的客户的纵向数据 康复机构。 这些数据将作为一部分收集 实施了三年的支持模型计划 精神残疾的竞争就业服务。 除了确定有效性的主要目的 该方法具有精神病学人群，拟议的研究 还将探索一系列中介影响的影响 预计将对就业结果产生影响。 这 研究的大型样本量（N <loooo）将能够构建 回归模型测试因素的同时影响 在先前的职业研究中被认为很重要 精神病患者的表现。 首先，以前的工作 历史和职业地位措施的水平将用于 预测支持就业对职业的影响的模型 诸如小时工资和就业时间之类的结果。 第二， 评估精神障碍和疾病特征 将检查历史以确定这些因素是否 影响客户的职业成果。 第三，质量 客户与机构案例工作者与职业之间的关系 将探讨辅导员以评估这些辅导员的程度 人际变量会影响客户的表现 职业。 第四，工作环境和任务的性质 在客户的工作安置中进行的工作将进行调查 确定它们对客户就业成果的影响。 最后， 收到的其他社会服务的类型（例如住房和 药物管理）以及这些的强度和持续时间 服务将被遵循，并与客户最终有关 职业表现。