EFFICACY OF TWO MODELS OF VOCATIONAL SERVICE TO THE CMI

拟议项目的主要目标是评估 提供辅助性就业服务可提升职业技能 长期精神病患者成功参与 过渡性就业安置计划。这将通过以下方式实现 准实验型前测-后测组合设计的应用 利用回归-不连续技术分析 来自一家大型城市心理社会机构客户的纵向数据 康复机构。这些数据将作为以下内容的一部分收集 资助项目三年示范项目的实施 为精神残障人士提供竞争性就业服务。 除了确定其有效性的主要目标之外 这种方法与精神科人群，建议进行研究 还将探讨一系列中介影响的效果 预计将对就业结果产生影响。这个 研究的大样本量(N&lt；Looo)将使 检验因素同时影响的回归模型 在之前的职业研究中被确定为重要的 精神病人的表现。第一，以前的工作 将使用职业地位的历史和水平衡量标准 支持性就业对职业生涯影响的预测模型 结果，如小时工资和雇佣年限。第二, 精神损害的评估和疾病特征 我们将回顾历史，以确定这些因素是否 影响客户的职业结果。第三，教育的质量 受助人与中介机构社会工作者和职业人员之间的关系 将对辅导员进行考察，以评估在多大程度上 人际关系变量影响客户的表现 在职业上。四、工作环境和任务性质 在客户的工作安排上进行的工作将被调查 确定它们对客户就业结果的影响。最后， 接受的其他社会服务的类型(如住房和 药物管理)以及这些措施的强度和持续时间 服务将被跟踪，并与客户的最终 职业表现。

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.