EFFICACY OF TWO MODELS OF VOCATIONAL SERVICE TO THE CMI

该项目的主要目的是评估 提供辅助就业服务， 长期精神病患者参加 过渡性就业安置计划。 这将通过 采用准实验的前测-后测分组设计 利用非连续性回归技术分析 来自大型城市心理社会服务机构客户的纵向数据 康复机构。 这些数据将被收集作为 实施一项为期三年的示范方案， 为精神残疾者提供竞争性就业服务。 除了确定有效性的主要目的之外， 这种方法与精神病人群，拟议的研究， 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。 的 研究的大样本量（N<1000）将使构建 回归模型测试因素的同时影响 在以前的职业教育研究中， 精神病患者的表现。 第一，以前的工作 职业状况的历史和水平将用于 预测支持性就业对职业教育影响的模型 结果，如小时工资和就业时间。 第二、 精神损害和疾病特征的评估 历史将被审查，以确定这些因素是否 影响客户的职业成果。 第三，质量 服务对象与机构个案工作者之间的关系， 将探讨顾问，以评估在多大程度上，这些 人际变量影响客户的表现 职业上 四、工作环境和任务的性质 在客户的就业安置进行调查， 确定其对客户就业结果的影响。 最后， 获得的其他社会服务类型（如住房和 药物管理）以及这些的强度和持续时间 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.