SELF HELP EMPLOYMENT CENTER FOR SEVERE MENTAL ILLNESS

这个项目调查了一个自助示范的有效性 就业中心，为残疾人提供职业和社会成果 严重的精神疾病 该项目由两部分组成。 在 示范部分，人民奥克兰，一个社区社会服务 该机构将设立和经营自助就业中心。 的 中心是一个面向消费者的自助和就业中心，提供 由消费者运营的工作支持小组与专业人员一起 职业咨询和就业安置。 在研究部分， 西方精神病研究所和诊所的研究人员将进行一项 随机对照实验研究，以测试 参加自助就业中心。 共156例受试者 将入组该项目，其中一半（n=78）接受服务 通过自助就业中心。 本研究检验的主要假设是， 参加自助就业中心（实验组） 与非参与者（对照组）相比， 主要成果领域。 主要结局指标为：1）首次发生的时间 工作，2）在工作安置中保留的时间，以及3）赚取的收入。 二次 结果是：4）使用专业精神卫生服务，包括 精神病住院，5）精神病症状，6）自尊，和 7)消费者、家庭和雇主满意度。 基线和随访 评估将分别每隔1、6和12个月进行一次， 入组研究的受试者。 多变量和生命表分析将 用于测试实验组和对照组之间的差异， 结果测量。

This project investigates the effectiveness of a demonstration Self Help Employment Center on vocational and social outcomes for individuals with severe mental illness. The project is composed of two components. In the demonstration component, Peoples Oakland, a community social service agency, will set up and operate the Self Help Employment Center. The Center is a consumer-oriented self help and employment center which offers consumer-run work support groups in conjunction with professional vocational counseling and job placement. In the research component, researchers at Western Psychiatric Institute and Clinic will conduct a randomized controlled experimental study to test the relative effects of participation in the Self Help Employment Center. A total of 156 subjects will be enrolled in the project, with half (n=78) receiving services through the Self Help Employment Center. The primary hypothesis is tested in this study is that subjects who participate in the Self Help Employment Center (the experimental group) will differ significantly from non-participants (control group) in seven major areas of outcome. Primary outcome measures are: 1) time to first job, 2) time retained in job placement, and 3) earned income. Secondary outcomes are: 4) use of professional mental health services, including psychiatric hospitalization, 5) psychiatric symptoms, 6) self esteem, and 7) consumer, family and employer satisfaction. Baseline and follow up assessments will be conducted at intervals of 1, 6 and 12 months for each subject enrolled in the study. Multivariate and life table analyses will be used to test for differences between experimental and control groups on outcome measures.