1/2 Multi-site systems intervention for unemployed persons with social anxiety

描述（由申请人提供）：“对有社交焦虑的失业人员进行多站点系统干预”本研究的目的是对因社交焦虑障碍而失去工作成就的失业人员进行多站点的认知行为干预，以提高他们的就业成功率。社交焦虑障碍是一种非常常见的损害性疾病，对职业功能有负面影响。与工作有关的障碍包括拒绝工作机会和晋升、生产力和工作表现下降、受教育程度降低、失业率增加、经济依赖和收入减少。我们已经表明，社交焦虑障碍是持续依赖福利支持的最强精神预测因子。为了应对这些记录的与就业相关的障碍，我们制定了一个八期的与工作相关的群体认知行为疗法（WCBT），当与标准的职业康复服务相结合时，与只接受常规职业服务（VAU）的社交焦虑求职者对照组相比，显著改善了社交焦虑、抑郁、求职行为和求职自信。这项R34试点研究的参与者都是无家可归者，主要是非裔美国人，以城市为基础的求职者，他们有高度的精神合并症，受教育程度和就业历史有限。WCBT的设计背景和风格是克服无障碍和与歧视有关的障碍，特别注重与就业有关的目标。目前的协作RO1将涉及两个学术调查小组和两个社区就业服务机构的工作人员，以进一步评估WCBT与VAU的比较。这两个地区的研究将探讨WCBT是否能在一年的间隔内提高就业安置和留任率。此外，本试验将测试WCBT在一个新的职业服务机构的实施，该机构没有参与WCBT的发展，以及WCBT的效果是否推广到新的城市人口，种族多样化的求职者，他们的教育和教育历史与最初的WCBT研究地点不同。我们还将调查WCBT在新址的系统效果，这将为在全国范围内广泛实施WCBT提供信息。最后，作为R34的创新延伸，该项目将纳入技术辅助提供者培训和WCBT交付的实施工具。

DESCRIPTION (provided by applicant): "Multi-site systems intervention for unemployed persons with social anxiety" The goal of the proposed research is to conduct a multi-site trial of a cognitive-behavioral intervention for enhancing employment success among unemployed persons whose job attainment efforts have been undermined by social anxiety disorder. Social anxiety disorder is a very common and impairing condition, with negative impacts on occupational functioning. Work-related impairments include turning down job offers and promotions, reduced productivity and job performance, lowered educational attainment, increased unemployment, financial dependence, and reduced income. We have shown that social anxiety disorder was the strongest psychiatric predictor of sustained reliance on welfare for support. In response to these documented employment-related impairments, we produced an eight-session work-related group cognitive behavioral therapy (WCBT) that, when coupled with standard vocational rehabilitation services, significantly improved social anxiety, depression, job search behaviors and job search self-confidence compared to a control group of socially anxious jobs seekers who received only vocational services as usual (VAU). Participants in this pilot R34 study were all homeless, primarily African American, urban-based job-seekers with high levels of psychiatric comorbidity and limited education and employment histories. WCBT is designed in a context and style that overcomes accessibility and stigma-related obstacles with special focus on employment-related targets. The current collaborative RO1 will involve two academic, investigative teams and the staff of two community-based employment service agencies to further evaluate WCBT compared to VAU. This two-region study will address whether WCBT enhances job placement and retention assessed over a one-year interval. In addition, this trial will test the implementation of WCBT in a new vocational service agency that was not involved in the development of WCBT, and whether the effects of WCBT generalize to a new population of urban-based, racially diverse job-seekers with educational and educational histories that differ from the original WCBT study site. We will also investigate the system effects of WCBT in the new site that will be informative for broad implementation of WCBT nationwide. Finally, as an innovative extension from the R34, this project will incorporate implementation tools of technology-assisted provider training and delivery of WCBT.