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首页> 外文期刊>The British journal of psychiatry : >Supported employment: randomised controlled trial.
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Supported employment: randomised controlled trial.

机译：支持的就业：随机对照试验。

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BACKGROUND: There is evidence from North American trials that supported employment using the individual placement and support (IPS) model is effective in helping individuals with severe mental illness gain competitive employment. There have been few trials in other parts of the world. AIMS: To investigate the effectiveness and cost-effectiveness of IPS in the UK. METHOD: Individuals with severe mental illness in South London were randomised to IPS or local traditional vocational services (treatment as usual) (ISRCTN96677673). RESULTS: Two hundred and nineteen participants were randomised, and 90% assessed 1 year later. There were no significant differences between the treatment as usual and intervention groups in obtaining competitive employment (13% in the intervention group and 7% in controls; risk ratio 1.35, 95% CI 0.95-1.93, P = 0.15), nor in secondary outcomes. CONCLUSIONS: There was no evidence that IPS was of significant benefit in achieving competitive employment for individuals in South London at 1-year follow-up, which may reflect suboptimal implementation. Implementation of IPS can be challenging in the UK context where IPS is not structurally integrated with mental health services, and economic disincentives may lead to lower levels of motivation in individuals with severe mental illness and psychiatric professionals.
机译：背景：北美试验的证据表明，使用个人安置和支持（IPS）模型支持就业可以有效地帮助患有严重精神疾病的人获得竞争性就业。在世界其他地区几乎没有试验。目的：调查英国IPS的有效性和成本效益。方法：将伦敦南部患有严重精神疾病的患者随机分为IPS或当地传统职业服务机构（照常治疗）（ISRCTN96677673）。结果：219名参与者被随机分组​​，一年后评估了90％。常规治疗与干预组在获得竞争性就业方面没有显着差异（干预组为13％，对照组为7％;风险比1.35，95％CI 0.95-1.93，P = 0.15），也没有次要结果。结论：没有证据表明，在为期一年的随访中，IPS对于南伦敦的个人实现有竞争性的就业有显着的好处，这可能反映了实施效果欠佳。在英国，IPS没有在结构上与精神卫生服务结合，在英国，实施IPS可能会带来挑战，经济上的激励措施可能导致患有严重精神疾病的个人和精神科专业人员的动机降低。

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