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首页> 外文期刊>Journal of occupational rehabilitation >Job acquisition for people with severe mental illness enrolled in supported employment programs: a theoretically grounded empirical study.
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Job acquisition for people with severe mental illness enrolled in supported employment programs: a theoretically grounded empirical study.

机译：参加了受支持的就业计划的重度精神疾病患者的工作获得：基于理论的实证研究。

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INTRODUCTION: The main purpose of this study was to test a conceptual model based on the theory of planned behaviour (TPB) to explain competitive job acquisition of people with severe mental disorders enrolled in supported employment programs. METHODS: Using a sample of 281 people with severe mental disorders participating in a prospective study design, the authors examined the contribution of the TPB in a model including clinical (e.g., severity of symptoms), psychosocial (e.g., self-esteem) and work related variables (e.g., length of time absent from the workplace) as predictors of job acquisition. Path analyses were used to test two conceptual models: (1) the model of job acquisition for people with mental illness adapted from the TPB, and (2) the extended TPB including clinical, psychosocial, and work related variables recognized in the literature as significant determinants of competitive employment. RESULTS: Findings revealed that both models presented good fit indices. In total, individual factors predicted 26% of the variance in job search behaviours (behavioural actions). However, client characteristics explained only 8% of variance in work outcomes, suggesting that environmental variables (e.g., stigma towards mental disorders) play an important role in predicting job acquisition. About 56% (N = 157) of our sample obtained competitive employment. CONCLUSION: Results suggest that employment specialists can be guided in their interventions by the concepts found in the extended model of work integration since most of these are modifiable, such as perceived barriers to employment, self-efficacy, and self-esteem.
机译：简介：本研究的主要目的是检验基于计划行为理论（TPB）的概念模型，以解释参加支持的就业计划的重度精神障碍患者的竞争性工作。方法：作者使用参与前瞻性研究设计的281名严重精神障碍患者的样本，研究了TPB在包括临床（例如症状严重性），社会心理（例如自尊）和工作的模型中的贡献。相关变量（例如，工作场所缺勤的时间长度）作为工作获取的预测指标。路径分析用于测试两个概念模型：（1）从TPB改编的精神疾病患者的工作获得模型;（2）扩展的TPB，包括临床，心理和与工作相关的变量，这些变量在文献中被认为是重要的竞争性就业的决定因素。结果：发现表明两个模型都显示出良好的拟合指数。总体而言，个人因素预测了求职行为（行为）变化的26％。但是，客户特征仅解释了工作成果差异的8％，这表明环境变量（例如，对精神障碍的污名化）在预测工作机会方面起着重要作用。我们样本中约56％（N = 157）获得了竞争性就业。结论：结果表明，可以通过扩展的工作整合模型中的概念来指导就业专家进行干预，因为其中大多数都是可以修改的，例如感知的就业障碍，自我效能感和自尊心。

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