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Occupational therapy and supported employment: is there any added value?

机译：职业治疗和辅助就业：有没有附加价值？

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摘要

Purpose - This paper's aim is to explore the added value of occupational therapy in supported employment, demonstrated by a case study in Sussex Partnership NHS Foundation Trust. Design/methodology/approach - The paper sets out the unique contribution of occupational therapy to the evidence based individual placement with support (IPS) model, through a case study of implementation in Sussex. Findings - Occupational therapists are well placed to play a central role in embedding IPS into clinical teams, as well as supporting the work of employment specialists. They also have a wider role in championing person centred practice, and challenging negative assumptions about the work abilities of people with mental health problems. Practical implications - Clarity of role design is crucial, with methods for assessing and monitoring competence built into supervision structures. Clinicians need to be motivated and enthusiastic about the role as well as having allocated time to carry out the discrete employment support function. The partnership between the employment service and clinical team is central to good implementation of the model. Originality/value - This paper adds clarity to the role of occupational therapy in supporting people with severe and enduring mental health problems to gain and maintain mainstream employment. There is a need for the development of a more formal evidence base for occupational therapy interventions in the field of supported employment; this paper is a starting point outlining key issues.
机译：目的-本文的目的是探索职业治疗在受支持的就业中的附加价值，这在Sussex Partnership NHS Foundation Trust的案例研究中得以证明。设计/方法/方法-本文通过在Sussex实施的案例研究，阐述了职业治疗对基于证据的个人支持与支持（IPS）模型的独特贡献。调查结果-职业治疗师在将IPS纳入临床团队以及支持雇佣专家的工作中发挥了核心作用。他们在倡导以人为本的实践中发挥着更广泛的作用，并且挑战了有关精神健康患者工作能力的负面假设。实际意义-角色设计的清晰性至关重要，而评估和监视能力的方法已内置在监督结构中。临床医生需要对此角色有动力和热情，并需要分配时间来执行离散的就业支持职能。就业服务部门和临床团队之间的合作关系对于良好实施该模型至关重要。原创性/价值-本文使职业治疗在支持患有严重和持久性精神健康问题的人获得并维持主流就业方面的作用更加清晰。需要为支持性就业领域的职业治疗干预措施建立更正式的证据基础;本文是概述关键问题的起点。

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