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The Career Patterns of Persons with Serious Mental Illness: Generating a New Vision of Lifetime Careers for those in Recovery 严重精神疾病患者的职业模式:为康复者创造终身职业的新视野
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408400
R. Baron, M. Salzer
Abstract This article reviews the findings from two small scale studies - one quantitative and one qualitative - that examined the career patterns of persons with serious mental illness, in which consumers reported on the types of jobs, wages and benefits, job duration, job satisfaction, and reasons for job changes throughout their careers. Both studies report that consumers have held many jobs, often successfully, and often stayed at their jobs for periods of time roughly comparable to their non-disabled co-workers. However, because most jobs were in entry-level and low-wage fields, these long-term career patterns were often marked by little economic progress. The authors suggest that the vocational rehabilitation field needs to reconceptualize both the past careers of this population and the careers that many of those with serious mental illness will be likely to have in the future.
摘要:本文回顾了两项小型研究的结果,一项定量研究和一项定性研究,研究了严重精神疾病患者的职业模式,其中消费者报告了其职业类型,工资和福利,工作时间,工作满意度以及职业生涯中工作变化的原因。这两项研究都表明,有残疾的人做过很多份工作,而且通常都很成功,而且他们在工作上呆的时间与没有残疾的同事大致相当。然而,由于大多数工作都是入门级和低工资领域,这些长期的职业模式往往没有什么经济进步。作者建议,职业康复领域需要重新定义这一人群过去的职业,以及许多患有严重精神疾病的人未来可能从事的职业。
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引用次数: 47
Process and Outcome of Rehabilitation of Homeless Veterans and Their Relationship with Personality Style 流浪退伍军人康复过程、结果及其与人格风格的关系
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408393
S. Sumerall, Lyman T. Rate, S. Lopez, Sandy Hunter, Thomas L. Weaver
Abstract Treatment process and outcome data for 225 consecutive admissions to a rehabilitation program for the homeless were reviewed. The Northeast Program Evaluation Center's criteria were employed to evaluate participation and outcome (e.g., general, employment, and housing) for participants. Significant relationships were found between predominant personality features and degree of participation in program and living arrangements at discharge.
摘要:本文回顾了225名无家可归者连续入院的治疗过程和结果数据。东北项目评估中心的标准被用来评估参与者的参与和结果(例如,一般、就业和住房)。在主要人格特征和参与项目的程度以及出院时的生活安排之间发现了显著的关系。
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引用次数: 4
The Organizational Assimilation of Consumer Providers: A Quantitative Examination 消费者提供者的组织同化:一个定量的检验
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408398
P. Basto, C. Pratt, K. Gill, N. Barrett
Abstract Using multiple measures of organizational commitment and a measure of perceived organizational support, this study examined the degree of assimilation of consumer providers within the New Jersey psychiatric rehabilitation workforce. Both consumer and non-consumer staff were surveyed and compared on all measures. Four hundred and thirty five staff from 22 programs providing psychiatric rehabilitation services completed the survey. Fifteen percent of respondents (n = 64) identified themselves as consumers of mental health services. Results indicated that consumer providers felt more supported by their employers than did non-consumer providers. In addition, consumer providers reported greater levels of some types of organizational commitment than their non-consumer colleagues. In no case did non-consumer providers report higher organizational commitment or organizational support. Several possible explanations for these findings are discussed.
摘要本研究采用组织承诺的多种测量和感知组织支持的测量,研究了新泽西州精神康复工作人员中消费提供者的同化程度。对消费和非消费工作人员进行了调查,并就所有措施进行了比较。来自22个提供精神康复服务项目的435名工作人员完成了这项调查。15%的答复者(n = 64)认为自己是心理健康服务的消费者。结果表明,消费者服务提供者比非消费者服务提供者更能感受到雇主的支持。此外,消费者提供者报告的某些类型的组织承诺比他们的非消费者同事更高。在任何情况下,非消费者提供者都没有报告更高的组织承诺或组织支持。对这些发现的几种可能的解释进行了讨论。
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引用次数: 9
Entrepreneurial Businesses Enhance Employment for People with Serious Mental Illness 创业促进严重精神疾病患者就业
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408396
C. L. Peterson, P. Philhour
Abstract The development of entrepreneurial businesses is described as an integral part of psychosocial rehabilitation programs for men and women with a serious mental illness. The benefits of an agency-run business in attracting new persons to the overall program are emphasized, particularly where other employment opportunities in the community are slim. In addition, agency-run businesses can increase an agency's visibility and result in additional competitive employment opportunities. The challenges in merging dual missions are also addressed, including steering the business to solvency and facilitating career ladders for good employees who deserve a menu of employment options.
创业企业的发展被描述为患有严重精神疾病的男性和女性的社会心理康复计划的一个组成部分。强调机构经营的业务在吸引新人参加整个方案方面的好处,特别是在社区其他就业机会渺茫的情况下。此外,代理经营的企业可以提高机构的知名度,并带来额外的竞争性就业机会。书中还讨论了合并双重使命所面临的挑战,包括引导企业走向偿付能力,以及为优秀员工提供职业阶梯,这些员工应该获得一系列就业选择。
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引用次数: 1
Needs and problems related to mental health services in Beijing 北京市精神卫生服务的需求与问题
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408391
Wing Hong Hector Tsang, Weng Yongzhen, Phidias Tarm
Abstract Accounts in the literature show that our understanding of the current needs and problems of mental health services in Mainland China is based on unsystematic observations and theoretical extrapolation. There has not been a survey of practitioners on its current status. This paper describes a small-scale survey conducted in a large psychiatric hospital in Beijing in 1998, which addressed the issues and problems hindering the community integration of people with mental illness, the current concerns of practitioners, and the difficulties hindering the further development of mental health services in Beijing. A specially designed questionnaire was distributed to eligible staff members of the hospital through the chief psychiatrist. Thirty-four questionnaires were returned and analyzed using descriptive and cross-tab statistics. Social discrimination, unsatisfactory social networks, unsatisfactory social skills and lack of community-based rehabilitation facilities were regarded as the most significant problems faced by individuals with severe mental illness returning to the community. Medication, relapse prevention, and family intervention were the issues that attracted the current attention of most respondents. Reservations about the development of vocational rehabilitation were noted. The major difficulties hindering further development of psychiatric rehabilitation include lack of funding, rehabilitation professionals, and physical resources. As the needs and circumstances in China are different from those in Western countries, social and cultural differences must be considered before Western models of rehabilitation can be modified and adopted in China.
文献资料显示,我们对中国大陆精神卫生服务的需求和问题的认识是基于非系统的观察和理论外推。目前还没有对从业人员的现状进行调查。本文描述了1998年在北京市某大型精神病院进行的一项小规模调查,分析了阻碍精神疾病患者社区融合的问题、从业人员当前关注的问题以及阻碍北京市精神卫生服务进一步发展的困难。通过首席精神病医生向医院的合格工作人员分发了一份特别设计的调查表。问卷共34份,采用描述性统计和交叉统计法进行分析。社会歧视、不理想的社会网络、不理想的社会技能和缺乏社区康复设施被认为是严重精神疾病患者重返社区面临的最严重问题。药物治疗、预防复发和家庭干预是目前大多数受访者关注的问题。有人注意到对职业康复发展的保留意见。精神病学康复发展面临的主要困难是缺乏资金、康复专业人员和物质资源。由于中国的需求和情况与西方国家不同,西方的康复模式在中国修改和采用之前,必须考虑社会和文化差异。
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引用次数: 15
Integrating Consumer Providers into a Service Delivery System: The Role of Education and Credentials 将消费者提供者整合到服务交付系统中:教育和证书的作用
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408397
N. Barrett, C. Pratt, P. Basto, K. Gill
Abstract The employment of consumer providers in psychiatric rehabilitation service delivery systems is a growing trend. In New Jersey, several new state funded initiatives have called for the inclusion of consumer providers on treatment teams. While this trend is potentially beneficial for both the consumers receiving services and those providing them, the dual role of consumer and service provider also raises a number of challenging issues. One of these is the creation of essentially second-class positions that may foster discrimination. A variety of strategies have been used to address challenges faced by consumer providers. In New Jersey, this has included the development of a university-based certificate program designed to promote the integration of consumer providers with their non-consumer colleagues.
在精神康复服务提供系统中,消费提供者的就业是一个日益增长的趋势。在新泽西州,几项由州政府资助的新举措呼吁将消费者纳入治疗团队。虽然这一趋势对接受服务的消费者和提供服务的消费者都有潜在的好处,但消费者和服务提供者的双重角色也带来了许多具有挑战性的问题。其中之一是创造了实质上的二等职位,这可能会助长歧视。已经使用了各种策略来解决消费者提供者所面临的挑战。在新泽西州,这包括开发一个以大学为基础的证书项目,旨在促进消费者供应商与非消费者同事的整合。
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引用次数: 13
A Book Review of “Psychiatric Rehabilitation” 《精神康复》书评
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408401
R. Lundin, J. Calabrese
Abstract By Carlos W. Pratt, Kenneth J. Gill, Nora M. Barrett, and Melissa M. Roberts May, 1999. San Diego: Academic Press. Hardcover $59.95
作者:Carlos W. Pratt, Kenneth J. Gill, Nora M. Barrett, Melissa M. Roberts, 1999年5月。圣地亚哥:学术出版社。精装书59.95美元
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引用次数: 1
Reinvention of the Lodge Program: A Case Study of Program Changes to Promote Full-Time Employment 旅馆计划的重新发明:促进全职就业的计划变化的案例研究
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408395
Esther Onaga, Barbara A. Smith
Abstract Securing and maintaining employment continues to challenge people with psychiatric disabilities in spite of the availability of alternative methods for enabling people to obtain community employment. One model, the Lodge Program, has been in existence for over 30 years. The process of lodge reinvention to support full-time employment is examined in a case study of Tasks Unlimited, a lodge program in Minnesota. Implications for rehabilitation practitioners' roles in creating supports for full-time employment are discussed.
尽管有其他方法可以使精神残疾者获得社区就业,但确保和维持就业仍然是精神残疾者面临的挑战。其中一种模式,“住宿计划”,已经存在了30多年。在明尼苏达州的一个住宿项目“无限任务”的案例研究中,考察了住宿改造以支持全职就业的过程。对康复医生的角色在创造支持全职就业的影响进行了讨论。
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引用次数: 1
Employment Programs for Persons with Serious Mental Illness: Past, Present and Future Adaptations to a Changing Service Environment 严重精神疾病患者的就业计划:过去,现在和未来适应不断变化的服务环境
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408394
R. Baron
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引用次数: 0
Fred Frese Speaks Out 弗雷德·弗雷斯直言不讳
Pub Date : 2000-03-01 DOI: 10.1080/10973430008408392
R. Lundin
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引用次数: 0
期刊
Psychiatric Rehabilitation Skills
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