The Factors Related to Occupational Outcome Among Persons With Mental Illness Under the Peer-support Service in Vocational Rehabilitation Program: a Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Change of Social Support Scale
研究概览
简要总结
There are few programs related to vocational peer support services in persons with psychiatric disability in Taiwan. This study aims to develop a peer co-lead services in the community rehabilitation center and evaluate the outcomes among service users with schizophrenia under the integrated peer-support services in a supported employment program.
详细描述
Background
In Taiwan, mental health services are provisioned through hospital-based treatment majorly and shifted to community care gradually in recent decades. In 2020, the totally 7,350 beds of acute wards and 13,559 beds of chronic wards covered the general population in Taiwan with 3.12/10,000 persons and 5.75/10,000 persons rates, respectively. In contrast to hospital treatment, there were 71 community rehabilitation centers and 155 halfway houses in local communities with coverage rate of 1.45/10,000 persons and 2.82/10,000 persons respectively. The sheltered or supported employment in Taiwan is still primarily delivered by trained professionals or paraprofessionals in the community facilities for the persons with severe mental illness. Although the trained peers can deliver vocational supports based on recovery concept as well as professionals at least in the supported employment services, the large absence of peer support workers is rooted in the lack of insurance coverage and limited government budgets in Taiwan. Accordingly, further investigations are warranted to evaluate the effectiveness of peer support services in vocational rehabilitation among persons with severe mental illness under the development of peer-deliver services in Taiwan.
Therefore, the investigators designed a 2-phase pilot program: establishment of peer support training curriculum in Phase I to develop peer support services in vocational rehabilitation system feasibly, and measurement of effectiveness under peer codelivered services in Phase II (Protocol). The investigated effectiveness among persons with schizophrenia in this study included the received social supports, mental health, psychiatric symptoms, functional and occupational outcome.
Methods
Participants
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical diagnoses of schizophrenia
- •Living in half-way houses or community home
- •Under the services of sheltered or supported employment
- •The reading ability of graduated elementary school at least
排除标准
- •Acute psychosis
- •Severe physical illness
- •Legally incompetence to make major decision
研究组 & 干预措施
Peer support service
Peer support workers co-lead and assist workplace problem-solving and care skills training in an extended vocational rehabilitation program
干预措施: peer co-delivered vocational rehabilitation service (Behavioral)
结局指标
主要结局
Change of Social Support Scale
时间窗: Changes from Baseline Social Support Scale at 4 months
SSS. Social supports from family or relatives, professionals or staffs and peers or friends. Ranges from 45 to 225. Higher score means better support.
Change of Chinese Health Questionnaire-12
时间窗: Change from Baseline Chinese Health Questionnaire-12 at 4 months
CHQ-12. Positive and Negative Mental health. Ranges from 0 to 12. Lower score means better health.
Change of Brief Psychiatric Rating Scale-18
时间窗: Change from Baseline Brief Psychiatric Rating Scale-18 at 4 months
BPRS-18. Mood, Psychotic and General symptoms. Ranges from 18 to 126. Higher score means worse psychiatric symptom.
Change of Global Assessment of Function
时间窗: Change from Baseline Global Assessment of Function at 4 months
GAF. Globally social and occupational function under the influences by the mental illness. Ranges from 1 to 100. Higher score means better function.
Change of Chinese version of the Social Functioning Scale
时间窗: Change from Baseline Chinese version of the Social Functioning Scale at 4 months
C-SFS. Self-reported social function for the persons with schizophrenia. Ranges from 0 to 100. Higher score means better function
次要结局
- Change of weekly wedges(Change from Baseline weekly wedges at 4 months)
- Change of weekly working hours(Change from Baseline weekly working hours at 4 months)