Outcomes of an employment support program in psychiatric day care collaborate with the public employment service: a single-arm preliminary study

Objective: To evaluate the employment outcomes and changes in cognitive and social functioning of people with mental disorders using an employment support program in collaboration with psychiatric day care and the public employment service. Methods: This was a prospective, open-label, single-arm pre...

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Main Authors: Kojiro Kawano, Saori Haga, Kenji Endo, Takeshi Shimada, Masayoshi Kobayashi
Format: Article
Language:English
Published: Japan Society for Occupational Health 2022-06-01
Series:Environmental and Occupational Health Practice
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/eohp/4/1/4_2021-0009-OA/_html/-char/en
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author Kojiro Kawano
Saori Haga
Kenji Endo
Takeshi Shimada
Masayoshi Kobayashi
author_facet Kojiro Kawano
Saori Haga
Kenji Endo
Takeshi Shimada
Masayoshi Kobayashi
author_sort Kojiro Kawano
collection DOAJ
description Objective: To evaluate the employment outcomes and changes in cognitive and social functioning of people with mental disorders using an employment support program in collaboration with psychiatric day care and the public employment service. Methods: This was a prospective, open-label, single-arm preliminary study. The employment support program was conducted 6 hours at a time, five times per week for 3 months. Participants’ employment rates within 6 months after the program ended and competitive employment in supported employment service 1 year later were calculated. The brief assessment of cognition in schizophrenia (BACS), Global Assessment of Functioning (GAF), and Life Assessment Scale for the Mentally Ill (LASMI) were measured before and after the program. Results: Forty-one (74.5%) of the 55 participants worked within 6 months of completing the program. Of the 30 employees who had been working for 1 year, 23 (76.7%) had settled in the workplace, with an average of over 80 monthly working hours and more than $660 monthly income. BACS Composite score (p<0.01, r=0.68), GAF (p<0.01, r=0.47), LASMI daily living (p<0.01, r=0.44), interpersonal relations (p<0.01, r=0.55), Work (p<0.01, r=0.81), endurance and stability (p<0.01, r=0.65), and self-recognition (p<0.01, r=0.78) improved significantly after the program. Conclusion: Our study suggests that a high employment rate can be obtained by employment support in which psychiatric day care and the public employment service cooperate.
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spelling doaj.art-558b2966ea71489d9b36b652dcc7465d2022-12-22T03:37:20ZengJapan Society for Occupational HealthEnvironmental and Occupational Health Practice2434-49312022-06-014110.1539/eohp.2021-0009-OAeohpOutcomes of an employment support program in psychiatric day care collaborate with the public employment service: a single-arm preliminary studyKojiro Kawano0https://orcid.org/0000-0001-5433-2308Saori Haga1Kenji Endo2Takeshi Shimada3Masayoshi Kobayashi4Medical Corporation Yuaikai Tikumaso Mental Hospital, JapanMedical Corporation Yuaikai Tikumaso Mental Hospital, JapanMedical Corporation Yuaikai Tikumaso Mental Hospital, JapanMedical Corporation Seitaikai Mental Support Soyokaze Hospital, JapanDepartment of Health Sciences, Graduate School of Medicine, Shinshu University, JapanObjective: To evaluate the employment outcomes and changes in cognitive and social functioning of people with mental disorders using an employment support program in collaboration with psychiatric day care and the public employment service. Methods: This was a prospective, open-label, single-arm preliminary study. The employment support program was conducted 6 hours at a time, five times per week for 3 months. Participants’ employment rates within 6 months after the program ended and competitive employment in supported employment service 1 year later were calculated. The brief assessment of cognition in schizophrenia (BACS), Global Assessment of Functioning (GAF), and Life Assessment Scale for the Mentally Ill (LASMI) were measured before and after the program. Results: Forty-one (74.5%) of the 55 participants worked within 6 months of completing the program. Of the 30 employees who had been working for 1 year, 23 (76.7%) had settled in the workplace, with an average of over 80 monthly working hours and more than $660 monthly income. BACS Composite score (p<0.01, r=0.68), GAF (p<0.01, r=0.47), LASMI daily living (p<0.01, r=0.44), interpersonal relations (p<0.01, r=0.55), Work (p<0.01, r=0.81), endurance and stability (p<0.01, r=0.65), and self-recognition (p<0.01, r=0.78) improved significantly after the program. Conclusion: Our study suggests that a high employment rate can be obtained by employment support in which psychiatric day care and the public employment service cooperate.https://www.jstage.jst.go.jp/article/eohp/4/1/4_2021-0009-OA/_html/-char/enemployment supportmental disorderspsychiatric day carevocational rehabilitation
spellingShingle Kojiro Kawano
Saori Haga
Kenji Endo
Takeshi Shimada
Masayoshi Kobayashi
Outcomes of an employment support program in psychiatric day care collaborate with the public employment service: a single-arm preliminary study
Environmental and Occupational Health Practice
employment support
mental disorders
psychiatric day care
vocational rehabilitation
title Outcomes of an employment support program in psychiatric day care collaborate with the public employment service: a single-arm preliminary study
title_full Outcomes of an employment support program in psychiatric day care collaborate with the public employment service: a single-arm preliminary study
title_fullStr Outcomes of an employment support program in psychiatric day care collaborate with the public employment service: a single-arm preliminary study
title_full_unstemmed Outcomes of an employment support program in psychiatric day care collaborate with the public employment service: a single-arm preliminary study
title_short Outcomes of an employment support program in psychiatric day care collaborate with the public employment service: a single-arm preliminary study
title_sort outcomes of an employment support program in psychiatric day care collaborate with the public employment service a single arm preliminary study
topic employment support
mental disorders
psychiatric day care
vocational rehabilitation
url https://www.jstage.jst.go.jp/article/eohp/4/1/4_2021-0009-OA/_html/-char/en
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