Employment Rates in Flexible Assertive Community Treatment Teams in The Netherlands: An Observational Study

Autor: Astrid M. Kamperman, Niels Mulder, Jaap van Weeghel, Hans E. Kortrijk
Přispěvatelé: Psychiatry, Geestelijke Gezondheidszorg, Tranzo, Scientific center for care and wellbeing
Rok vydání: 2019
Předmět:
Adult
Employment
Male
Health (social science)
Assertive community treatment
DUTCH VERSION
FACT
Logistic regression
Outcome monitoring
03 medical and health sciences
Young Adult
0302 clinical medicine
Flexible Assertive Community Treatment
PEOPLE
Severe mental illness
Humans
030212 general & internal medicine
Baseline (configuration management)
PREDICTORS
Vocational services
Supported employment
Netherlands
WORK
Mental Disorders
SEVERE MENTAL-ILLNESS
Public Health
Environmental and Occupational Health
NEED
Rehabilitation
Vocational
SUPPORTED EMPLOYMENT
Middle Aged
Community Mental Health Services
030227 psychiatry
Psychiatry and Mental health
Logistic Models
Vocational education
Quality of Life
Observational study
CAMBERWELL ASSESSMENT
Female
INDIVIDUAL PLACEMENT
Psychology
Psychosocial
Demography
Zdroj: Community Mental Health Journal, 55(2), 350-359. Springer Netherlands
ISSN: 1573-2789
0010-3853
DOI: 10.1007/s10597-018-0233-0
Popis: We determined the proportions of clients treated in Flexible Assertive Community Treatment teams who were unemployed and gained employment and who were employed and lost employment. Secondly, we explored the demographical and clinical factors associated with employment. Data were collected during routine outcome monitoring. We calculated differences in employment rates over a year and explored differences in demographic characteristics at baseline between patient groups. Logistic regression analysis was used to estimate the role of clinical predictor variables on employment status. Over time, 10% remained employed, 5% lost their employment, 3% gained employment and 82% remained unemployed. Clients who found employment were younger, more often male, and had significantly fewer psychosocial problems and a higher subjective quality of life during follow-up than those who remained unemployed. Problems with motivation for treatment at baseline were related to losing employment or remaining unemployed. Better implementation of vocational services is very important for increasing the number of clients gaining employment.
Databáze: OpenAIRE
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