Vocational Rehabilitation of Chronically Mentally Ill Pa­tients - A Synopsis of the Current Position

Pfammatter, Mario; Hoffmann, Holger; Kupper, Zeno; Brenner, Hans Dieter (2000). Vocational Rehabilitation of Chronically Mentally Ill Pa­tients - A Synopsis of the Current Position. Fortschritte der Neurologie, Psychiatrie, 68(2), pp. 61-69. Thieme 10.1055/s-2000-11644

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Vocational reha­bilitation has long been of central importance in the compre­hensive treatment of the psychiatrically disabled. This is reflect­ed by the creation of a broad spectrum of vocational rehabilita­tion programs, ranging from inpatient and outpatient work therapy and sheltered employment to supported employment programs within the competitive labour market. Evaluation studies have shown that although sheltered vocational rehabili­tation programs effect a significant rise in the work activity, ra­te of employment, job tenure and income of people with chro­nic mental illness in the alternative labour market, these pro­gramms do not substantially increase job placement in the competitive labour market. By contrast, supported employ­ment programs have proven more successful in achieving a hig­her integration rate in the competitive labour market for the chronically mentally ill. As opposed to the well­developed alternative labour market, supported employment programs are not broadly disseminated in German­speaking countries. Fur­thermore, vocational rehabilitation in general suffers from a lack of systematic evaluation and thus from inadequate scienti­fic foundation.­

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