关键词: fidelity first‐episode psychosis supported education supported employment program guidelines

来  源:   DOI:10.1111/eip.13533

Abstract:
BACKGROUND: Psychotic disorders are associated with academic difficulties. Supported Employment Program (SEP) guidelines have become the gold standard to improve occupational functioning in psychotic disorders. More recently, these guidelines have been adapted to education. In Canada, several community organizations and hospital programs offer supported education to young people with psychotic disorders. However, SEP guidelines are not systematically used. The objective of this study was to assess the fidelity of 6 Canadian (Quebec) organizations offering supported education services to young people with psychotic disorders to the SEP guidelines adapted to education.
METHODS: Six sites offering educational services to young people with psychotic disorders were recruited. Semi-structured interviews were conducted with one supported education professional and one manager of each site, using the Quality of Supported Education Implementation Scale (QSEDIS). This new scale has been developed from the Quality of Supported Employment Implementation Scale. The QSEDIS assesses the fidelity of the quality of the implementation of supported education programs, using three subscales (Employees, Organization and Services).
RESULTS: Acceptable fidelity scores were observed in the three QSEDIS subscales for all six sites combined. The Services subscale received the highest score of fidelity (4.4/5), followed by the Supported Education Employee (4.1/5) and the Organization (3.7/5).
CONCLUSIONS: The results suggest that supported education services offered to young people with psychotic disorders in the six sites are generally consistent with SEP guidelines adapted to education. Further research is warranted to validate whether acceptable SEP guidelines fidelity according to the QSEDIS translates into educational outcomes.
摘要:
背景:精神病与学业困难有关。支持就业计划(SEP)指南已成为改善精神病患者职业功能的黄金标准。最近,这些指导方针已经适应了教育。在加拿大,一些社区组织和医院计划为患有精神病的年轻人提供支持教育。然而,没有系统地使用SEP指南。这项研究的目的是评估6个加拿大(魁北克)组织的忠诚度,这些组织为患有精神病的年轻人提供支持的教育服务,以适应SEP的教育指南。
方法:招募了六个为患有精神病的年轻人提供教育服务的网站。对每个站点的一名受支持的教育专业人员和一名经理进行了半结构化访谈,使用支持教育实施质量量表(QSEDIS)。这一新的量表是根据支持就业实施质量量表制定的。QSEDIS评估支持的教育计划的实施质量的保真度,使用三个子量表(员工,组织和服务)。
结果:在所有六个位点的三个QSEDIS分量表中观察到可接受的保真度评分。服务子量表获得了最高的保真度(4.4/5),其次是受支持的教育雇员(4.1/5)和本组织(3.7/5)。
结论:结果表明,在六个地点为患有精神病的年轻人提供的支持教育服务与适合教育的SEP指南基本一致。需要进一步的研究来验证根据QSEDIS可接受的SEP指南保真度是否转化为教育成果。
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