关键词: criminal legal distance learning drug use telecommunications veterans’ issues vocational rehabilitation

来  源:   DOI:10.1176/appi.ps.20230408

Abstract:
UNASSIGNED: People with previous incarceration and a mental disorder, a substance use disorder, or both are less likely to obtain employment than are those without these characteristics. Distance learning and education (DLE) systems are increasingly being integrated into clinical care and provide a pathway to disseminate vocational services. DLE systems can help reach people with barriers to accessing services, including people without transportation, experiencing homelessness, living in rural areas, or who are homebound. This study evaluated the effectiveness of one DLE system, the COMPASS program, in assisting formerly incarcerated veterans with a mental or substance use disorder to obtain employment.
UNASSIGNED: The authors used a randomized controlled trial to compare employment outcomes of 39 U.S. veterans receiving the COMPASS intervention with those of 43 veterans receiving a paper self-study vocational manual. All participants had previous legal convictions and had a mental disorder, a substance use disorder, or both. The COMPASS system provided vocational services through asynchronous (online practice assignments, reading, and videos) and synchronous (video and telephone practice interviews and live chats) methods. No in-person vocational services were provided in the COMPASS intervention.
UNASSIGNED: At 6 months, participants assigned to receive the COMPASS intervention were more likely to have found employment, defined as 1 day of competitive employment, compared with those assigned to receive the self-study manual (64% vs. 35%, respectively)-and to have found employment faster.
UNASSIGNED: This study\'s findings provide evidence for the effectiveness of the COMPASS system in providing employment services and suggest that these services may benefit other vulnerable populations.
摘要:
曾经被监禁和有精神障碍的人,物质使用障碍,或者两者都比没有这些特征的人更不可能就业。远程学习和教育(DLE)系统越来越多地融入临床护理,并提供了传播职业服务的途径。DLE系统可以帮助有障碍的人访问服务,包括没有交通工具的人,经历无家可归,生活在农村地区,或者是谁在家里。这项研究评估了一个DLE系统的有效性,COMPASS计划,协助患有精神或物质使用障碍的前被监禁的退伍军人获得就业。
作者使用一项随机对照试验,比较了接受COMPASS干预的39名美国退伍军人与接受自修职业手册的43名退伍军人的就业结果。所有参与者以前都有法律定罪,并且有精神障碍,物质使用障碍,或者两者兼而有之。COMPASS系统通过异步(在线实践作业,阅读,和视频)和同步(视频和电话练习采访和现场聊天)方法。COMPASS干预中未提供亲自职业服务。
在6个月时,被分配接受COMPASS干预的参与者更有可能找到工作,定义为1天的竞争性就业,与那些被分配接受自学手册的人相比(64%与35%,分别)-并更快地找到工作。
这项研究的发现为COMPASS系统提供就业服务的有效性提供了证据,并表明这些服务可能使其他弱势群体受益。
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