PDF(Pubmed)
Abstract：
UNASSIGNED: People with severe mental illnesses (SMI) face different occupational challenges than those diagnosed with personality disorders (PD). Supported employment (SE) has been validated for SMI patients but its effectiveness for individuals with PD remains unclear, and the reasons for this potential difference have not been explored. This study aimed to identify differences in SE practice for clients with SMI and those with PD.
UNASSIGNED: Six SE job coaches were interviewed about their experiences. A thematic analysis was run.
UNASSIGNED: More difficulties and facilitators were mentioned regarding clients with PD than regarding clients with other SMI. For both, patients\' symptoms were reported to negatively affect their (re)integration into the job market. However, in contrast to that of clients with SMI, the relation between symptoms and SE success for clients with PD involved difficult behaviors and their negative impact on the therapeutic relationship.
UNASSIGNED: In summary, SE practice seems to be undermined by PD and could benefit from adaptations, such as specific training for SE teams to help them in managing clients with this disorder.
UNASSIGNED: Six SE job coaches were interviewed about their experiences. A thematic analysis was run.
UNASSIGNED: More difficulties and facilitators were mentioned regarding clients with PD than regarding clients with other SMI. For both, patients\' symptoms were reported to negatively affect their (re)integration into the job market. However, in contrast to that of clients with SMI, the relation between symptoms and SE success for clients with PD involved difficult behaviors and their negative impact on the therapeutic relationship.
UNASSIGNED: In summary, SE practice seems to be undermined by PD and could benefit from adaptations, such as specific training for SE teams to help them in managing clients with this disorder.
摘要：
患有严重精神疾病（SMI）的人面临的职业挑战与被诊断为人格障碍（PD）的人不同。支持就业（SE）已得到SMI患者的验证，但其对PD患者的有效性尚不清楚。这种潜在差异的原因还没有被探索。这项研究旨在确定SMI客户和PD客户在SE实践方面的差异。
■采访了六名SE工作教练，了解了他们的经历。进行了专题分析。
■与其他SMI的客户相比，与PD的客户相比，提到了更多的困难和促进因素。对于两者来说，据报道，患者的症状对他们(重新)融入就业市场产生负面影响。然而,与SMI的客户相比，PD患者的症状与SE成功之间的关系涉及困难行为及其对治疗关系的负面影响。
■总之，SE实践似乎受到PD的破坏，可以从适应中受益，例如对SE团队进行特定培训，以帮助他们管理患有这种疾病的客户。
■采访了六名SE工作教练，了解了他们的经历。进行了专题分析。
■与其他SMI的客户相比，与PD的客户相比，提到了更多的困难和促进因素。对于两者来说，据报道，患者的症状对他们(重新)融入就业市场产生负面影响。然而,与SMI的客户相比，PD患者的症状与SE成功之间的关系涉及困难行为及其对治疗关系的负面影响。
■总之，SE实践似乎受到PD的破坏，可以从适应中受益，例如对SE团队进行特定培训，以帮助他们管理患有这种疾病的客户。
