Posttraumatic stress disorder, supported employment, and outcomes in people with severe mental illness.

摘要: Objective To evaluate whether posttraumatic stress disorder (PTSD) is related to outcomes in persons with severe mental illness (SMI) participating a study of vocational rehabilitation programs. Background PTSD common comorbid people SMI, but it unknown interferes the ability benefit from programs such as supported employment. Methods The relationships between and symptoms, health, quality life, work was examined 176 clients SMI 2-year randomized controlled trial three programs: employment based on Individual Placement Support model, psychosocial program transitional employment, standard services. Results overall rate current sample 16 percent. Compared without PTSD, had more psychiatric worse reported lower self-esteem, subjective life. Clients who participated model (the most effective studied) also over period than rates competitive work, fewer hours worked, wages earned. Employment did not differ versus other two approaches. Conclusion findings suggest that may contribute Effective treatment these improve their