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Employment rates in flexible assertive community treatment teams in The Netherlands: An observational study

Kortrijk,H.E.
Mulder,N.L.
Kamperman,A.M.
van Weeghel,J.
Abstract
We determined the proportions of clients treated in Flexible Assertive Community Treatment teams who were unemployed and gained employment and who were employed and lost employment. Secondly, we explored the demographical and clinical factors associated with employment. Data were collected during routine outcome monitoring. We calculated differences in employment rates over a year and explored differences in demographic characteristics at baseline between patient groups. Logistic regression analysis was used to estimate the role of clinical predictor variables on employment status. Over time, 10% remained employed, 5% lost their employment, 3% gained employment and 82% remained unemployed. Clients who found employment were younger, more often male, and had significantly fewer psychosocial problems and a higher subjective quality of life during follow-up than those who remained unemployed. Problems with motivation for treatment at baseline were related to losing employment or remaining unemployed. Better implementation of vocational services is very important for increasing the number of clients gaining employment.
Description
Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Research Projects
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Journal Issue
Keywords
CAMBERWELL ASSESSMENT, DUTCH VERSION, Employment, FACT, Flexible Assertive Community Treatment, INDIVIDUAL PLACEMENT, NEED, PEOPLE, PREDICTORS, SEVERE MENTAL-ILLNESS, SUPPORTED EMPLOYMENT, Severe mental illness, Vocational services, WORK
Citation
Kortrijk, H E, Mulder, N L, Kamperman, A M & van Weeghel, J 2019, 'Employment rates in flexible assertive community treatment teams in The Netherlands : An observational study', Community Mental Health Journal, vol. 55, no. 2, pp. 350-359. https://doi.org/10.1007/s10597-018-0233-0
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