Research Article  |   August 2018
Employment Outcomes After Vocational Training for People With Chronic Psychiatric Disorders: A Multicenter Study
Author Affiliations
  • Hui-Ling Lee, MS, OT, is Director, Department of Occupational Therapy, Tsao-Tun Psychiatric Center, Nantou County, Taiwan
  • Eric J. Hwang, PhD, OTR/L, is Professor, Department of Occupational Therapy, College of Health, Human Services and Nursing, California State University, Dominguez Hills; ehwang@csudh.edu
  • Shang-Liang Wu, DrPH, is Associate Professor, School of Medicine, Griffith University, Gold Coast Campus, Queensland, Australia
  • Wei-Mo Tu, PhD, is Assistant Professor, Department of Disability and Addiction Rehabilitation, University of North Texas, Denton
  • Ming Hung Wang, PhD, is Professor, Graduate Institute of Rehabilitation Counseling, National Changhua University of Education, Changhua, Taiwan
  • Fong Chan, PhD, is Professor, Chairperson, and Norman L. and Barbara M. Berven Professor of Rehabilitation Psychology, Department of Rehabilitation Psychology and Special Education, University of Wisconsin–Madison
Article Information
Education of OTs and OTAs / Mental Health / Work and Industry / Special Issue: Research Articles
Research Article   |   August 2018
Employment Outcomes After Vocational Training for People With Chronic Psychiatric Disorders: A Multicenter Study
American Journal of Occupational Therapy, August 2018, Vol. 72, 7205195010p1-7205195010p9. doi:10.5014/ajot.2018.028621
American Journal of Occupational Therapy, August 2018, Vol. 72, 7205195010p1-7205195010p9. doi:10.5014/ajot.2018.028621
Abstract

People with a chronic psychiatric disorder (CPD) have low employment rates worldwide. This multicenter retrospective cohort study examined the employment outcomes of an innovative in-house vocational training program for people with CPD in Taiwan and explored which program parameters significantly predicted outcomes. Data were retrieved from the records of 323 participants who completed the training program. Satisfactory employment rates were found at 1 (52.9%), 3 (60.4%), and 6 (65.6%) mo posttraining, and 38.7% of participants demonstrated high employment sustainability (employed throughout the first 6 mo posttraining). Three program parameters significantly predicted employment outcomes: (1) occupational therapists’ pursuit of additional training or short-term apprenticeship pertinent to clients’ job interests, (2) posttraining vocational counseling provided by community-based occupational therapists, and (3) the duration of 6 mo posttraining to allow clients to prepare for competitive employment. Occupational therapist–led in-house vocational training is a promising alternative to traditional vocational training for people with CPD.