Assertive community treatment (ACT) provides comprehensive clinical services, including vocational rehabilitation, to individuals with psychiatric disorders for which traditional community mental health services are insufficient. ACT is an evidence-based intervention yielding many positive outcomes, yet service recipients continue to struggle with workforce involvement. The purpose of this study is to determine whether internalized stigma, psychiatric hospitalization, and psychiatric symptoms are associated with work-related self-efficacy among ACT service recipients. A total of 72 individuals with severe mental illness were recruited from ACT programs in three counties in a Mid-Atlantic state. Multiple linear regression was conducted to examine the relationship between work-related self-efficacy and the independent variables of internalized stigma, psychiatric hospitalization, and psychiatric symptoms. Higher internalized stigma scores were negatively associated with work-related self-efficacy (β = −.31, t = −2.32, p < .05), while psychiatric hospitalization in the past year was positively associated with work-related self-efficacy (β = .22−.27, t = −2.13, p < .05). Findings from this study suggests internalized stigma to be an important recovery variable requiring the attention of ACT team members when preparing individuals for work, while countering the assumption that recent hospitalization is a barrier to work-related self-efficacy.

中文翻译：

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疾病认同在积极社区治疗中的作用

积极的社区治疗 (ACT) 为患有传统社区心理健康服务不足的精神障碍患者提供全面的临床服务，包括职业康复。ACT 是一种基于证据的干预措施，产生了许多积极的结果，但服务接受者仍在努力解决劳动力参与问题。本研究的目的是确定内化污名、精神病住院和精神病症状是否与 ACT 服务接受者的工作相关自我效能感相关。共有 72 名患有严重精神疾病的人从大西洋中部一个州的三个县的 ACT 项目中招募。进行多元线性回归以检查与工作相关的自我效能感与内化污名、精神病住院和精神病症状的自变量之间的关系。较高的内化污名分数与工作相关的自我效能感呈负相关（β = -.31，t = -2.32，p < .05），而过去一年的精神病住院与工作相关的自我效能感呈正相关（ β = .22-.27，t = -2.13，p < .05）。这项研究的结果表明，内化污名是一个重要的恢复变量，需要 ACT 团队成员在为个人做好工作准备时予以注意，同时反驳了最近住院是工作相关自我效能障碍的假设。较高的内化污名分数与工作相关的自我效能感呈负相关（β = -.31，t = -2.32，p < .05），而过去一年的精神病住院与工作相关的自我效能感呈正相关（ β = .22-.27，t = -2.13，p < .05）。这项研究的结果表明，内化污名是一个重要的恢复变量，需要 ACT 团队成员在为个人做好工作准备时予以注意，同时反驳了最近住院是工作相关自我效能障碍的假设。较高的内化污名分数与工作相关的自我效能感呈负相关（β = -.31，t = -2.32，p < .05），而过去一年的精神病住院与工作相关的自我效能感呈正相关（ β = .22-.27，t = -2.13，p < .05）。这项研究的结果表明，内化污名是一个重要的恢复变量，需要 ACT 团队成员在为个人做好工作准备时予以注意，同时反驳了最近住院是工作相关自我效能障碍的假设。