A high proportion of people with severe mental illness (SMI) want to work, consider it essential for recovery, yet employment rates are low. Many employees in public employment services (PES) work according to traditional attitudes that people with SMI are unable to work and if they do, risk harm from work-related stress. These attitudes conflict with principles in evidence based vocational models like individual placement and support (IPS) and probably contributes to the low-employment rate. The aim of this study was to investigate attitudes towards the evidence-based principles of IPS among PES employees with and without exposure to IPS. A case vignette describing a person with SMI and statements referring to this vignette was developed and administered to PES employees at two timepoints, 4 years apart. Respondents indicated their attitudes on a six-point Likert scale to statements in accordance to the principles of IPS. Independent two-tailed sample t-tests were used to analyse differences between respondents in municipalities with IPS exposure, compared to municipalities without. Multiple linear regressions with attitudes as a dependent variable was used to test whether attitudes changed over time dependent on exposure to IPS. Attitudes were generally aligned with IPS principles compared to current PES practice. The municipality with IPS exposure had more favourable attitudes (p < 0.01). Changes in attitudes were minimal over time and did not differ between regions (p < 0.287). Attitudes of employees in PES are aligned with the principles of IPS and to a greater extent if exposed to IPS.

中文翻译：

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公共就业服务机构员工的态度是否符合个人安置和支持的原则？基于问卷的调查

很大一部分患有严重精神疾病 (SMI) 的人希望工作，认为这对康复至关重要，但就业率很低。许多公共就业服务机构 (PES) 的员工按照传统态度工作，即患有 SMI 的人无法工作，如果他们这样做，就有可能因工作压力而受到伤害。这些态度与个人安置和支持 (IPS) 等基于证据的职业模式中的原则相冲突，并可能导致低就业率。本研究的目的是调查暴露于和未暴露于 IPS 的 PES 员工对 IPS 循证原则的态度。一个描述患有 SMI 的人的案例小插曲和提及该小插曲的陈述是在相隔 4 年的两个时间点开发和管理给 PES 员工的。受访者对符合 IPS 原则的陈述以李克特六点量表表示他们的态度。独立双尾样本t检验用于分析暴露于 IPS 的城市与没有暴露于 IPS 的城市的受访者之间的差异。以态度作为因变量的多元线性回归用于测试态度是否随时间变化取决于暴露于 IPS。与当前的 PES 实践相比，态度通常与 IPS 原则一致。有 IPS 暴露的市政当局态度更积极（p  < 0.01）。随着时间的推移，态度的变化很小，并且在不同地区之间没有差异（p  < 0.287）。PES 中员工的态度与 IPS 的原则一致，如果接触 IPS，则在更大程度上是一致的。