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Clinical Trial
. 2021 May 25;21(1):268.
doi: 10.1186/s12888-021-03277-0.

The social support, mental health, psychiatric symptoms, and functioning of persons with schizophrenia participating in peer co-delivered vocational rehabilitation: a pilot study in Taiwan

Kan-Yuan Cheng  1 , Chia-Feng Yen  2
Affiliations
Clinical Trial

The social support, mental health, psychiatric symptoms, and functioning of persons with schizophrenia participating in peer co-delivered vocational rehabilitation: a pilot study in Taiwan

Kan-Yuan Cheng et al. BMC Psychiatry. .

Abstract

Background: Vocational peer support (VPS) services are recovery-oriented interventions in modern psychiatric care for persons with schizophrenia. However, few VPS services are found in Taiwan. Hence, a pilot program of peer co-delivered vocational rehabilitation to support persons with schizophrenia in Taiwan was proposed and evaluated.

Methods: Six peers were trained and were willing to co-lead and assist workplace problem-solving groups and care skills training in an extended vocational rehabilitation program from August 2017 to December 2018. The social support, mental health, psychiatric symptoms, and functioning of service users were assessed before and after peer co-delivered services, and the assessments were based on the following: Social Support Scale (SSS), Chinese Health Questionnaire-12 (CHQ-12), Brief Psychiatric Rating Scale (BPRS), Global Assessment of Function (GAF), and the Chinese version of the Social Functioning Scale (C-SFS).

Results: The recruited 46 service users were mostly middle-aged (49.1 ± 9.8), with 27 being male (58.7%). After interventions, 42 service users who completed the program had a significantly increased SSS score (149.1 ± 31.8 vs. 161.2 ± 35.0, df = 41, t = 2.70, p = 0.01) and subscale of friend-peer dimension (44.4 ± 12.0 vs. 53.2 ± 13.2, df = 41, t = 4.72, p < 0.001). The objective (GAF: 69.8 ± 9.8 vs. 72.6 ± 8.8, df = 41, t = 3.50, p = 0.001) and subjective social functional scores (C-SFS: 75.2 ± 8.8 vs. 78.1 ± 9.5, df = 41, t = 2.59, p = 0.01) both significantly increased. The weekly wage elevated significantly (37.5 ± 35.5 vs. 43.6 ± 38.0, df = 41, t = 2.57, p = 0.01) and the BPRS-18 score decreased significantly, too (31.2 ± 6.7 vs. 29.3 ± 5.0, df = 41, t = - 2.83, p = 0.007).

Conclusions: Peer co-delivered vocational rehabilitation services may enhance the social support received by persons with schizophrenia and improve their occupational outcomes. The pilot program proposed can thus be a model for non-Western countries with limited resources allocated by governments to support persons with schizophrenia.

Trial registration: ClinicalTrials NCT04767204, retrospectively registered on Feb 23, 2021.

Keywords: Mental illness; Peer support; Vocational rehabilitation.

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Conflict of interest statement

The authors declare that they have no competing interests.

References

    1. Marwaha S, Johnson S. Schizophrenia and employment - a review. Soc Psychiatry Psychiatr Epidemiol. 2004;39(5):337–349. doi: 10.1007/s00127-004-0762-4. - DOI - PubMed
    1. Lysaker PH, Davis LW. Social function in schizophrenia and schizoaffective disorder: associations with personality, symptoms and neurocognition. Health Qual Life Outcomes. 2004;2(1):15. doi: 10.1186/1477-7525-2-15. - DOI - PMC - PubMed
    1. Rosenheck R, Leslie D, Keefe R, McEvoy J, Swartz M, Perkins D, Stroup S, Hsiao JK, Lieberman J, CATIE Study Investigators Group Barriers to employment for people with schizophrenia. Am J Psychiatry. 2006;163(3):411–417. doi: 10.1176/appi.ajp.163.3.411. - DOI - PubMed
    1. Verhaeghe M, Bracke P, Bruynooghe K. Stigmatization and self-esteem of persons in recovery from mental illness: the role of peer support. Int J Soc Psychiatry. 2008;54(3):206–218. doi: 10.1177/0020764008090422. - DOI - PubMed
    1. Jones N, Corrigan PW, James D, Parker J, Larson N. Peer support, self-determination, and treatment engagement: a qualitative investigation. Psychiatr Rehabil J. 2013;36(3):209–214. doi: 10.1037/prj0000008. - DOI - PubMed

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