中華心理衛生協會

 Purpose: The purpose of this study is to explore the effectiveness of vocational training participation among patients with schizophrenia (PwS) and to further identify the factors affecting the employability of those who participate in vocational training. Method: This study was the final of 4 waves of surveys over an 18 month period of PwS who participated in and completed vocational training during that period. We applied purposive sampling and recruited participants at a community rehabilitation center affiliated with a psychiatric hospital in southern Taiwan. Participants completed 4 questionnaires, including a baseline survey upon entering the training program, and 3 follow-up surveys, once every 6 months over the following 18 months. The questionnaire included 5 parts: basic information, assessment of independent living function, assessment of social support, assessment of work performance (including work behavior, attitude, and ability), and assessment of mental status (including 5 domains: emotional, thought, perception, cognitive impairment, and behavioral problems). Results: A total of 54 male and 50 female participants (average age 46.75 years) completed the survey. After participating in vocational training for 18 months, participants showed significant improvement in both work attitude and work capabilities. Moreover, cognitive impairment was identified as a significant factor affecting employability. Additionally, for individuals with moderate to severe mental disorders, social support and cognitive impairment were significant factors influencing their employability. Conclusions: Through 18 months of vocational training, participants demonstrated significant improvements in both work attitude and job skills. Additionally, high "social support" and low "cognitive impairment" were identified as positive and significant factors influencing the employability of individuals with moderate to severe mental disorders.