2023 Fiscal Year Final Research Report

Development of a user-led evaluation and self-monitoring system for employment service quality in mental health service agencies

Research Project

PDF

Project/Area Number	20H01611
Research Category	Grant-in-Aid for Scientific Research (B)
Allocation Type	Single-year Grants
Section	一般
Review Section	Basic Section 08020:Social welfare-related
Research Institution	National Center of Neurology and Psychiatry
Principal Investigator	Yamaguchi Sosei 国立研究開発法人国立精神・神経医療研究センター, 精神保健研究所地域精神保健・法制度研究部, 室長 (20611924)
Co-Investigator(Kenkyū-buntansha)	小池純子国立研究開発法人国立精神・神経医療研究センター, 精神保健研究所地域精神保健・法制度研究部, 室長 (00617467) 吉田光爾東洋大学, ライフデザイン学部, 教授 (30392450) 松長麻美国立研究開発法人国立精神・神経医療研究センター, 精神保健研究所地域精神保健・法制度研究部, 客員研究員 (70511129)
Project Period (FY)	2020-04-01 – 2023-03-31
Keywords	就労支援 / 精神障害 / フィデリティ / 援助付き雇用 / 支援の質
Outline of Final Research Achievements	This study aimed to: (i) evaluate the self-assessment system for the Individualized Supported Employment Fidelity scale (JiSEF), and (ii) evaluate items from the service users' perspective. Over a four-year investigation, a significant correlation was observed between the JiSEF scores based on reviewers' ratings and self-assessment. Additionally, reviewer-rated fidelity scores demonstrated a significant and moderately positive correlation with employment rates across the participating agencies. The correlation between self-assessed fidelity scores and employment rates was lower than that with reviewer-rated fidelity. Moreover, the fidelity items that included the service users' perspective did not show a significant correlation with agency employment rates.
Free Research Field	精神障害
Academic Significance and Societal Importance of the Research Achievements	本研究は、援助付き雇用の再現性という文脈で就労支援の自己評価と当事者視点の評価を試みた。その結果、自己評価より第3者調査員による評価が、機関就労率（アウトカム）と関連した。また、当事者視点の項目は必ずしも機関就労率と関連しなかった。よって、就労支援の質の向上は、外部評価のシステム作りが重要になる示唆された。