4%. Schizophrenia spectrum psychoses. 8%. Schizophrenia. Schizoaffective. Affective non-schizophrenic psychoses. 44%. Bipolar I with. 45%. psychosis. Psychotic. 32%. depression. 56%. Other psychosis. 136 subjects admitted to JAP. 10%. 114 met inclusion criteria. References.
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Schizophrenia spectrum psychoses
Affective non-schizophrenic psychoses
Bipolar I with
136 subjects admitted to JAP
114 met inclusion criteria
 Marshall M, Bond GR, Huxley P. Vocational rehabilitation for people with severe mental illness. Cochrane Database of Systematic Reviews 2008, issue 3.
 Marwaha S. et Johnson S. Schizophrenia and employment – a review.Social Psychiatry and Psychiatric Epidemiology. 2004 May;39(5):337-49. Review
 Bond GR. Supported employement: Evidence for an evidence-based practice. Psychiatric Rehabilitation Journal. 2004 Spring; Volume 27, Number 4
All patients and workers at the Clinique JAP who made this research project possible
Diagnosis for first-episode psychosis (n=97)
Diagnostic group (n=97)
Psychosis usually emerges between 15 and 35 years of age, a period during which vocational choices are made, and often compromises the patients educational and professional projects.
With regular treatments offered in psychiatry, unemployment rates for people suffering from “severe mental illness” are 75-85 %. Marwaha’s review showed that employment rates for people suffering from schizophrenia ranged between: 4-27 % and even if a significant number number would like to have a job, few are offered specific services.
The Clinique JAP (Centre Hospitalier de l’Université de Montréal) is an early intervention program for psychosis where occupational rehabilitation is not only one of the major therapeutic goals but is also used as a ‘treatment modality’. ‘Vocational case management’ (VCM) as well as therapeutic groups aim toward going back to a productive activity. The interdisciplinary team offers an integrated treatment for psychosis and vocational functioning. On top of regular intensive case management services VCM offers help to get and maintain a job including outreach in that purpose and the ‘active’ elements of supported employment which are: aiming for competitive jobs, continuous and individualized support, integration of vocational and treatment teams and fast job research based on patients preferences.
Follow-up : min: 12 months and max: 60 months
Factors associated to return to occupation
97 subjects were considered for the analyses
(17 subjects were excluded since followed for less than one year, median 2.2 months)
Discussion and Conclusion
academic activities seem to improve occupational levels for patients suffering from first-episode psychosis
Mean Age: 23.5 yo Sex 78.3% male