[Early termination of vocational rehabilitation for the severe mentally ill].
OBJECTIVE
To determine the conditional factors underlying a premature termination of vocational rehabilitation programs.


METHODS
123 rehabilitation participants were assessed prospectively regarding sociodemographic and psychopathological variables, level of functioning, subjective health, intellectual and work capacity.


RESULTS
23 persons terminated rehabilitation prematurely. Drop-outs differed regarding sociodemographic and illness-related variables, in subjective physical health, level of functioning, intelligence and work capacity. Three types of "drop-outs" could be identified: Termination due to exacerbation (of a functional psychosis), due to reluctance to show-up (mainly men with antisocial personality disorders) and a non-specific group.


CONCLUSIONS
Vocational rehabilitation of subjects with severe mental illness should take account of each rehabilitant's individual capacities and abilities as well as individual concepts of the disorder. Moreover, integrated concepts of medical treatment and vocational rehabilitation are needed to ensure rehabilitation success.
Klinik und Poliklinik für Psychiatrie und Psychotherapie der Martin-Luther-Universität Halle-Wittenberg, Halle/Saale. stefan.watzke@medizin.uni-halle.de
Stefan
S
Watzke
Anja
A
Galvao
Berthold
B
Gawlik
Michael
M
Hühne
Peter
P
Brieger
D000328:Adult; D000987:Antisocial Personality Disorder / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D010352:Patient Dropouts / Q000523:psychology* / Q000706:statistics & numerical data; D011446:Prospective Studies; D011618:Psychotic Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D012050:Rehabilitation, Vocational / Q000523:psychology* / Q000706:statistics & numerical data; D012307:Risk Factors; D012559:Schizophrenia / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation*; D013001:Somatoform Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*