title: Factors discriminating employment status following in-patient evaluation among persons with schizophrenia.
abstract: BACKGROUND
  Employment is a key element in recovery from schizophrenia. Yet 60%-80% of people with schizophrenia are not involved in work occupations. Factors influencing employment were explored mostly in community settings, while the recovery process begins already during hospitalization.
  
  
  OBJECTIVE
  The aim of the study was to investigate parameters that can distinguish during hospitalization between people with schizophrenia who will work in competitive employment, in sheltered employment or will not work after discharge.
  
  
  METHODS
  The research followed 104 participants from acute hospitalization to the community, six months after discharge, to obtain employment related data. The participants' cognitive abilities, schizophrenia symptoms, and functional capacity were evaluated during hospitalization. In addition, demography and illness related factors were collected.
  
  
  RESULTS
  The results indicate that persons with different employment statuses varied in several parameters during hospitalization. However, the most effective discriminant model includes negative symptoms, functional capacity measure and the number of hospitalizations.
  
  
  CONCLUSIONS
  The study suggests that people with different employment statuses have unique characteristics already during hospitalization. In the future, appropriate rehabilitation programs may be suggested to each group based on these characteristics to promote employment among people with schizophrenia and contribute to recovery.
authors.affiliation: Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University and Beer-Ya'akov-Ness-Ziona-Maban Mental Health Center affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Lena
authors.initials: L
authors.lastname: Lipskaya-Velikovsky
authors.affiliation: Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Moshe
authors.initials: M
authors.lastname: Kotler
authors.affiliation: Department of Occupational Science and Occupational Therapy, The University of British Columbia, Vancouver, Canada.
authors.forename: Tal
authors.initials: T
authors.lastname: Jarus
mesh_terms: D000328:Adult; D003071:Cognition; D004651:Employment; D016832:Employment, Supported; D005260:Female; D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012559:Schizophrenia / Q000534:rehabilitation; D012565:Schizophrenic Psychology; D063189:Symptom Assessment; D014938:Work Capacity Evaluation; D055815:Young Adult
keywords: Work; acute hospitalization; cognition