Welfare mothers strike it rich.
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BACKGROUND: Vocational integration of mentally ill patients is confronted not only with illness-related restrictions but also with the current situation on the labour market and prejudices on the part of potential employers. The Consultancy Centres for Vocational Integration work with a supported employment approach which was adapted to the German situation. It includes prevocational training, assistance in finding appropriate jobs, cooperation with employing companies and long-term job site support. METHODS AND PATIENTS: Within the scope of a major study on vocational rehabilitation in the German region of Westphalia-Lippe, we carried out a prospective study of the further vocational course of 61 patients who had already been placed in competitive employment within the framework of the Consultancy Centres. These patients (30 men, 31 women) had a mean age of 31 years (+/- 6.9); 54% of them were suffering from schizophrenic disorders; mean duration of illness was 8.2 years (+/- 6.8). RESULTS: After two years (and for a subsample of 33 patients also after 3 years) two-thirds of patients were still in competitive employment. Predictors of success proved to be 1) a higher ability to cope with vocational stress on introduction of the measure, 2) an earlier start to rehabilitation, and 3) financial assistance for the company. A close correlation was recorded between course of illness (rehospitalizations) and success of rehabilitation. CONCLUSIONS: Even in the current situation of high unemployment rates vocational integration of mentally ill patients is possible and stable in medium term. Especially highly-motivated patients with favourable preconditions (early start of rehabilitation measures, higher ability to cope with work stress) are successful if intensive long-term support--including efforts involving employers--is provided.
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This article examines the theory and practice relating to transition services and career education for individuals with developmental disabilities in Japan. The article is also intended to guide future enactment and social services that affect life-cycle transitions.
The scientific and practical aspects of medical and psychophysiological professional orientation in teenagers and young people have become more and more pressing due to their poorer health along with higher demands for their resistance to unfavourable factors. The aid of a physician and a psychophysiologist in their choice of a future profession promotes the prevention of general and occupational morbidity. Work on professional orientation should be began at school in the 5th-6th and done through school life during which they get a general and vocational education. Guidelines have been developed for effective medical and physiological professional counselling.
An increasing importance of medical professional orientation of and medical specialist advice to teenagers and young people is evidenced. Data on morbidity among schoolchildren and young employed people are presented. The author shows it necessary to make new lists of medical contraindications for vocational training, a standard and methodological basis, and automatic systems for medical and professional orientation.
This paper considers the potential role of videoconferencing technology for postgraduate dental and medical education. Drawing on work from the University of Bristol Dental School, it presents an analysis of the potential cost savings achievable by using videoconferencing compared to traditional face-to-face teaching across a range of scenarios. A summary of the feedback from trainees is also provided.
The paper considers a complex of methods used in diagnostic psychophysiological studies in consulting practice by using a computer "Psychomat" complex.
Employment prospects are excellent for recently graduated pharmacists. New pharmacy practitioners are employing their clinical, scientific, and business skills in an expanding array of fields. Starting salaries for newly graduated pharmacists are rising, although base salaries vary depending on the employer, field of practice, and area of the country.
Managing the process of a merger with staff support and job counselling reduces stress. But the experience is not pain-free. The expectation that senior staff would be found other jobs in the NHS proved unrealistic. From a total staff of 6,000 there were 38 redundancies, of which 13 were voluntary. Early retirement and redundancy costs were higher than expected. Staff still show signs of distress a year after the merger took place.
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Being fired as a physician executive is the dark side of burgeoning opportunities for health care leadership. The risk of termination is 20 to 40 times higher than for clinicians. Several approaches to calculating and predicting the probability of being fired are presented, based on a recent survey of American College of Physician Executives members and the author's professional observations. The survey identified several factors that are associated with a higher risk of being fired. These include structural conditions like organizational type and position, as well as factors ranging from being the first person in a new or unclear job to working for an entity with two or more years of significant financial losses. Persistent conflict with a boss or board member--concerning personal style or organizational strategy--is another commonly present danger signal. Additional predictive variables include recent termination or departure of a boss, recent merger, and widespread organizational downsizing or re-engineering. This article suggests strategies to better predict high-risk situations, to prevent termination, and to increase the likelihood of your professional and personal well-being when termination becomes inevitable.