OBJECTIVE: This study explored the relationship between the functional
skills of clients with severe mental disorder and the benefits to the
client and society as reflected by residential and vocational status,
self-efficacy, self-esteem, and life satisfaction. METHODS: Relationships
between various outcome variables and the demographic and clinical
characteristics and staff ratings of the functional skills of 139 clients
at three psychosocial rehabilitation programs for adults with severe mental
disorders were analyzed using correlational techniques. The outcome
variables considered were the clients' level of independence in their
residential and vocational settings and their levels of self-esteem,
self-efficacy, and satisfaction with life. RESULTS: Ratings of functional
skills correlated positively with clients' levels of residential and
vocational independence and with self-efficacy, but were unrelated to
self-esteem and life satisfaction. Age, education, work and hospitalization
history, psychiatric diagnosis, and length of program membership were also
related to these outcome measures. Skill level remained the strongest
predictor of residential and vocational status after demographic and
diagnostic factors were controlled for. CONCLUSIONS: Clients' functional
skills have a strong, positive relationship with their level of residential
and vocational independence, and skill level is a better predictor of
benefits to clients and society than are demographic and diagnostic
variables.
Abstract Teaser