{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T19:36:57Z","timestamp":1777750617945,"version":"3.51.4"},"reference-count":47,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T00:00:00Z","timestamp":1707091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Work functioning impairment is a key diagnostic and prognostic criterion in patients with psychiatric disorders and work inclusion is a major goal of their therapeutic pathway. Since 2009, the Regional Innovative Program (PIR) TR106, promoted by ASST Fatebenefratelli-Sacco of Milan in collaboration with other Departments of Mental Health and Addictions (DSMDs) in the town of Milan (Italy), has been developing the employment inclusion of psychiatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The objective of this study is to evaluate its outcomes over 8\u2009years of observation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>We reported the results of a retrospective epidemiologic analysis on 2,142 interventions on 1,066 patients recruited, investigating PIR TR106 outcomes per year focusing on different subgroups. We focused on \u2018positive\u2019, \u2018negative\u2019, and \u2018other\u2019 outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We preliminary calculated job maintenance interventions (5%, 107) and excluded these interventions from the overall. We observed 29 job firing (1.4%) and 15 job resignations (0.7%) as negative results (equal to 2.2% of the total) and 388 job hiring (16.6%), 647 traineeships (31.8%), and 413 work formation (20.3%) as positive outcomes (equal to 68.75%). In other outcomes (29.1%) we found 305 dismissals from PIR TR 106 (15%) and transitory outcomes (14.1%). Job hiring increased from 8.9% in 2012 to 23.8 % in 2019 ( p\u2009&lt;\u2009.001), while the dismissals diminished from 26.7% to 13.3% ( p\u2009&lt;\u2009.001). The effectiveness of traineeships in terms of job hiring increased in the ratio of annual job hiring versus job traineeship (+48.8%). The majority of hired patients (15.1%) were affected by a psychotic disorder. A significant hiring increase was observed in patients with psychotic disorders and personality disorders ( p\u2009&lt;\u2009.005).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PIR-TR106 represents a territorial employment inclusion program with progressively increasing effectiveness and specificity, as suggested by changes in outcomes during the 8-year observation. The adaptive capacity and sustainability of the intervention are worth further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640231217177","type":"journal-article","created":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T03:33:52Z","timestamp":1707104032000},"page":"507-517","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Longitudinal outcomes of a work inclusion program in mental health departments in the city of Milan"],"prefix":"10.1177","volume":"70","author":[{"given":"Simone","family":"Vanzetto","sequence":"first","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Quarenghi","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0427-110X","authenticated-orcid":false,"given":"Alberto","family":"Varinelli","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Dragoni","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7544-8318","authenticated-orcid":false,"given":"Dario","family":"Conti","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Boscacci","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Carr\u00e0","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Addiction Services, ASST Nord Milano, Italy"},{"name":"Department of Medicine and Surgery, University of Milano Bicocca, Monza, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Percudani","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Addiction Services, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Morganti","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Addiction Services, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orsola","family":"Gambini","sequence":"additional","affiliation":[{"name":"Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy"},{"name":"CRC \u2018Aldo Ravelli\u2019 for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Lombardy, Italy"},{"name":"Department of Health Sciences, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Barbieri","sequence":"additional","affiliation":[{"name":"Department of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Brambilla","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health, IRCCS Fondazione Ca\u2019 Granda Ospedale Maggiore Policlinico, University of Milan, Italy"},{"name":"Department of Pathophysiology and Transplantation, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2262-8811","authenticated-orcid":false,"given":"Matteo","family":"Lazzaretti","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Mental Health, IRCCS Fondazione Ca\u2019 Granda Ospedale Maggiore Policlinico, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Rubelli","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Mencacci","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Fusi","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7937-1266","authenticated-orcid":false,"given":"Caterina","family":"Vigan\u00f2","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernardo","family":"Dell\u2019Osso","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Clinical Sciences, Department of Mental Health and Addictions, ASST Fatebenefratelli Sacco, University of Milan, Italy"},{"name":"CRC \u2018Aldo Ravelli\u2019 for Neurotechnology and Experimental Brain Therapeutics, University of Milan, Lombardy, Italy"},{"name":"Department of Psychiatry and Behavioural Sciences, Bipolar Disorders Clinic, Stanford Medical School, Stanford University, CA, USA"},{"name":"Neuroscience Research Center, Department of Biomedical and Clinical Sciences, University of Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"bibr1-00207640231217177","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.00609"},{"key":"bibr2-00207640231217177","unstructured":"Battiloro V., Martini A., 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