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Peer-reviewedCC BY 4.0Frontiers in Psychiatry

Case management-integrated supported employment for individuals with schizophrenia: a 3-year longitudinal study in China

  • Jiangchan Li1
  • Kan Yang1
  • Longrun Guo1,2
  • Dongsheng Zhou3,2
  • Dan Huang1
  1. 1The Third People’s Hospital of Ganzhou City
  2. 2Ganzhou Key Laboratory of Physical Diagnosis, Treatment and Rehabilitation for Mental Disorders
  3. 3The Affiliated Kangning Hospital of Ningbo University
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Abstract

Background: Although case management (CM) and supported employment (SE) have each demonstrated effectiveness for individuals with schizophrenia, evidence on their long-term combined effects remains limited, particularly in real-world settings.

Methods: This 3-year longitudinal randomized study enrolled 60 patients with schizophrenia. Participants were randomly assigned in a 1:1 ratio to a CM-integrated SE (CM-SE) group (n = 30) or an independent employment (IE) group (n = 30). Employment stability, psychiatric symptoms (PANSS), and perceived social support (PSSS) were assessed at baseline, 12, 24, and 36 months.

Results: The CM-SE group demonstrated significantly longer cumulative employment duration (median 25.0 vs 15.0 months, P<0.001), greater improvements in PANSS scores (time×group interaction, P<0.001), and progressively enhanced PSSS scores (time×group interaction, P<0.001) compared to the IE group.

Conclusions: The CM-SE model significantly improves long-term employment stability, psychiatric symptoms, and social support in individuals with schizophrenia, supporting its implementation as an integrated psychosocial rehabilitation strategy.

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Cite

BibTeXRIS
BibTeX
@article{li2026case,
  title = {{Case management-integrated supported employment for individuals with schizophrenia: a 3-year longitudinal study in China}},
  author = {Jiangchan Li and Kan Yang and Longrun Guo and Dongsheng Zhou and Dan Huang},
  journal = {Frontiers in Psychiatry},
  year = {2026},
  month = oct,
  doi = {10.3389/fpsyt.2026.2001172},
  url = {https://www.frontiersin.org/articles/10.3389/fpsyt.2026.2001172/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Case management-integrated supported employment for individuals with schizophrenia: a 3-year longitudinal study in China
AU  - Jiangchan Li
AU  - Kan Yang
AU  - Longrun Guo
AU  - Dongsheng Zhou
AU  - Dan Huang
PY  - 2026
DA  - 2026/10/30
JO  - Frontiers in Psychiatry
DO  - 10.3389/fpsyt.2026.2001172
UR  - https://www.frontiersin.org/articles/10.3389/fpsyt.2026.2001172/full
AB  - Background: Although case management (CM) and supported employment (SE) have each demonstrated effectiveness for individuals with schizophrenia, evidence on their long-term combined effects remains limited, particularly in real-world settings.  Methods: This 3-year longitudinal randomized study enrolled 60 patients with schizophrenia. Participants were randomly assigned in a 1:1 ratio to a CM-integrated SE (CM-SE) group (n = 30) or an independent employment (IE) group (n = 30). Employment stability, psychiatric symptoms (PANSS), and perceived social support (PSSS) were assessed at baseline, 12, 24, and 36 months.  Results: The CM-SE group demonstrated significantly longer cumulative employment duration (median 25.0 vs 15.0 months, P<0.001), greater improvements in PANSS scores (time×group interaction, P<0.001), and progressively enhanced PSSS scores (time×group interaction, P<0.001) compared to the IE group.  Conclusions: The CM-SE model significantly improves long-term employment stability, psychiatric symptoms, and social support in individuals with schizophrenia, supporting its implementation as an integrated psychosocial rehabilitation strategy.
SN  - 1664-0640
ER  -