Vocational challenges in severe mental illness: A qualitative study in persons with professional degrees.


Journal

Asian journal of psychiatry
ISSN: 1876-2026
Titre abrégé: Asian J Psychiatr
Pays: Netherlands
ID NLM: 101517820

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 22 02 2019
revised: 23 03 2019
accepted: 25 03 2019
pubmed: 7 4 2019
medline: 4 12 2019
entrez: 7 4 2019
Statut: ppublish

Résumé

Employment is a significant stepping stone towards recovery for persons with severe mental illness. In the last two decades there has been increasing focus on obtaining professional courses and degrees for employment in India. To understand the challenges faced by persons with severe mental illness with professional degrees in obtaining and maintaining employment. We interviewed 31 individuals with severe mental illness, who had professional degrees, using qualitative interviews. These interviews explored factors that facilitated as well as those that hindered the process of obtaining and sustaining jobs. Factors that were identified as facilitators for obtaining and maintaining employment included personal strengths, social support, accommodative work environment, disclosure, support from mental health professionals and services. Factors that were identified as hindering for obtaining and maintaining employment included symptoms of the illness, side effects of medications, stigma, poor social support, academic underachievement, disjointed work history, poor workplace environment and specific cultural, gender issues. Factors such as workplace accommodations, creating an environment that is permissive of disclosure, using family support and support from mental health professionals will facilitate employment. Addressing factors that hinder such as stigma, academic under-achievement, improving workplace environments, social support will also be important in vocational recovery.

Sections du résumé

BACKGROUND BACKGROUND
Employment is a significant stepping stone towards recovery for persons with severe mental illness. In the last two decades there has been increasing focus on obtaining professional courses and degrees for employment in India.
AIM OBJECTIVE
To understand the challenges faced by persons with severe mental illness with professional degrees in obtaining and maintaining employment.
METHODS METHODS
We interviewed 31 individuals with severe mental illness, who had professional degrees, using qualitative interviews. These interviews explored factors that facilitated as well as those that hindered the process of obtaining and sustaining jobs.
RESULTS RESULTS
Factors that were identified as facilitators for obtaining and maintaining employment included personal strengths, social support, accommodative work environment, disclosure, support from mental health professionals and services. Factors that were identified as hindering for obtaining and maintaining employment included symptoms of the illness, side effects of medications, stigma, poor social support, academic underachievement, disjointed work history, poor workplace environment and specific cultural, gender issues.
CONCLUSION CONCLUSIONS
Factors such as workplace accommodations, creating an environment that is permissive of disclosure, using family support and support from mental health professionals will facilitate employment. Addressing factors that hinder such as stigma, academic under-achievement, improving workplace environments, social support will also be important in vocational recovery.

Identifiants

pubmed: 30953884
pii: S1876-2018(19)30169-8
doi: 10.1016/j.ajp.2019.03.011
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

48-54

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Tony Lazar Thomas (TL)

Department of Psychiatry, NIMHANS, Bangalore, 560029, India. Electronic address: lazartony91@gmail.com.

Krishna Prasad Muliyala (K)

Psychiatric Rehabilitation Services, Department of Psychiatry, NIMHANS, Bangalore, 560029, India. Electronic address: krishnadoc2004@gmail.com.

Deepak Jayarajan (D)

Psychiatric Rehabilitation Services, Department of Psychiatry, NIMHANS, Bangalore, 560029, India. Electronic address: deepak.jayarajan@gmail.com.

Hareesh Angothu (H)

Psychiatric Rehabilitation Services, Department of Psychiatry, NIMHANS, Bangalore, 560029, India. Electronic address: hareesh.angothu@gmail.com.

Jagadisha Thirthalli (J)

I/C Head of Psychiatric Rehabilitation Services, Department of Psychiatry, NIMHANS, Bangalore, 560029, India. Electronic address: jagatth@yahoo.com.

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