Reasonable Accommodation at the Workplace for Professionals with Severe Mental Illness: A Qualitative Study of Needs.
Reasonable accommodation
professionals
severe mental illness
workplace adjustments
Journal
Indian journal of psychological medicine
ISSN: 0253-7176
Titre abrégé: Indian J Psychol Med
Pays: United States
ID NLM: 7910727
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
accepted:
15
06
2020
entrez:
8
1
2021
pubmed:
9
1
2021
medline:
9
1
2021
Statut:
epublish
Résumé
Professionals with Severe Mental Illness (PwSMI) often face challenges in obtaining and retaining employment. For equal and effective participation, they may require reasonable workplace adjustments. The recently legislated Rights of Persons With Disabilities Act 2016 in India defines such adjustments as reasonable accommodations. In-depth qualitative interviews were conducted with 15 consenting PwSMI availing psychiatric rehabilitation services at a tertiary mental health institute in India, five mental health professionals, and five employers. The audio-recorded interviews were transcribed and coded manually by two independent investigators. Inductive content analysis approach was used for qualitative analysis. The detected themes included modifications in work schedule, supports to improve work efficiency, modifications in the work environment, modifications in the work-related appraisal, supportive employer policy, and integration of services. The participants described the term "undue burden" to be ambiguous. The reported reasonable accommodations are non-structural and mainly dependent on human assistance. Vocational rehabilitation and job reintegration efforts can focus on guided negotiations between employers and PwSMI. This is dependent on at least some degree of disclosure. Awareness regarding reasonable accommodation and stigma reduction is necessary for successful implementation.
Sections du résumé
BACKGROUND
BACKGROUND
Professionals with Severe Mental Illness (PwSMI) often face challenges in obtaining and retaining employment. For equal and effective participation, they may require reasonable workplace adjustments. The recently legislated Rights of Persons With Disabilities Act 2016 in India defines such adjustments as reasonable accommodations.
METHODS
METHODS
In-depth qualitative interviews were conducted with 15 consenting PwSMI availing psychiatric rehabilitation services at a tertiary mental health institute in India, five mental health professionals, and five employers. The audio-recorded interviews were transcribed and coded manually by two independent investigators. Inductive content analysis approach was used for qualitative analysis.
RESULTS
RESULTS
The detected themes included modifications in work schedule, supports to improve work efficiency, modifications in the work environment, modifications in the work-related appraisal, supportive employer policy, and integration of services. The participants described the term "undue burden" to be ambiguous.
CONCLUSIONS
CONCLUSIONS
The reported reasonable accommodations are non-structural and mainly dependent on human assistance. Vocational rehabilitation and job reintegration efforts can focus on guided negotiations between employers and PwSMI. This is dependent on at least some degree of disclosure. Awareness regarding reasonable accommodation and stigma reduction is necessary for successful implementation.
Identifiants
pubmed: 33414591
doi: 10.1177/0253717620939771
pii: 10.1177_0253717620939771
pmc: PMC7750859
doi:
Types de publication
Journal Article
Langues
eng
Pagination
445-450Informations de copyright
© 2020 Indian Psychiatric Society - South Zonal Branch.
Déclaration de conflit d'intérêts
The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
J Occup Rehabil. 2015 Mar;25(1):197-206
pubmed: 24841728
Behav Sci Law. 1996 Winter;14(1):107-20
pubmed: 10160232
Work. 2004;22(3):169-82
pubmed: 15156083
Gen Hosp Psychiatry. 2003 Sep-Oct;25(5):311-5
pubmed: 12972221
Front Psychol. 2017 Sep 20;8:1536
pubmed: 28979218
Indian J Psychol Med. 2019 Sep 05;41(5):420-427
pubmed: 31548764
Int J Soc Psychiatry. 2020 Jun;66(4):361-372
pubmed: 32126902
BMC Psychiatry. 2016 May 26;16:166
pubmed: 27387916
J Adv Nurs. 2008 Apr;62(1):107-15
pubmed: 18352969
Psychiatr Rehabil J. 2017 Jun;40(2):163-171
pubmed: 27786522
J Occup Environ Med. 2011 Nov;53(11):1268-72
pubmed: 21918478
Ohio Nurses Rev. 1996 Oct;71(9):15-6
pubmed: 9006201
Community Ment Health J. 2002 Feb;38(1):35-50
pubmed: 11892855
Work. 2011;40(4):479-87
pubmed: 22130065
Asian J Psychiatr. 2019 Apr;42:48-54
pubmed: 30953884