Affiliations: [a]
Queensland Centre for Mental Health Research (QCMHR), The Park Centre for Mental Health, Brisbane, QLD, Australia
| [b] School of Applied Psychology, Griffith University, Mount Gravatt, Brisbane, QLD, Australia
| [c]
The School of Medicine, The University of Queensland, Brisbane, QLD, Australia
Correspondence:
[*]
Address for correspondence: Beverley Gladman, Queensland Centre for Mental Health Research, The Park Centre for Mental Health, Locked Bag 500, Archerfield, via Brisbane, QLD 4108, Australia. Tel.: +07 3271 8671; Fax: +07 3271 8698; E-mail: beverley_gladman@qcmhr.uq.edu.au.
Abstract: BACKGROUND:High non-participation in the labour force and unemployment remain challenging for adults with serious mental illness. OBJECTIVES:This study examined the personal experiences of people with serious mental illness when seeking, obtaining and maintaining competitive employment. The aim was to increase understanding of personal experiences of employment and how these experiences can be used to inform the assistance provided in support of clients’ competitive employment goals. METHODS:Qualitative data from a two-year period were thematically analysed from one participating site in a multi-site trial of employment services integrated with public funded community mental health treatment and care. RESULTS:Both positive and negative themes arose. Positive themes included: Aspirations for a better life, receiving feedback on good job performance, employment displacing preoccupation with illness, and employment improving self-esteem and reducing financial stress. Negative themes included stigma experiences, stress, and health difficulties. Both positive and negative experiences did not depend on type of employment service assistance nor key client characteristics such as age, sex, and diagnostic category. CONCLUSIONS:Despite its many benefits, employment can also increase the risk of negative personal experiences. These findings suggest that employment service providers could do more to assist people who commence employment, to reduce the risk of negative personal experiences and to enhance the benefits of competitive employment.
Keywords: Employment, psychiatric disability, personal experiences, stigma, disclosure
