Affiliations: [a] Monash University (Peninsula Campus), Frankston, Victoria, Australia
| [b] Forensicare, Fairfield, Victoria, Australia
Correspondence:
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Address for correspondence: Suzi Harris, Department of Occupational Therapy, Monash University (Peninsula Campus), Moorooduc Highway, Frankston, VIC 3199, Australia. Tel.: +613 9904 4464; E-mail: suziharris.ot@gmail.com.
Abstract: BACKGROUND:Disclosing a severe mental illness (SMI) and serious criminal offence is often challenging for forensic mental health (FMH) consumers when applying for vocational occupations. OBJECTIVE:This qualitative research aimed to explore the experiences of FMH consumers disclosing sensitive information, to better understand the facilitators and barriers that occur. METHODS:Nine FMH consumers were purposively selected, the main criteria for inclusion being previous experience of disclosure related to work or study. Two focus groups and a one-to-one interview were recorded, and data were transcribed verbatim and analysed using descriptive thematic coding. RESULTS:Two overall themes emerged: 1) ‘Experiences of disclosure’ and 2) ‘Participants’ suggestions for change’. Sub-themes for experiences included risks, levels and strategies for disclosure, challenges and frustrations, positive experiences and inadvertent disclosure. Participants suggested individualised disclosure support, simple and practical tools to explain disclosure in different scenarios, skills for managing rejection, discharged forensic consumers acting as mentors and an increased understanding of disclosure issues by clinical staff. CONCLUSIONS:The findings of this research provide important insights for health professionals into the lived experience of FMH consumers when disclosing for vocational occupations and highlight the need for more in-depth training of FMH staff to better support consumers in navigating disclosure.
