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Models of specialist employment for people with mental health problems
- Author:
- SCHNEIDER Justine
- Journal article citation:
- Health and Social Care in the Community, 6(2), March 1998, pp.120-129.
- Publisher:
- Wiley
There is a growing interest in work schemes for people with mental health problems. This article describes the characteristics of nine models of specialist employment, their similarities and differences are portrayed on three dimensions: productivity, integration, and permanence. Models discussed are sheltered settings, vocational rehabilitation and training, clubhouse, transitional employment, social firms, placement agencies, assertive community treatment and voluntary work.
Work interventions in mental health care: some arguments and recent evidence
- Author:
- SCHNEIDER Justine
- Journal article citation:
- Journal of Mental Health, 7(1), February 1998, pp.81-94.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Evidence of the effectiveness of work in psychiatry in the UK is limited to studies conducted a generation ago, when mental health care was still hospital-based, and the level of unemployment in the general population was lower than today. Employment is scarcely considered directly in mental health policy, while purchasers have few guidelines on which to base their strategies. This article offers five perspectives on work in psychiatry, ideological principles; macro-economic considerations; demand on the part of service users themselves; the changing context of mental health care, with its effects on the public presentation of mental illness; and evidence of clinical benefits from constructive occupation. Each of these cases is presented, with particular attention paid to the clinical benefits which are relevant to evidence-based health care.