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Living through exposure to toxic psychiatric orthodoxies: exploring narratives of people with 'mental health problems' who are looking for employment on the open labour market
- Authors:
- ROETS Griet, et al
- Journal article citation:
- Disability and Society, 22(3), May 2007, pp.267-281.
- Publisher:
- Taylor and Francis
This article explores lived experiences and insights of five people with long-term 'mental health problems', focusing on their search for employment in a disabling society. The qualitative, inductive analysis investigates why it seems almost impossible to attain a status as respected adult workers. The authors present five central findings: (1) losing the game before it starts; (2) internalizing the vicious circle of victim blaming; (3) from control overload to a life with inadequate supports; (4) from crushed dreams back to passive inactivity; (5) signs of resilience and resistance. In meaningful dialogue survivors give voice to alternative and plural epistemological grounds of life with 'madness'. The concluding reflections argue that psychiatric discourses, what the authors term toxic psychiatric orthodoxies, silence, disable and construct survivors as unemployable.
'All the doors are closing': National deaf service users' thoughts and views on deafness, mental health and employment
- Authors:
- PRIOR Sarah, CONWAY Maggie
- Journal article citation:
- British Journal of Occupational Therapy, 71(3), March 2008, pp.95-102.
- Publisher:
- Sage
This qualitative study invited Deaf adults with mental health difficulties to reflect on mental health, Deafness and the barriers to obtaining and retaining employment. The term Deaf with a capital 'D' denotes Deaf people as a cultural and linguistic minority group, who use sign language as their first language (British Deaf Association 2000). Eight people took part in three focus groups and one interview. The findings were analysed using interpretative phenomenological analysis. Six themes arose from the analysis: stigma, the benefits of employment, the support required, the differences and similarities between Deaf and hearing populations, communication and the challenges of mental health compared with those of Deafness. The strongest message was that Deaf people with mental health difficulties require somebody who speaks their language when obtaining employment. A list of recommendations is provided, which has relevance to occupational therapists.
Duty of care: employment mental health and disability
- Author:
- CARR Sarah
- Journal article citation:
- Journal of Mental Health Promotion, 2(1), March 2003, pp.16-23.
- Publisher:
- Pavilion
Reviews research on employment and mental health, disability, stigma, work related stress and recent legislation, as well as personal experience, to give some insight into what employment means for people living with mental heath problems, how workplace can cause mental distress and why workplaces can be inaccessible for people disabled by mental health difficulties.
Disclosure dilemma
- Author:
- WOODSIDE Andrea
- Journal article citation:
- Mental Health Today, November 2011, pp.10-11.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Disclosing a mental health issue to an employer is still a dilemma for employees. Many people feel unsupported and stigmatised when they have disclosed a mental health conditions at work. People with experience of mental distress do recover, and although they may experience relapses from time-to-time, they can make enormous contributions to the workplace. This article argues that it is in the best interest of both employers and employees to recognise the need for a supportive environment where disclosure of mental health issues is not only accepted but welcomed. A number of simple ways for organisations to overcome stigma and encourage supportive return to work policies are suggested.
Small change, big difference: a civil service line manager's guide to reasonable adjustments for mental health problems
- Author:
- RETHINK
- Publisher:
- Rethink
- Publication year:
- 2009
- Pagination:
- 42p.
- Place of publication:
- London
Reasonable adjustments are required by the Disability Discrimination Act to be provided by employers for disabled staff. This publication is a practical guide for civil service line managers about supporting employees with mental health problems, and providing reasonable adjustments. The guide provides information about mental health problems and how they can impact on people at work. It aims to help managers to make adjustments to minimise this impact so that the employee can work most effectively. The guide includes information on: who is entitled to reasonable adjustments; when is an adjustment reasonable; examples of reasonable adjustments for mental health problems; Wellness and Recovery Action Plans; stigma and encouraging staff to be open about their mental health problems; examples of how someone with a mental health problem might be affected at work; how mental health problems are different to stress; and what to do in a crisis.
Removing barriers: the facts about mental health and employment
- Author:
- SAINSBURY CENTRE FOR MENTAL HEALTH
- Publisher:
- Sainsbury Centre for Mental Health
- Publication year:
- 2009
- Pagination:
- 7p., bibliog.
- Place of publication:
- London
This paper looks at barriers to employment for people with mental health problems and at efforts that are being made to support their efforts to find and sustain work. Barriers include: stigma and discrimination; low expectations and a lack of resources; financial disincentives. There is some discussion of government policy and the Pathways to Work scheme. The section on developing new ways of working lists some key ways in which people with mental health problems can be helped to find and retain jobs. These include: re-designing vocational and day services; vocational rehabilitation; the Access to Work Scheme; provision of appropriate primary care. It concludes by looking at employers and the case for developing effective programmes with which to manage mental health at work.
Vocational rehabilitation: variety is the key to success
- Author:
- ROBDALE Neil
- Journal article citation:
- Mental Health Today, September 2008, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Various approaches to vocational rehabilitation have been used over the past 30 years to support people with mental health problems. The main two approaches that have been tried and evaluated are the 'train and place' approach and the 'place and train' model (sometimes referred to as individual placement and support (IPS)). The idea of a social firm has also been advocated. This article evaluates these approaches in relation to mental health service users and compares them with traditional industrial therapy.
Action on stigma: promoting mental health, ending discrimination at work
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2006
- Pagination:
- 10p.
- Place of publication:
- London
With mental health problems experienced by one in six people, the health and well-being of people of working age is of fundamental importance to our future. The Government believes that everyone, including employers, has a role to play in improving the mental health of society. This document outlines a new initiative to support organisations in helping to achieve this goal.
Mental health and social exclusion: Social Exclusion Unit report
- Author:
- GREAT BRITAIN. Office of the Deputy Prime Minister. Social Exclusion Unit
- Publisher:
- Great Britain. Office of the Deputy Prime Minister. Social Exclusion Unit
- Publication year:
- 2004
- Pagination:
- 144p.
- Place of publication:
- London
This report marks the start of a sustained programme of change to challenge discriminatory attitudes and significantly improve opportunities and outcomes for adults with mental health problems. This will mean people with mental health problems regaining hope and recovering control of their lives, whatever their diagnosis or ongoing symptoms. Government has an important role to play, but the active involvement of the voluntary and community sector,employers and, crucially, people with personal experience of mental health problems will be essential to achieve real change. The report features case studies of many successful local projects and the experiences of individuals who have overcome the challenges posed by mental health problems to lead fulfilling lives. These examples demonstrate what can be achieved and the benefits that result for individuals and society.
Still dreaming: service users' employment, education and training goals
- Authors:
- SOUTH ESSEX SERVICE USER RESEARCH GROUP, SECKER Jenny, GELLING Leslie
- Publisher:
- Anglia Polytechnic University
- Publication year:
- 2006
- Pagination:
- 13p., bibliog.
- Place of publication:
- Chelmsford
This user-led research on mental health service users’ employment, training and education goals was conducted by the South Essex Service User Research Group and two academics from Anglia Polytechnic University, UK. It aims to inform vocational services of user views and assist in developing policies and practices which will help users find and keep real jobs. Face to face interviews were conducted with 82 users and a postal survey returned by an additional 159. Only 42% reported having a regular ay time activity, with 15% being in paid work. High numbers expressed interest in finding work (over 60%), or pursuing education or training objectives, but only 77% of these were currently receiving support to achieve their goal. User views revealed that help with mental health problems, benefits advice and support whilst in work were key, but that barriers existed such as the stereotyped attitudes of potential employers and the perceived threat to users' benefits. The authors recommend an evidence-based approach to such support, which they claim has been poorly implemented to date.