Employment challenges and support strategies for individuals with severe mental illness: a qualitative study

Authors

  • Shakshi Chauhan

DOI:

https://doi.org/10.69980/ajpr.v26i1.99

Keywords:

mental health support, vocational rehabilitation, workplace inclusion, severe mental illness, employment hurdles

Abstract

Background: Employment is a crucial aspect in the lives of individuals with SMI, yet they struggle to gain and maintain employment. Their work experience is often accompanied by workplace discrimination, lack of accommodations, and cognitive impairment that leads to social exclusion and financial insecurity.
Objectives: This project aims to identify the major barriers to employment for persons with SMI and examine best practices for employment maintenance and integration.
Methods: The study design adopted in the current research was qualitative and phenomenological. Exploratory using interviews with employers, vocational specialists, and the population with SMI diagnosis. Thematic analysis was used in identifying both the barriers to productivity and effective support mechanisms since all identified barriers belonged to the same domain of study.
Results: The findings indicate that the main challenges faced by the candidates are discrimination, stigma at the workplace, cognitive impairment, and lack of employer adjustments. Lack of flexibility in employment and poor communication at the workplace are some of the issues affecting persons with SMI that lead to high turnover. However, the study also explains how job sustainability is promoted by supported employment models such as the Individual Placement and Support (IPS). Flexible working hours, peer support, counseling services, and accommodation of the workplace environment are the key factors that should be adopted to enhance job satisfaction and productivity. This also helps in increasing diversity and reducing stigma since the employers are educated on mental health awareness.
Conclusion: The conclusion of the study also stresses the need to have strategies that support employment and mental health. There is evidence that employer involvement, organized vocational programs, and effective policy implementation can enhance the employment of people with SMI. Future research must focus on the career development of people with SMI in the long run, and the sustainability of the employment interventions.

Author Biography

Shakshi Chauhan

Research Scholar, M.Sc (Applied Chemistry) Amity University, Haryana, , https://orcid.org/0009-0001-1706-8998

References

[1] J. Pérez-Corrales, M. Pérez-de-Heredia-Torres, R. Martínez-Piedrola, C. Sánchez-Camarero, P. Parás-Bravo, and D. Palacios-Ceña, “‘Being normal’ and self-identity: the experience of volunteering in individuals with severe mental disorders—a qualitative study,” BMJ Open, vol. 9, no. 3, p. e025363, Mar. 2019, doi: 10.1136/bmjopen-2018-025363.

[2] S. Hennekam, S. Richard, and F. Grima, “Coping with mental health conditions at work and its impact on self-perceived job performance,” Empl. Relat., vol. 42, no. 3, pp. 626–645, Feb. 2020, doi: 10.1108/er-05-2019-0211.

[3] C. Besse, D. Poremski, V. Laliberté, and E. Latimer, “Changes in the nature and intensity of stress following employment among people with severe mental illness receiving individual placement and support services: an exploratory qualitative study,” J Ment Health, vol. 26, no. 4, pp. 312–317, Jul. 2017, doi: 10.1080/09638237.2017.1294738.

[4] M. Vukadin, F. G. Schaafsma, M. J. Westerman, H. W. C. Michon, and J. R. Anema, “Experiences with the implementation of Individual Placement and Support for people with severe mental illness: a qualitative study among stakeholders,” BMC Psychiatry, vol. 18, no. 1, p. 145, May 2018, doi: 10.1186/s12888-018-1729-4.

[5] S. Hennekam, K. Follmer, and J. Beatty, “Exploring mental illness in the workplace: the role of HR professionals and processes,” Int. J. Hum. Resour. Manag., vol. 32, no. 15, pp. 3135–3156, Aug. 2021, doi: 10.1080/09585192.2021.1960751.

[6] E. Patmisari, Y. Huang, M. Orr, S. Govindasamy, E. Hielscher, and H. McLaren, “Supported employment interventions with people who have severe mental illness: Systematic mixed-methods umbrella review,” PLOS ONE, vol. 19, no. 6, p. e0304527, Jun. 2024, doi: 10.1371/journal.pone.0304527.

[7] J. A. Netto, P. Yeung, E. Cocks, and B. McNamara, “Facilitators and barriers to employment for people with mental illness: A qualitative study,” J. Vocat. Rehabil., vol. 44, no. 1, pp. 61–72, Jan. 2016, doi: 10.3233/JVR-150780.

[8] I. Arends, S. K. van Zon, and U. Bültmann, “Supporting workers with mental health problems at work: challenges and avenues,” Scand. J. Work. Environ. Health, vol. 48, no. 5, pp. 323–326, Jul. 2022, doi: 10.5271/sjweh.4044.

[9] K. M. E. Janssens, M. C. W. Joosen, C. Henderson, J. van Weeghel, and E. P. M. Brouwers, “Improving Work Participation Outcomes Among Unemployed People with Mental Health Issues/Mental Illness: Feasibility of a Stigma Awareness Intervention,” J. Occup. Rehabil., vol. 34, no. 2, pp. 447–460, Jun. 2024, doi: 10.1007/s10926-023-10141-3.

[10] T. L. Thomas, K. Prasad Muliyala, D. Jayarajan, H. Angothu, and J. Thirthalli, “Vocational challenges in severe mental illness: A qualitative study in persons with professional degrees,” Asian J. Psychiatry, vol. 42, pp. 48–54, Apr. 2019, doi: 10.1016/j.ajp.2019.03.011.

[11] J. Shankar et al., “Mental health challenges of recent immigrants in precarious work environments — a qualitative study,” Front. Psychiatry, vol. 15, Sep. 2024, doi: 10.3389/fpsyt.2024.1428276.

[12] E. K. Kelloway, J. K. Dimoff, and S. Gilbert, “Mental Health in the Workplace,” Annu. Rev. Organ. Psychol. Organ. Behav., vol. 10, no. Volume 10, 2023, pp. 363–387, Jan. 2023, doi: 10.1146/annurev-orgpsych-120920-050527.

[13] J. Shankar, L. Li, and S. Tan, “Work Experiences and Challenges to Employment Sustainability for People With Mental Illness in Supported Employment Programs,” Sage Open, vol. 11, no. 3, p. 21582440211033558, Jul. 2021, doi: 10.1177/21582440211033558.

[14] J. A. Vaingankar et al., “Roles, Facilitators and Challenges of Employment Support Specialists Assisting Young People with Mental Health Conditions,” J. Occup. Rehabil., vol. 31, no. 2, pp. 405–418, Jun. 2021, doi: 10.1007/s10926-020-09930-x.

[15] A. Martinelli, C. Bonetto, F. Bonora, D. Cristofalo, H. Killaspy, and M. Ruggeri, “Supported employment for people with severe mental illness: a pilot study of an Italian social enterprise with a special ingredient,” BMC Psychiatry, vol. 22, no. 1, p. 296, Apr. 2022, doi: 10.1186/s12888-022-03881-8.

Downloads

Published

2023-06-24