Skip to main content
Log in

Employment Support Needs of People with Schizophrenia: A Scoping Study

  • Review
  • Published:
Journal of Occupational Rehabilitation Aims and scope Submit manuscript

Abstract

Purpose People with schizophrenia continue to encounter barriers to employment acquisition. The aim of this scoping study was to identify and synthesize existent evidence about the employment support needs of people diagnosed with schizophrenia. Methods Five relevant databases were used: CINAHL, Medline, PsycINFO, SCOPUS, and Web of Science. Additional material of potential interest was identified through the references of the retrieved articles. A manual search for publications from the 3 months immediately prior to the electronic search was carried out in specialized journals. Searches covered the period between 1945 and August 30, 2017 without language restrictions. Two approaches were used to display the data: descriptive analysis and thematic analysis. Results Twelve articles met the inclusion criteria, most of which discussed experiences of participation in individual placement and support programmes. Thematic analysis identified four support needs: developing skills, vocational intervention, support and encouragement, and a supportive work environment. Conclusions There is a paucity of literature examining and evaluating employment support needs from the perspectives of people with schizophrenia. Future research must look beyond individual factors affecting employment outcomes to consider societal attitudes, stigma and work-related legislation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Eklund M, Hermansson A, Håkansson C. Meaning in life for people with schizophrenia: does it include occupation? J Occup Sci. 2012;19(2):93–105. https://doi.org/10.1080/14427591.2011.605833.

    Article  Google Scholar 

  2. Dunn EC, Wewiorski NJ, Rogers ES. The meaning and importance of employment to people in recovery from serious mental illness: results of a qualitative study. Psychiatr Rehabil J. 2008;32(1):59–62. https://doi.org/10.2975/32.1.2008.59.62.

    Article  PubMed  Google Scholar 

  3. Krupa T. Employment, recovery, and schizophrenia: integrating health and disorder at work. Psychiatr Rehabil J. 2004;28(1):8–15.

    Article  PubMed  Google Scholar 

  4. Saavedra J, López M, Gonzáles S, Cubero R. Does employment promote recovery? Meanings from work experience in people diagnosed with serious mental illness. Cult Med Psychiatry. 2016;40(3):507–532. https://doi.org/10.1007/s11013-015-9481-4.

    Article  PubMed  Google Scholar 

  5. Charzynsk K, Kucharska K, Mortimer A. Does employment promote the process of recovery from schizophrenia? A review of the existing evidence. Int J Occup Med Environ Health. 2015;28(3):407–418. https://doi.org/10.13075/ijomeh.1896.00341.

    Article  Google Scholar 

  6. World Health Organization. The global burden of disease, 2004 update. Geneva: World Health Organization; 2008.

    Google Scholar 

  7. Harvey PD, Bellack AS. Toward a terminology of functional recovery in schizophrenia: is functional remission a viable concept? Schizophr Bull. 2009;35(2):300–306. https://doi.org/10.1093/schbul/sbn171.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Harvey PD, Heaton RK, Carpenter WT, Green MF, Gold JM, Schoenbaum M. Functional impairment in people with schizophrenia: focus on employability and eligibility for disability compensation. Schizophr Res. 2012;140(1–3):1–8. https://doi.org/10.1016/j.schres.2012.03.025.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Matthewson M, Langworthy J, Higgins D. Psychological predictors of vocational success for people with psychotic illness. AJRC 2015;21(1):29–64. https://doi.org/10.1017/jrc.2015.2.

    Article  Google Scholar 

  10. Pachoud B, Plagnol A, Leplege A. Outcome, recovery and return to work in severe mental illnesses. Disabil Rehabil. 2010;32(12):1043–1050. https://doi.org/10.3109/09638281003775618.

    Article  PubMed  Google Scholar 

  11. Üçok A, Gorwood P, Karaday G; EGOFORS. Employment and its relationship with functionality and quality of life in patients with schizophrenia: EGOFORS Study. Eur Psychiatry. 2012;27(6):422–425. https://doi.org/10.1016/j.eurpsy.2011.01.014.

    Article  PubMed  Google Scholar 

  12. Rinaldi M, Perkins R, Glynn E, Montibeller T, Clenaghan M, Rutherford J. Individual placement and support: from research to practice. Adv Psychiatr Treat. 2008;13(1):50–60. https://doi.org/10.1192/apt.bp.107.003509.

    Article  Google Scholar 

  13. Lim Y, Millington M, Mpofu E. The evidentiary basis for supported employment practice for workers with schizophrenia: a thematic analysis. Am J Psychiatr Rehabil. 2014;17(2):93–113. https://doi.org/10.1080/15487768.2013.877409.

    Article  Google Scholar 

  14. Carmona VR, Gómez-Benito J, Huedo-Medina TB, Rojo JE. Employment outcomes for people with schizophrenia spectrum disorder: a meta-analysis of randomized controlled trial. Int J Occup Med Environ Health. 2017;30(3):345–366. https://doi.org/10.13075/ijomeh.1896.01074.

    Article  PubMed  Google Scholar 

  15. Twamley EW, Jeste DV, Lehman AF. Vocational rehabilitation in schizophrenia and other psychotic disorders: a literature review and meta-analysis of randomized controlled trials. J Nerv Ment Dis. 2003;191(8):515–523. https://doi.org/10.1097/01.nmd.0000082213.42509.69.

    Article  PubMed  Google Scholar 

  16. Campbell K, Bond GR, Drake RE, McHugo G, Xie H. Client predictors of employment outcomes in high-fidelity supported employment: a regression analysis. J Nerv Ment Dis. 2010;198(8):556–563. https://doi.org/10.1097/NMD.0b013e3181ea1e53.

    Article  PubMed  Google Scholar 

  17. Catty J, Lissouba P, White S, Becker T, Drake RE, Fioritti A, et al. Predictors of employment and IPS effectiveness for people with severe mental illness: results of an international six-centre RCT. Br J Psychiatry. 2008;192(3):224–231. https://doi.org/10.1192/bjp.bp.107.041475.

    Article  PubMed  Google Scholar 

  18. Bond GR, Drake RE. Making the case for IPS supported employment. Adm Policy Ment Health. 2014;41(1):69–73. https://doi.org/10.1007/s10488-012-0444-6.

    Article  PubMed  Google Scholar 

  19. Henry AD, Lucca AM. Facilitators and barriers to employment: the perspectives of people with psychiatric disabilities and employment service providers. Work 2004;22(3):169–182.

    PubMed  Google Scholar 

  20. Tse S, Yeats M. What helps people with bipolar affective disorder succeed in employment: a grounded theory approach. Work 2002;19(1):47–62.

    PubMed  Google Scholar 

  21. Auerbach ES, Richardson P. The long-term work experiences of persons with severe and persistent mental illness. Psychiatr Rehabil J. 2005;28(3):267–273.

    Article  PubMed  Google Scholar 

  22. Strauss JS. Subjective experiences of schizophrenia: toward a new dynamic psychiatry-II. Schizophr Bull. 1989;15(2):179–187.

    Article  PubMed  CAS  Google Scholar 

  23. Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32. https://doi.org/10.1080/1364557032000119616.

    Article  Google Scholar 

  24. Levac D, Colquhoun H, O’Brien K. Scoping studies: advancing the methodology. Implement Sci. 2010;5(1):69. https://doi.org/10.1186/1748-5908-5-69.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. Thousand Oaks: Sage; 2006.

    Google Scholar 

  26. Liu KW, Hollis V, Warren S, Williamson DL. Supported-employment program processes and outcomes: experiences of people with schizophrenia. Am J Occup Ther. 2007;61(5):543–554.

    Article  PubMed  Google Scholar 

  27. Gladman B, Waghorn G. Personal experiences of people with serious mental illness when seeking, obtaining and maintaining competitive employment in Queensland, Australia. Work 2016;53(4):835–843. https://doi.org/10.3233/WOR-162252.

    Article  PubMed  Google Scholar 

  28. Peckham J, Muller J. Employment and schizophrenia: recommendations to improve employability for individuals with schizophrenia. Psychiatr Rehabil J. 1999;22(4):399–402. https://doi.org/10.1037/h0095210.

    Article  Google Scholar 

  29. Marwaha S, Johnson S. Views and experiences of employment among people with psychosis: a qualitative descriptive study. Int J Soc Psychiatry. 2005;51(4):302–316. https://doi.org/10.1177/0020764005057386.

    Article  PubMed  Google Scholar 

  30. Mak DC, Tsang HW, Cheung LC. Job termination among individuals with severe mental illness participating in a supported employment program. Psychiatry 2006;69(3):239–248. https://doi.org/10.1521/psyc.2006.69.3.239.

    Article  PubMed  Google Scholar 

  31. Areberg C, Björkman T, Bejerholm U. Experiences of the individual placement and support approach in persons with severe mental illness. Scand J Caring Sci. 2013;27(3):589–596. https://doi.org/10.1111/j.1471-6712.2012.01056.x.

    Article  PubMed  Google Scholar 

  32. Lexén A, Hofgren C, Bejerholm U. Reclaiming the worker role: perceptions of people with mental illness participating in IPS. Scand J Occup Ther. 2013;20(1):54–63. https://doi.org/10.3109/11038128.2012.693946.

    Article  PubMed  Google Scholar 

  33. Becker D, Whitley R, Bailey EL, Drake RE. Long-term employment trajectories among participants with severe mental illness in supported employment. Psychiatr Serv. 2007;58(7):922–928. https://doi.org/10.1176/ps.2007.58.7.922.

    Article  PubMed  Google Scholar 

  34. Besse C, Poremski D, Laliberté V, Latimer E. 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. 2017;26(4):312–317. https://doi.org/10.1080/09638237.2017.1294738.

    Article  PubMed  Google Scholar 

  35. Dunn EC, Wewiorski NJ, Rogers ES. A qualitative investigation of individual and contextual factors associated with vocational recovery among people with serious mental illness. Am J Orthopsychiatry. 2010;80(2):185–194. https://doi.org/10.1111/j.1939-0025.2010.01022.x.

    Article  PubMed  Google Scholar 

  36. Khalaf M, Mohammadi F, Rassafiani M, Haghgoo H-A, Taherkhani H. The meaning of work in people with severe mental illness (SMI) in Iran. Med J Islam Repub Iran. 2015;29(1):179.

    Google Scholar 

  37. Nithsdale V, Davies J, Croucher P. Psychosis and the experience of employment. J Occup Rehabil. 2008;18(2):175–182. https://doi.org/10.1007/s10926-008-9131-6.

    Article  PubMed  Google Scholar 

  38. Tsang HW, Angell B, Corrigan PW, Lee YT, Shi K, Lam CS, Fung KM. A cross-cultural study of employers’ concerns about hiring people with psychotic disorder: implications for recovery. Soc Psychiatry Psychiatr Epidemiol. 2007;42(9):723–733. https://doi.org/10.1007/s00127-007-0208-x.

    Article  PubMed  Google Scholar 

  39. Shankar J, Liu L, Nicholas D, Warren S, Lai D, Tan S, et al. Employers’ perspectives on hiring and accommodating workers with mental illness. Sage Open. 2014;4(3):1–13. https://doi.org/10.1177/2158244014547880.

    Article  CAS  Google Scholar 

  40. Contreras N, Rossell SL, Castle DJ, Fossey E, Morgan D, Crosse C, et al. Enhancing work-focused support for people with severe mental illnesses in Australia. Rehabil Res Pract. 2002;1–8. https://doi.org/10.1155/2012/863203.

  41. Glover CM, Frounfelker RL. Competencies of more and less successful employment specialists. Community Ment Health J. 2013;49(3):311–316. https://doi.org/10.1007/s10597-011-9471-0.

    Article  PubMed  Google Scholar 

  42. Taskila S, Steadman K, Gulliford G, Bevan SM. Working with schizophrenia: experts’ views on barriers and pathways to employment and job retention. J Vocat Rehabil. 2014;41(1):29–44. https://doi.org/10.3233/JVR-140696.

    Article  Google Scholar 

  43. Tsang HW, Chan A, Wong A, Liberman RP. Vocational outcomes of an integrated supported employment program for individuals with persistent and severe mental illness. J Behav Ther Exp Psychiatry. 2009;40(2):292–305. https://doi.org/10.1016/j.jbtep.2008.12.007.

    Article  PubMed  Google Scholar 

  44. Crawley T, Fitzerald N, Graham H. General practitioners’ awareness and understanding of vocational rehabilitation in schizophrenia: a Tasmanian perspective. J Vocat Rehabil. 2007;26(3):189–196.

    Google Scholar 

  45. Marwaha S, Balachandra S, Johnson S. Clinicians’ attitudes to the employment of people with psychosis. Soc Psychiatry Psychiatr Epidemiol. 2009;44(5):349–360. https://doi.org/10.1007/s00127-008-0447-5.

    Article  PubMed  Google Scholar 

  46. Latimer EA, Lecomte T, Becker DR, Drake RE, Duclos I, Piat M, et al. Generalisability of the individual placement and support model of supported employment: results of a Canadian randomised controlled trial. Br J Psychiatry. 2006;189(1):65–73. https://doi.org/10.1192/bjp.bp.105.012641.

    Article  PubMed  Google Scholar 

  47. Gilbride D, Stensrud R, Vandergoot D, Golden K. Identification of the characteristics of work environments and employers open to hiring and accommodating people with disabilities. Rehabil Couns Bull. 2003;46(3):130–137.

    Article  Google Scholar 

  48. Biggs D, Hovey N, Tyson PJ, MacDonald S. Employer and employment agency attitudes towards employing individuals with mental health needs. J Ment Health. 2010;19(6):505–516. https://doi.org/10.3109/09638237.2010.507683.

    Article  PubMed  Google Scholar 

  49. Hand C, Tryssenaar J. Small business employers’ views on hiring individuals with mental illness. Psychiatr Rehabil J. 2006;29(3):166–173.

    Article  PubMed  Google Scholar 

  50. McDowell C, Fossey E. Workplace accommodations for people with mental illness: a scoping review. J Occup Rehabil. 2015;25(1):197–206. https://doi.org/10.1007/s10926-014-9512-y.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Juana Gómez-Benito.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOCX 46 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Carmona, V.R., Gómez-Benito, J. & Rojo-Rodes, J.E. Employment Support Needs of People with Schizophrenia: A Scoping Study. J Occup Rehabil 29, 1–10 (2019). https://doi.org/10.1007/s10926-018-9771-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10926-018-9771-0

Keywords

Navigation