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

Besse, Christine; Poremski, Daniel; Laliberté, Vincent; Latimer, Éric

doi:10.1080/09638237.2017.1294738

Cited by 9 publications

(12 citation statements)

References 27 publications

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“…This may help explain why job tenure in IPS programmes is often low, averaging 12.8 weeks for all study participants, and 20.0 weeks for those who worked, as reported in a synthesis of eight trials with study durations of a year or more . One factor influencing the experience of stress perceived by working IPS clients in our study was if they could socialise with co-workers, and the support they consequently received (Besse et al, 2017): these results reflect the importance of a friendly work environment, confirming Rüsch's conclusion of stigma-related stress in this population (Rüsch et al, 2014).…”

Section: Categories Topics Quotessupporting

confidence: 81%

“…In a companion paper (Besse, Poremski, Laliberté, & Latimer, 2017), drawing on the same set of interviews, we focused on the transition from unemployment to employment. We concluded that, in general, entry into competitive work was mostly associated with a decrease in stress level (consistent with the observation from IPS trials, noted in the introduction, that, if anything, being assigned to IPS leads to fewer hospitalisations).…”

Section: Categories Topics Quotesmentioning

confidence: 99%

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The meaning and experience of stress among supported employment clients with mental health problems

Besse

Poremski

Laliberté

et al. 2017

Health Soc Care Community

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Many clinicians are concerned that competitive work may cause excessive stress for people with severe mental health problems. Individual Placement and Support (IPS) is acknowledged as the most effective model of supported employment for this population. The manner in which IPS clients define and experience employment-related stress is poorly understood. This qualitative study aims to explore how people with mental health problems receiving IPS services define and experience employment-related stress. We purposively sampled and interviewed 16 clients of an IPS programme, who had been competitively employed for more than 1 month. Data were collected between September 2014 and July 2015 in Montreal, Canada. Transcripts of semi-structured interviews were analysed using grounded theory methodology. IPS clients often defined stress similar to its common understanding: the result of experiencing prolonged or/and cumulative strains, or of an incongruence between efforts and rewards, hopes and reality. Stress experienced in this way could exacerbate psychiatric symptoms, especially depression or psychotic symptoms. However, when maintained at a more manageable level, stress stimulated learning and improved planning of tasks. Participants described different coping mechanisms, such as sharing their experiences and difficulties with others, focusing on problem resolution and avoidance. The first two of these helped IPS clients remain at work and bolstered their confidence. Work-related stress has potentially positive as well as negative consequences for IPS clients. In order to maximise the potential beneficial effects of stress, employment specialists can help clients anticipate potential stressors and plan how they might cope with them. Further research on the most effective ways of helping clients cope with stress is needed.

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Section: Categories Topics Quotessupporting

confidence: 81%

Section: Categories Topics Quotesmentioning

confidence: 99%

The meaning and experience of stress among supported employment clients with mental health problems

Besse

Poremski

Laliberté

et al. 2017

Health Soc Care Community

Self Cite

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“…Studies targeting solely clients of IPS accounted for most of the articles retrieved ( n = 15, 57.7%) (Alverson et al, 1995; Areberg et al, 2013; Becker et al, 2007, Besse et al, 2017, 2018; Boycott et al, 2015; Coombes et al, 2016; Gammelgaard et al, 2017; Huff et al, 2008; Johnson et al, 2009; Koletsi et al, 2009; Lexen et al, 2013a, 2013b; Liu et al, 2007; Nygren et al, 2016). An additional four articles focused on clients among other stakeholders (15.4%).…”

Section: Resultsmentioning

confidence: 99%

“…We documented the qualitative methodologies applied in the retrieved studies based on the authors’ verbatim descriptions of the methodological approaches they used; in other words, we did not apply our own methodological labels to what was described in the studies, but rather relied on the face value of the authors labels. Eight studies stated they used a grounded theory approach ( n = 8, 30.8%; Becker et al, 2007; Besse et al, 2017, 2018; Coombes et al, 2016; Glover & Frounfelker, 2011, 2013; Lexen et al, 2016; Liu et al, 2007). Seven studies stated they used content analysis ( n = 7, 26.9%; Areberg et al, 2013; Glover & Frounfelker, 2013; Hasson et al, 2011; Kostick et al, 2010; Nunes et al, 2011; Nygren et al, 2016; Salyers et al, 2008; Whitley et al, 2010), which included purely inductive content analysis, deductive content analysis, and directed content analysis approach.…”

Section: Resultsmentioning

confidence: 99%

Stakeholder Perspectives on IPS for Employment: A Scoping Review

Chen¹,

Lal²

2020

Can J Occup Ther

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Background. Individual Placement and Support (IPS) has demonstrated effectiveness in achieving competitive employment for people with severe mental illness. Yet limited efforts have been made to synthesize the literature pertaining to the experiences and perspectives of key stakeholders regarding IPS, which could be helpful for occupational therapists, given their role in vocational rehabilitation. Purpose. To synthesize qualitative literature to understand how stakeholders (including occupational therapists) experience and perceive IPS and consider the implications for future occupational therapy practice and research. Method. A scoping review methodology guided our review. We conducted an electronic search of qualitative and mixed-method studies on IPS. Findings. Twenty-six articles were retrieved. Most studies sought clients’ perspectives ( n = 15), followed by practitioners (mostly employment specialists; n = 10) and only one with employers. Implications. There is a need for research targeting practitioners and employers which will help improve the nature of the collaboration between mental health teams, vocational teams, and employers.

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“…Individual placement and support (IPS) programs are effective in aiding Singaporeans with psychiatric illnesses in obtaining and keeping competitive jobs [105]. IPS reduced stress after they found work and interactions with co-workers dispelled negative self-thoughts and self-stigma [105]. As part of the NMHB, a Job Club was established and run collaboratively by occupational therapists, medical social workers and job placement officers [101].…”

Section: Stigma Related To Psychiatric Illnesses and Advancement Of Amentioning

confidence: 99%

Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies

Zhang

Sun

Jatchavala

et al. 2019

IJERPH

146

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Background: In psychiatry, stigma is an attitude of disapproval towards people with mental illnesses. Psychiatric disorders are common in Asia but some Asians receive inadequate treatment. Previous review found that Asians with mental illness were perceived to be dangerous and aggressive. There is a need for renewed efforts to understand stigma and strategies which can effectively reduce stigma in specific Asian societies. The objective of this systematic review was to provide an up-to-date overview of existing research and status on stigma experienced by psychiatric patients and anti-stigma campaigns in China, Hong Kong, Japan, Singapore, Korea, and Thailand. Methods: A systematic literature search was conducted in the following databases, including PubMed, PsycINFO, Embase, Web of Science, and local databases. Studies published in English and the official language of included countries/territories were considered for inclusion in the systematic review. Any article on stigma related to any form of psychiatric illness in the six Asian societies was included. Results: One hundred and twenty-three articles were included for this systematic review. This review has six major findings. Firstly, Asians with mental illnesses were considered as dangerous and aggressive, especially patients suffering from schizophrenia and bipolar disorder; second, psychiatric illnesses in Asian societies were less socially-acceptable and were viewed as being personal weaknesses; third, stigma experienced by family members was pervasive and this is known as family stigma; fourth, this systemic review reported more initiatives to handle stigma in Asian societies than a decade ago; fifth, there have been initiatives to treat psychiatric patients in the community; and sixth, the role of supernatural and religious approaches to psychiatric illness was not prevailing. Conclusion: This systematic review provides an overview of the available scientific evidence that points to areas of needed intervention to reduce and ultimately eliminate inequities in mental health in Asia.

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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

Abstract: Competitive work changed the nature of stress and was mostly associated with a decrease in stress level. Adjunctive interventions aiming to buffer self-stigma or help participants use more adaptive coping mechanisms may merit investigation.

Cited by 9 publications

References 27 publications

The meaning and experience of stress among supported employment clients with mental health problems

The meaning and experience of stress among supported employment clients with mental health problems

Stakeholder Perspectives on IPS for Employment: A Scoping Review

Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies

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