Psychological Predictors of Vocational Success for People with Psychotic Illness

Abstract

People diagnosed with psychotic illness continue to be underrepresented in the workforce despite the widespread provision of vocational rehabilitation services for people experiencing mental illness. A systematic literature review was undertaken using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines to identify psychological predictors of successful return to work for this population. The databases searched were PsycARTICLES, PsycINFO, PubMed, ProQuest, Cumulative Index of Nursing and Allied Health (CINAHL), and Taylor & Francis Online. A total of 4,076 articles were located and of these, 29 articles were analysed as part of this review. The data extracted was synthesised using a narrative approach. A number of psychological factors were identified which are predictive of successful return to work. These factors include but are not limited to identity, self-management of illness, social cognition, hope and self-esteem and motivation. On the basis of the reviewed literature, practice guidelines are proposed which support the psychological processes identified as pivotal to vocational success for people diagnosed with psychotic illness.

Empowering individuals with psychiatric disabilities to work: Results of a randomized trial.

“…Vocational identity was another intrinsic variable influenced by increased participation in the VEP program. The integration of the experience of mental illness into one’s identity as a worker has been recognized as critical to vocational recovery and employment success (Gewurtz et al, 2006; Gioia, 2005; Matthewson et al, 2015; Roe, 2001). The VEP program gradually leads participants from understanding the meaning and value work may have for them, to considering the costs and benefits of working, recognizing their vocational interests and aspirations, identifying relevant strengths and supports, and finally to the formulation and pursuit of a vocational goal (Restrepo-Toro et al, 2015).…”

“…Many individuals with serious mental illnesses, especially individuals who have experienced long periods of unemployment or those receiving disability benefits, may never have had or no longer possess, a vocational identity or the capacity to perceive themselves in the role of a worker. Developing a client’s vocational identity may require explicit attention by vocational providers, particularly so that individuals can integrate their past work experiences with challenges posed by their psychiatric symptoms to define new work goals (Millner et al, 2015; Gewurtz, Kirsh, Jacobson, & Rappolt, 2006; Matthewson, Langworthy, & Higgins, 2015).…”

Predictors of the duration of professional activity in patients with schizophrenia

“…For individuals affected by schizophrenia, this is especially important due to the often debilitating nature of the condition, which impairs cognitive and social capabilities across multiple life areas. Hence, securing or resuming employment becomes a key therapeutic target, symbolizing either an alleviation in the severity of symptoms [6] or the effective management of them in order to be a part of the community [7].…”