Resignation not accepted: employment, education and training in early intervention, past, present and future

Killackey, Eóin

doi:10.1111/eip.12292

Cited by 13 publications

(9 citation statements)

References 27 publications

(41 reference statements)

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“…This may be explained by the high correlation between education and employment that reduced the predictive range of employment in the analyses. The effect of employment on recovery suggests occupational training as a facilitator for recovery and provides guidance for further development of rehabilitation programs that focus on occupational training and opportunities to improve recovery among PLS (48,49).…”

Section: Discussionmentioning

confidence: 99%

Personal Recovery and Its Determinants Among People Living With Schizophrenia in China

Xiao

Yang

et al. 2020

Front. Psychiatry

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Objective: The past few decades have seen an evolution in the understanding of recovery from a clinical-based view that focuses on symptoms and functioning to a more consumer-oriented perspective that focuses on personal recovery. The present study aimed to assess personal recovery among people living with schizophrenia and determine its predictors.Methods: This cross-sectional study recruited a random sample of 400 people living with schizophrenia (PLS) from twelve community health centers of Hunan, China. Recovery was assessed using the short-form 8-item Recovery Assessment Scale (RAS-8). PLS disability and functioning were assessed using the 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) and the Global Assessment of Functioning (GAF), respectively.Results: Participants had a mean personal recovery score of 20.29 (SD: 9.31, Range: 8–40). Personal recovery was predicted by both socio-demographic and clinical characteristics. Older age (r = −0.17, p < 0.001), being female (r = −2.29, p = 0.019), and higher disability (r = −0.22, p < 0.001) were independently associated with worse personal recovery, while having a college education (r = 5.49, p = 0.002), and higher functioning (r = 0.09, p = 0.017) were independently associated with better personal recovery.Conclusion: Interventions to improve recovery among PLS may be best served by reducing the impact of disability and improving functioning, with targeted interventions for individuals who are older, female and less educated in order to increase their likelihood of recovery.

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Section: Discussionmentioning

confidence: 99%

Personal Recovery and Its Determinants Among People Living With Schizophrenia in China

Xiao

Yang

et al. 2020

Front. Psychiatry

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“…6 Prior to these dates, the data available are more limited either in terms of sample sizes within year-age-education cells or in terms of the nature and detail of the information collected on either benefit receipt or on health. However, some of these other data sources like the British Household Panel Study, the Family Expenditure Survey, and the Health Survey for England have been used to examine specific issues and questions pertaining to disability benefits in earlier years.…”

Section: Education Health and Disability: Evidence From Survey Datamentioning

confidence: 99%

Disability Benefit Receipt and Reform: Reconciling Trends in the United Kingdom

Banks

Blundell

Emmerson

2015

Journal of Economic Perspectives

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The UK has enacted a number of reforms to the structure of disability benefits that has made it a major case study for other countries thinking of reform. The introduction of Incapacity Benefit in 1995 coincided with a strong decline in disability benefit expenditure, reversing previous sharp increases. From 2008 the replacement of Incapacity Benefit with Employment and Support Allowance was intended to reduce spending further. We bring together administrative and survey data over the period and highlight key differences in receipt of disability benefits by age, sex, and health. These disability benefit reforms and the trends in receipt are also put into the context of broader trends in health and employment by education and sex. We document a growing proportion of claimants in any age group with mental and behavioral disorders as their principal health condition. We also show the decline in the number of older working age men receiving disability benefits to have been partially offset by growth in the number of younger women receiving these benefits. We speculate on the impact of disability reforms on employment.

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“…Many people with SMI espouse employment as a long-term recovery goal (Secker et al, 2001) and having paid work is associated with fewer symptoms, better functioning and improved quality of life (Bell et al, 1996; Eklund et al, 2004; Üçok et al, 2012). Whilst some people do engage in meaningful employment, many do not, which has a large social and personal cost (Killackey, 2015; Knapp et al, 2004). Despite advances in psychological interventions for psychosis, occupational outcomes remain poor.…”

Section: Introductionmentioning

confidence: 99%

Cognitive and metacognitive factors predict engagement in employment in individuals with first episode psychosis

Wright

Mueser

McGurk

et al. 2020

Schizophrenia Research: Cognition

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BackgroundResearch has demonstrated that cognitive abilities predict work outcomes in people with psychosis. Cognitive Remediation Programs go some way in improving work outcomes, but individuals still experience difficulty maintaining employment. Metacognition has been demonstrated to predict work performance in individuals with schizophrenia, but this has not yet been applied to First Episode Psychosis (FEP). This study assessed whether metacognition, intellectual aptitude and functional capacity can predict engagement in work and number of hours of work within FEP.MethodsFifty-two individuals with psychosis, from an Early Intervention in Psychosis service, completed measures of IQ, metacognition (Metacognitive Assessment Interview), functional capacity (UPSA), and functional outcome (hours spent in structured activity per week, including employment).ResultsTwenty-six participants (22 males, 4 females) were employed and twenty-six (22 males, 4 females) were not employed. IQ and metacognition were significantly associated with whether the individual was engaged in employment [IQ (p = .02) and metacognition (p = 006)]. When controlling for IQ, metacognition (differentiation subscale) remained significant (p = .04). Next, including only those employed, no cognitive nor metacognitive factors predicted number of hours in employment.DiscussionThis is the first study to directly assess metacognition as a predictor of work hours for individuals with FEP. This study highlights the importance of enhancing metacognitive ability in order to improve likelihood of, and engagement in, employment for those with FEP.

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Resignation not accepted: employment, education and training in early intervention, past, present and future

Cited by 13 publications

References 27 publications

Personal Recovery and Its Determinants Among People Living With Schizophrenia in China

Personal Recovery and Its Determinants Among People Living With Schizophrenia in China

Disability Benefit Receipt and Reform: Reconciling Trends in the United Kingdom

Cognitive and metacognitive factors predict engagement in employment in individuals with first episode psychosis

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