Abstract:Background: A number of persons with severe mental illnesses are unable to prepare for, find or keep a job due to factors linked to their illness as well as psychosocial issues. Aim: To test the feasibility of a supported employment programme to help persons with severe mental disorders obtain and sustain employment. Methods: A supported employment programme was developed for persons with severe mental disorders with components of (a) assessment of vocational potential, (b) vocational counselling, (c) networki… Show more
“…The current hybrid model of supported employment approach included skilling clients to be job ready while not in active employment and facilitating job placements when they expressed readiness has shown success, and encouraged persons with ID to work in mainstream community settings. A similar hybrid model of 'train and place 'and 'place and train' as depicted in this paper has shown to be efficacious in providing vocational services to persons with severe mental illness in France and Quebec [14] Studies reports that employment helps in changing the status of the persons with disabilities across various domains such as reduced financial burden, improvement of quality of life and self-esteem, enhanced standard of living, alleviation of stigma in the community and reduced emotional burden with greater individual autonomy [4]. In addition, studies also shown that meaningful employment is associated with improvement of a range of skills including cognitive abilities, social skills, interpersonal skills and community integration [15,16].…”
Section: Discussionmentioning
confidence: 89%
“…A feasibility study on supported employment of Persons with Severe Mental Disorders (PwSMD)in India showed that out of 63 PwSMDs who were part of the study, 32 (50.8%) were placed in competitive jobs, placement was actively attempted for 17 (27.0%) and 7 (11.1%) were referred for skill training. The study also reported that their disability scores reduced significantly and socio-occupational functioning significantly improved in those who were placed over a period of 6 months [4]. Studies have also reported the role of reasonable accommodation in sustaining employment for persons with disabilities [4,5], Rangarajan et al, n.d.) Studies have reported that persons with developmental disabilities have the lowest rate of labor force participation, relative to other disabilities [6].…”
Section: Introductionmentioning
confidence: 84%
“…The study also reported that their disability scores reduced significantly and socio-occupational functioning significantly improved in those who were placed over a period of 6 months [4]. Studies have also reported the role of reasonable accommodation in sustaining employment for persons with disabilities [4,5], Rangarajan et al, n.d.) Studies have reported that persons with developmental disabilities have the lowest rate of labor force participation, relative to other disabilities [6]. Skill deficits in multiple areas and lack of prior work experience function as internal barriers for employment, and paucity of exclusive skill training centers and other logistic barriers are external barriers [7].…”
Section: Introductionmentioning
confidence: 84%
“…The process includes liaising with different employers, identifying potential persons for the employment, skill assessment and skill training, and placement in a competitive employment. Further, the process also includes collecting continuous evaluation and feedback from the clients and their employers to understand the progress and challenges [4,10]. There were only few studies discussing the effectiveness of supported employment approach for persons with Intellectual disability (ID).…”
Studies have reported that persons with developmental disabilities have the lowest rate of labor force participation, relative to other disabilities due to various factors. This paper presents two cases studies of persons with ID who were successfully provided a hybrid supported employment approach of 'train and place model' and 'place and train model' by the Psychiatric Rehabilitation Services (PRS) team. Conducted a retrospective file review highlighting the process of supported employment approach adapted for persons with ID. The ethical approval was obtained from the Institute Ethical Committee. The hybrid supported employment approach focuses on enhancing client's vocational potential and skills, prepare for job ready, find a suitable job placement. Further, the approach helped in improving the sense of independence self-esteem and quality of life of the clients. A hybrid supported employment approach could be an effective method in aiding persons with developmental disabilities in India seek, get, and keep jobs; it will also help them deal with unique challenges they face in the workplace as well as loss of or gaps in employment. Involvement of families in the intervention will help minimize negative expressed emotions and distress.
“…The current hybrid model of supported employment approach included skilling clients to be job ready while not in active employment and facilitating job placements when they expressed readiness has shown success, and encouraged persons with ID to work in mainstream community settings. A similar hybrid model of 'train and place 'and 'place and train' as depicted in this paper has shown to be efficacious in providing vocational services to persons with severe mental illness in France and Quebec [14] Studies reports that employment helps in changing the status of the persons with disabilities across various domains such as reduced financial burden, improvement of quality of life and self-esteem, enhanced standard of living, alleviation of stigma in the community and reduced emotional burden with greater individual autonomy [4]. In addition, studies also shown that meaningful employment is associated with improvement of a range of skills including cognitive abilities, social skills, interpersonal skills and community integration [15,16].…”
Section: Discussionmentioning
confidence: 89%
“…A feasibility study on supported employment of Persons with Severe Mental Disorders (PwSMD)in India showed that out of 63 PwSMDs who were part of the study, 32 (50.8%) were placed in competitive jobs, placement was actively attempted for 17 (27.0%) and 7 (11.1%) were referred for skill training. The study also reported that their disability scores reduced significantly and socio-occupational functioning significantly improved in those who were placed over a period of 6 months [4]. Studies have also reported the role of reasonable accommodation in sustaining employment for persons with disabilities [4,5], Rangarajan et al, n.d.) Studies have reported that persons with developmental disabilities have the lowest rate of labor force participation, relative to other disabilities [6].…”
Section: Introductionmentioning
confidence: 84%
“…The study also reported that their disability scores reduced significantly and socio-occupational functioning significantly improved in those who were placed over a period of 6 months [4]. Studies have also reported the role of reasonable accommodation in sustaining employment for persons with disabilities [4,5], Rangarajan et al, n.d.) Studies have reported that persons with developmental disabilities have the lowest rate of labor force participation, relative to other disabilities [6]. Skill deficits in multiple areas and lack of prior work experience function as internal barriers for employment, and paucity of exclusive skill training centers and other logistic barriers are external barriers [7].…”
Section: Introductionmentioning
confidence: 84%
“…The process includes liaising with different employers, identifying potential persons for the employment, skill assessment and skill training, and placement in a competitive employment. Further, the process also includes collecting continuous evaluation and feedback from the clients and their employers to understand the progress and challenges [4,10]. There were only few studies discussing the effectiveness of supported employment approach for persons with Intellectual disability (ID).…”
Studies have reported that persons with developmental disabilities have the lowest rate of labor force participation, relative to other disabilities due to various factors. This paper presents two cases studies of persons with ID who were successfully provided a hybrid supported employment approach of 'train and place model' and 'place and train model' by the Psychiatric Rehabilitation Services (PRS) team. Conducted a retrospective file review highlighting the process of supported employment approach adapted for persons with ID. The ethical approval was obtained from the Institute Ethical Committee. The hybrid supported employment approach focuses on enhancing client's vocational potential and skills, prepare for job ready, find a suitable job placement. Further, the approach helped in improving the sense of independence self-esteem and quality of life of the clients. A hybrid supported employment approach could be an effective method in aiding persons with developmental disabilities in India seek, get, and keep jobs; it will also help them deal with unique challenges they face in the workplace as well as loss of or gaps in employment. Involvement of families in the intervention will help minimize negative expressed emotions and distress.
“…To promote optimal levels of social and vocational functioning for individuals with mental illness, it is therefore vital to have a multidisciplinary approach between service providers and caregivers in a well-coordinated operationalisation of recovery that is also patient-centred (Escorpizo et al, 2011; Liberman et al, 2001). This approach had been practiced in a supported employment model developed in India which included joint-sessions with family members to discuss employment expectations and preferences with the client, and the study had shown promising outcomes (Jagannathan et al, 2020). Unlike in India, most vocational initiatives in Singapore, emphasise on working with the individuals to address their needs and employability, and with employers, and co-workers to improve the working environment.…”
Objective: Informal caregivers are often placed in a better position to understand and advocate for the vocational needs of young persons with mental health conditions. However, their opinions are largely ignored in the planning of vocational outcomes. This qualitative study had two broad aims: to explore (1) the perceptions of caregivers of young adults with mental health conditions on issues of paid employment and (2) their views and expectations of employment support services. Methods: A total of 30 semi-structured interviews were conducted. Caregivers were 45 years old on average, the majority were women (73%) and were of Chinese ethnicity (53%). Most participants (60%) were parents of the young persons with psychotic disorders (57%), or affective and mood disorders, such as depression or anxiety disorders (43%). Results: Thematic analyses of data revealed three superordinate themes: (1) caregiving roles, (2) caregivers’ expectations and hopes, and (3) barriers to employmentof young persons with mental health conditions. Conclusions and implications for practice: Caregivers strongly believed that employment support services should prioritise and advocate for recovery while securing employment. Local mental health employment support services should incorporate the views and expectations of caregivers of young persons with mental health conditions to foster better coordination between stakeholders, and enhance support for successful employment, reintegration into the community, and ultimately recovery for these individuals.
Traditional medical models have given way to recovery-oriented approaches over the years in the management of individuals with serious mental illnesses. However, very little is known about such recovery-based models in the Indian context. This qualitative study used a phenomenological approach to explore the experiences and meanings of recovery among individuals with serious mental illness in southern India. Purposive sampling with maximum variation was used to recruit participants. In-depth interviews were conducted with ten participants, using a semi-structured interview guide. Thematic analysis resulted in three themes: “The illness journey,” “Life minus illness = Recovery,” and “It takes a village to recover,”. Illness and recovery seemed to be two sides of the same coin with the context playing an influential role in the perceptions of recovery. The term “recovery” seemed to be a misnomer giving the impression that one is expected to return to an illness free state.
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