Telling is risky business: Mental health consumers confront stigma

Wahl, Otto E; Calabrese, Joseph D.

doi:10.1080/15487760108415440

Cited by 44 publications

(70 citation statements)

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“…Finally, in addition to affecting employment status and work outcomes, cooccurring disorders may increase the chances that an individual's health and level of impairment are scrutinized by others, leading to a greater likelihood of disclosure of psychiatric status [26][27]. Disclosure may elicit both positive and negative reactions from employers and coworkers [28][29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Effects of co-occurring disorders on employment outcomes in a multisite randomized study of supported employment for people with severe mental illness

Cook

Razzano

Burke-Miller

et al. 2007

JRRD

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Abstract-Effects of co-occurring disorders on work outcomes were explored among individuals with severe mental illness who were participating in a multisite randomized study of supported employment. At seven sites, 1,273 people were randomly assigned to an experimental supported employment program or a control condition and followed for 2 years. Multivariate regression analysis examined work outcomes including earnings, hours worked, and competitive employment, as well as whether psychiatric disability was disclosed to coworkers and supervisors. Individuals with any comorbidity had lower earnings and were less likely to work competitively. Those with physical comorbidities had lower earnings, worked fewer hours, and were less likely to work competitively. Disclosure was more likely among those with both cognitive and physical comorbidities, as well as those with learning disabilities. Competitive employment was less likely among those with intellectual disability, visual impairment, and human immunodeficiency virus/acquired immunodeficiency syndrome. The experimental condition was positively related to all outcomes except disclosure. The results suggest that, with some exceptions, comorbidities affect employment outcomes, requiring tailored services and supports to promote vocational success.

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Section: Introductionmentioning

confidence: 99%

Effects of co-occurring disorders on employment outcomes in a multisite randomized study of supported employment for people with severe mental illness

Cook

Razzano

Burke-Miller

et al. 2007

JRRD

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“…There is evidence that stigma is one of the factors that hinders the employment of people with mental illnesses (Gaebel et al, 2008) because they fear having to disclose their illness (See Me Scotland, 2006;Yoshii, 2014). This may be because they were previously turned down for a job, dismissed, demoted, shunned, or harassed by co-workers after disclosure (Wahl, 1999a(Wahl, , 1999b. In our study, high scores on social distance and stigma were associated with lower likelihood of hiring schizophrenia patients, and low scores for these variables were associated with a greater likelihood of employment.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and Attitudes about Schizophrenia among Employers in Japan

Yoshii¹,

Mitsunaga²,

Saito³

2017

GJHS

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Purpose: A high percentage of schizophrenia patients cannot find work. If these patients are to find long-term employment, it is essential that employers understand schizophrenia. Therefore, this study aimed to assess knowledge and attitudes about schizophrenia among employers in Japan. Methods:A total of 1877 executives were recruited from private companies to examine knowledge and attitudes about schizophrenia, awareness of employment support, and likelihood of hiring schizophrenic patients. Higher scores indicated greater knowledge and/or higher levels of stigma.Results: Small-scale entrepreneurs were significantly less likely to believe that they might be able to employ a schizophrenia patient. They tended to regard mentally ill people, including schizophrenia patients, as dangerous, despite having little or no contact with them. Basic knowledge of schizophrenia was significantly higher (p = 0.001) and average scores on a number of attitude measures significantly lower (p = 0.001) for employers who said they might employ people with schizophrenia than those that didn't. More than 83.5% of respondents were unaware of support available for people with mental illnesses. Half expressed desire for support from outside agencies in hiring and ongoing employment of people with schizophrenia. Conclusions:This study identified a particular group of employers who were very unlikely to employ anyone with schizophrenia. This might enable targeted interventions to change attitudes among this group. Also found was a widespread lack of knowledge of support available for employers and employees, suggesting that more public information about this may be helpful in increasing employment among those with mental health problems.

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“…Dans des récits de vie collectés par Wahl (1999), les PPMM considèrent que la stigmatisation a non seulement un impact sur leur vie mais également sur leur rétablissement. La perception négative qu'ils ressentent les maintient dans le silence quant àleur condition de santé (famille, amis, collègues, propriétaires de logement ou employeurs) et les empêche souvent de demander des soins.…”

Section: Revue De Littérature Sur Les Attitudesunclassified

“…Mais il y a d'autres facteurs qui contribuent à cette situation. La stigmatisation de la maladie mentale ainsi que les préjugés à l'égard des PPMM entravent l'accès aux soins et aux services de santé mentale et contribuent fortement à exclure ces personnes des milieux du logement et de l'emploi (Philo, 1996 ;Wahl, 1999 ;Alexander et Link, 2003 ;Green et al, 2003 ;Knight et al, 2003 ;Sieff, 2003). Lorsque ces personnes ont déjà un logement ou un travail, la manifestation d'un trouble mental, par exemple un épisode dépressif chez des infirmières, entraîne leur dévalorisation (Caan et al, 2000) qui peut mener à des difficultés majeures de réintégration dans leur emploi.…”

Section: Conclusion Retour à La Table Des Matièresunclassified

Profilage diagnostique et traitement des troubles mentaux

Dorvil¹

2008

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Telling is risky business: Mental health consumers confront stigma

Cited by 44 publications

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Effects of co-occurring disorders on employment outcomes in a multisite randomized study of supported employment for people with severe mental illness

Effects of co-occurring disorders on employment outcomes in a multisite randomized study of supported employment for people with severe mental illness

Knowledge and Attitudes about Schizophrenia among Employers in Japan

Profilage diagnostique et traitement des troubles mentaux

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