Two types of expectancies concerning competitive employment among people with mental illness in supported employment

Brantschen, Elisabeth; Landolt, Karin; Kawohl, Wolfram; Rössler, Wulf; Bärtsch, Bettina; Nordt, Carlos

doi:10.3233/jvr-160855

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…A previous study based on the sample receiving IPS presented herein found that patients who believed that their own actions influence outcomes (referred to as action-outcome expectancy) were more likely to work for at least 1 day during the study period. This expectancy was associated with higher motivation, female sex, higher income, and quality of life (QoL) (8). Recent reviews all found prior work experience, and some also found higher motivation or lower age predictive of higher levels of acquisition of competitive employment with SE (9–11).…”

Section: Introductionmentioning

confidence: 99%

Predictors of Employment for People With Mental Illness: Results of a Multicenter Randomized Trial on the Effectiveness of Placement Budgets for Supported Employment

Rössler

Ujeyl

Kawohl³

et al. 2019

Front. Psychiatry

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Background: Individual placement and support (IPS) has proven to be effective for vocational outcomes in people with mental illness. The original concept of IPS requires temporally unlimited provision of support. Using limited placement budgets and investigating factors that predict their effectiveness may inform decisions about resource allocation. Methods: A range of patient characteristics were tested as predictors of employment outcomes in participants who attended six outpatient psychiatric clinics in Switzerland between June 2010 and May 2011. Overall, 116 patients with the full spectrum of psychiatric conditions were randomly assigned and started an IPS intervention, which was provided by three different placement budgets. Support lasted 2 years for those who found a job, and outcomes were repeatedly assessed over 3 years. The intervention ended for those who failed to find competitive employment by the time their placement budget had run out. Results: Of the 15 variables tested, only Global Assessment of Functioning (GAF) and Clinical Global Impression (CGI) scores were predictors for obtaining work (for ≥1 day) and for maintaining it over a longer period (>3 months). Higher GAF and lower CGI scores increased the odds of obtaining employment and keeping it for at least 3 months. Functional role impairment, quality of life, self-esteem, or education level did not predict employment. Conclusion: Our data suggest that, if time-restricted budgets are offered to a wide range of patients, such as those included in this study, better functioning and lower symptom severity at baseline are predictive of better employment outcomes (finding and maintaining work) on the first (competitive) labor market in Switzerland. It remains to be investigated whether this holds true under different environmental factors. Clinical Trial Registration: ISRCTN, trial number: ISRCTN89670872.

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Section: Introductionmentioning

confidence: 99%

Predictors of Employment for People With Mental Illness: Results of a Multicenter Randomized Trial on the Effectiveness of Placement Budgets for Supported Employment

Rössler

Ujeyl

Kawohl³

et al. 2019

Front. Psychiatry

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“…These different mindsets partially confirm previous studies (Fleming et al., 2019 ; Nordt et al., 2006 ; Olmo‐Romero et al., 2019 ; Rose et al., 2018 ), where non‐medical professionals have a better view of the employability of people with mental illness. Consequently, differing views between medical and social professionals may reduce the effectiveness of work rehabilitation programs, discouraging or confusing individuals who need to increase their intrinsic and extrinsic motivation to work (Reddy et al., 2016 ), which is a requirement for individuals to develop an active and action‐oriented attitude toward employment (Brantschen et al., 2017 ). This research also confirms other previous studies (Brucker & Doty, 2019 ; Fleming et al., 2019 ) and shows that medical mental health professionals may have a negative belief that people with mental illness cannot and do not want to work.…”

Section: Discussionmentioning

confidence: 99%

The attitudes of mental health professionals on the employability of people with mental illness: A different view limiting employment rehabilitation

et al. 2022

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Objectives Mental health professionals are becoming increasingly involved in the process of employment rehabilitation of persons with psychiatric disabilities. However, few studies address the attitudes of these professionals toward the employability of those with mental illness. The aim of this research was to identify differences in the attitudes of medical and non‐medical mental health professionals, as well as to detect any association between attitude scores and the type of professional. Methods A sample of 140 employees from public and third sector mental health organizations answered a questionnaire using a scale measuring their attitudes and views on the employability of people with psychiatric disabilities. The psychometric characteristics of the scale are provided together with the variations detected in the professionals’ attitudes. Results This research shows that significant differences in the attitudes between medical and non‐medical mental health employees exist and that there is a need for the implementation of educational programs that may help to improve the attitudes of medical professionals toward the employability of people with mental illness. Conclusion This research indicates the importance of improving the professionals’ attitudes to support people attempting to return to work.

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“…Therefore, participants must be willing and able to successfully engage with the intervention (Brantschen et al, 2017). Service user passivity was identified as a negative moderator of functional, existential and social recovery outcomes across several interventions including supported employment (Brantschen et al, 2017), peer support (Castelein et al, 2008), illness management and recovery (Salyers, Matthias, Sidenbender, & Green, 2013) and the strengths model (Tse, Divis, & Li, INTERVENTIONS FOR MENTAL HEALTH RECOVERY 22 2010). Providers described service users' lack of interest in working, their internalised negative views and a lack of work-related skills as key barriers to making referrals for supported employment (Costa et al, 2017).…”

Section: Service Usermentioning

confidence: 99%

How do recovery-oriented interventions contribute to personal mental health recovery? A systematic review and logic model

Winsper

Crawford‐Docherty

Weich

et al. 2020

Clinical Psychology Review

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Two types of expectancies concerning competitive employment among people with mental illness in supported employment

Cited by 3 publications

References 18 publications

Predictors of Employment for People With Mental Illness: Results of a Multicenter Randomized Trial on the Effectiveness of Placement Budgets for Supported Employment

Predictors of Employment for People With Mental Illness: Results of a Multicenter Randomized Trial on the Effectiveness of Placement Budgets for Supported Employment

The attitudes of mental health professionals on the employability of people with mental illness: A different view limiting employment rehabilitation

How do recovery-oriented interventions contribute to personal mental health recovery? A systematic review and logic model

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