Work and psychiatric illness: The significance of the posthospitalization occupational environment for the course of psychiatric illnesses

Vogel, R.; Bell, V.; Blumenthal, Stephan; Neumann, N.-U.; Schüttler, R.

doi:10.1007/bf00381468

Cited by 12 publications

(7 citation statements)

References 4 publications

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“…On the one hand, it has been repeatedly claimed that diagnosis is irrelevant for the person's future rehabilitation outcome [12]. On the other hand, different working conditions appear to have different effects in patients with different diagnosis [13] and our results confirm that the same working conditions may be suitable for patients with schizophrenic and affective disorders but not for patients with personality and substance use disorders. Incidentally, in psychotic patients occupational handicaps, in patients with neurotic and substance use disorders social handicaps were correlated with the disorder prognosis [14].…”

Section: Discussionsupporting

confidence: 73%

Leaving the sheltered workshop

2002

Swiss Arch Neurol Psychiatr

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Section: Discussionsupporting

confidence: 73%

Leaving the sheltered workshop

2002

Swiss Arch Neurol Psychiatr

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“…Suggestions include concern that work may be stressful (Vogel et al 1989), loss of disability payments if people start working (Polak and Warner 1996) and discrimination from employers (Manning and White 1995). There is limited evidence of the experiences of service users with SMI in obtaining and keeping employment as well as the perceived barriers to working.…”

Section: Introductionmentioning

confidence: 99%

Views and Experiences of Employment among People with Psychosis: A Qualitative Descriptive Study

Marwaha

Johnson

2005

Int J Soc Psychiatry

117

106

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Background: Work is important for mental health but we are only just beginning to understand why so few people with psychosis in the UK work. Aims: To identify the opinions of a purposive sample of patients with psychosis on themes related to employment. Method: A thematic analysis of 15 semi-structured interviews with people with schizophrenia or bipolar affective disorder. Results: Participants identified a range of advantages to working but also expressed substantial doubts. Symptoms, medication and potential damage to health are the problems that people believe affect their ability to work. Most people would not tell their employers about their illness because they feared discrimination during the selection process, but believed it could help their chances of retaining a job if employers knew. A number reported a lack of encouragement to work from mental health professionals and not enough helpful employment services. Conclusions: Although most people want to work, given the pressures they face some may choose not to. Barriers that people face are both internal and external and these interact.

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“…Vctter/Kollcr surprising that occupational decline was associated with greater severity of illness (CGIff) and lower social functioning (G AS-ff) at follow-up [33].…”

Section: Mmentioning

confidence: 99%

Clinical and Psychosocial Variables in Different Diagnostic Groups: Their Interrelationships and Value as Predictors of Course and Outcome during a 14-Year Follow-Up

Vetter¹,

Köller

1996

Psychopathology

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A 14-year follow-up study was conducted on 214 patients from the diagnostic groups schizophrenia, affective psychosis, and neurosis to determine the relationships between various clinical and psychosocial variables and to assess their value as predictors of long-term course and outcome. Particular emphasis was placed on ascertaining the interrelationships between the variables within the individual diagnostic groups. The results indicate that for schizophrenia, severity of disease at discharge from index hospitalization was the principal predictor of the number and duration of further hospitalizations. Furthermore, it predicted the severity of illness and social functioning at follow-up. For affective psychosis, the Global Assessment Scale score predicted the number and duration of further hospitalizations. Severity of illness, social functioning, and age at first hospitalization were predictors of occupational development. For neurotic disorders, severity of disease and social adjustment at discharge from index hospitalization were each predictors of themselves at final follow-up. In addition, age at first hospitalization was an important predictor of most course and psychosocial variables. Among the endogenous course variables within the schizophrenic group, the number and duration of further hospitalizations had a substantial bearing on severity of illness and social functioning at follow-up. For affective psychoses, indicators of occupational development and number of hospitalizations had an impact on severity of illness and social functioning at follow-up. Our findings reveal a good overall predictive value for the clinical and psychosocial variables within each of the diagnostic categories studied.

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Work and psychiatric illness: The significance of the posthospitalization occupational environment for the course of psychiatric illnesses

Cited by 12 publications

References 4 publications

Leaving the sheltered workshop

Leaving the sheltered workshop

Views and Experiences of Employment among People with Psychosis: A Qualitative Descriptive Study

Clinical and Psychosocial Variables in Different Diagnostic Groups: Their Interrelationships and Value as Predictors of Course and Outcome during a 14-Year Follow-Up

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