Employment Support Needs of People with Schizophrenia: A Scoping Study

Overview

Journal J Occup Rehabil

Publisher Springer

Specialties Occupational Medicine
Rehabilitation Medicine

Date 2018 Apr 23

PMID 29680909

Citations 4

Authors

Viviana R Carmona

Juana Gomez-Benito

J Emilio Rojo-Rodes

Affiliations

Soon will be listed here.

Abstract

Purpose People with schizophrenia continue to encounter barriers to employment acquisition. The aim of this scoping study was to identify and synthesize existent evidence about the employment support needs of people diagnosed with schizophrenia. Methods Five relevant databases were used: CINAHL, Medline, PsycINFO, SCOPUS, and Web of Science. Additional material of potential interest was identified through the references of the retrieved articles. A manual search for publications from the 3 months immediately prior to the electronic search was carried out in specialized journals. Searches covered the period between 1945 and August 30, 2017 without language restrictions. Two approaches were used to display the data: descriptive analysis and thematic analysis. Results Twelve articles met the inclusion criteria, most of which discussed experiences of participation in individual placement and support programmes. Thematic analysis identified four support needs: developing skills, vocational intervention, support and encouragement, and a supportive work environment. Conclusions There is a paucity of literature examining and evaluating employment support needs from the perspectives of people with schizophrenia. Future research must look beyond individual factors affecting employment outcomes to consider societal attitudes, stigma and work-related legislation.

Citing Articles

Predicting satisfaction with vocational status among people with serious mental illness in vocational services: the role of perceived skills and support.

Hoter Ishay G, Goldzweig G, Hasson-Ohayon I, Gelkopf M, Shadmi E, Roe D Front Psychiatry. 2025; 16:1533227.

PMID: 40078526 PMC: 11897006. DOI: 10.3389/fpsyt.2025.1533227.

Strategies for relapse prevention among people with schizophrenia in KwaZulu-Natal Province, South Africa: Healthcare providers' perspectives.

Mlay J, Naidu T, Ramlall S, Patankar K, Israel K, Esquivel L PLoS One. 2025; 20(3):e0316313.

PMID: 40063577 PMC: 11892825. DOI: 10.1371/journal.pone.0316313.

Exploring the tipping point: a qualitative study of labour marked experiences among young people with first episode of schizophrenia.

Ortenblad L, Olsen B, Vernal D, Pedersen P Soc Psychiatry Psychiatr Epidemiol. 2025; .

PMID: 39853373 DOI: 10.1007/s00127-025-02816-4.

Psychotic Disorders in Adolescence and Later Long-term Exclusion From Education and Employment.

Ringbom I, Suvisaari J, Kaariala A, Sourander A, Gissler M, Kelleher I Schizophr Bull. 2022; 49(1):90-98.

PMID: 36305161 PMC: 9810018. DOI: 10.1093/schbul/sbac151.

Employment trajectories until midlife in schizophrenia and other psychoses: the Northern Finland Birth Cohort 1966.

Majuri T, Alakokkare A, Haapea M, Nordstrom T, Miettunen J, Jaaskelainen E Soc Psychiatry Psychiatr Epidemiol. 2022; 58(1):65-76.

PMID: 35796815 PMC: 9845166. DOI: 10.1007/s00127-022-02327-6.

References

Ucok A, Gorwood P, Karadayi G . Employment and its relationship with functionality and quality of life in patients with schizophrenia: EGOFORS Study. Eur Psychiatry. 2011; 27(6):422-5. DOI: 10.1016/j.eurpsy.2011.01.014. View

Lexen A, Hofgren C, Bejerholm U . Reclaiming the worker role: perceptions of people with mental illness participating in IPS. Scand J Occup Ther. 2012; 20(1):54-63. DOI: 10.3109/11038128.2012.693946. View

Henry A, Lucca A . Facilitators and barriers to employment: the perspectives of people with psychiatric disabilities and employment service providers. Work. 2004; 22(3):169-82. View

Liu K, Hollis V, Warren S, Williamson D . Supported-employment program processes and outcomes: experiences of people with schizophrenia. Am J Occup Ther. 2007; 61(5):543-54. DOI: 10.5014/ajot.61.5.543. View

Latimer E, Lecomte T, Becker D, Drake R, Duclos I, Piat M . Generalisability of the individual placement and support model of supported employment: results of a Canadian randomised controlled trial. Br J Psychiatry. 2006; 189:65-73. DOI: 10.1192/bjp.bp.105.012641. View

Levac D, Colquhoun H, OBrien K . Scoping studies: advancing the methodology. Implement Sci. 2010; 5:69. PMC: 2954944. DOI: 10.1186/1748-5908-5-69. View

Auerbach E, Richardson P . The long-term work experiences of persons with severe and persistent mental illness. Psychiatr Rehabil J. 2005; 28(3):267-73. DOI: 10.2975/28.2005.267.273. View

Harvey P, Bellack A . Toward a terminology for functional recovery in schizophrenia: is functional remission a viable concept?. Schizophr Bull. 2009; 35(2):300-6. PMC: 2659311. DOI: 10.1093/schbul/sbn171. View

Gladman B, Waghorn G . Personal experiences of people with serious mental illness when seeking, obtaining and maintaining competitive employment in Queensland, Australia. Work. 2016; 53(4):835-43. DOI: 10.3233/WOR-162252. View

10.

Tsang H, Angell B, Corrigan P, Lee Y, Shi K, Lam C . A cross-cultural study of employers' concerns about hiring people with psychotic disorder: implications for recovery. Soc Psychiatry Psychiatr Epidemiol. 2007; 42(9):723-33. DOI: 10.1007/s00127-007-0208-x. View

11.

Tse S, Yeats M . What helps people with bipolar affective disorder succeed in employment: a grounded theory approach. Work. 2002; 19(1):47-62. View

12.

Charzynska K, Kucharska K, Mortimer A . Does employment promote the process of recovery from schizophrenia? A review of the existing evidence. Int J Occup Med Environ Health. 2015; 28(3):407-18. DOI: 10.13075/ijomeh.1896.00341. View

13.

Marwaha S, Johnson S . Views and experiences of employment among people with psychosis: a qualitative descriptive study. Int J Soc Psychiatry. 2006; 51(4):302-16. DOI: 10.1177/0020764005057386. View

14.

Areberg C, Bjorkman T, Bejerholm U . Experiences of the individual placement and support approach in persons with severe mental illness. Scand J Caring Sci. 2012; 27(3):589-96. DOI: 10.1111/j.1471-6712.2012.01056.x. View

16.

Dunn E, Wewiorski N, Rogers E . A qualitative investigation of individual and contextual factors associated with vocational recovery among people with serious mental illness. Am J Orthopsychiatry. 2010; 80(2):185-94. DOI: 10.1111/j.1939-0025.2010.01022.x. View

17.

Khalaf Beigi M, Mohammadi Shahbolaghi F, Rassafiani M, Haghgoo H, Taherkhani H . The meaning of work in people with severe mental illness (SMI) in Iran. Med J Islam Repub Iran. 2015; 29:179. PMC: 4431441. View

18.

Strauss J . Subjective experiences of schizophrenia: toward a new dynamic psychiatry--II. Schizophr Bull. 1989; 15(2):179-87. DOI: 10.1093/schbul/15.2.179. View

19.

Catty J, Lissouba P, White S, Becker T, Drake R, Fioritti A . Predictors of employment for people with severe mental illness: results of an international six-centre randomised controlled trial. Br J Psychiatry. 2008; 192(3):224-31. DOI: 10.1192/bjp.bp.107.041475. View

20.

Besse C, Poremski D, Laliberte V, Latimer E . Changes in the nature and intensity of stress following employment among people with severe mental illness receiving individual placement and support services: an exploratory qualitative study. J Ment Health. 2017; 26(4):312-317. DOI: 10.1080/09638237.2017.1294738. View

21.

McDowell C, Fossey E . Workplace accommodations for people with mental illness: a scoping review. J Occup Rehabil. 2014; 25(1):197-206. DOI: 10.1007/s10926-014-9512-y. View