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Employment status and occupational care planning for people using mental health services

  • Mark Bertram (a1) and Louise Howard (a2)
  • Please note a correction has been issued for this article.
Abstract
Aims and Method

The aim of the study was to identify the employment rates of people using local mental health services and examine any evidence in care plans for vocational or occupational interventions. We investigated case notes retrospectively.

Results

A total of 297 case notes were examined: 88% of the patients were unemployed, but there was evidence of documentation relating to vocational needs in only 18% of out-patients; 8% in patients of community mental health teams; and 39% in acute wards; 8% of patients were engaged in work schemes; 10% of patients were in education; and 9% were engaged in vocational interventions with their care coordinator; the latter was less likely if the patient was from a Black or minority ethnic group (OR=2.44, 95% CI 0.18–1.05).

Clinical Implications

Despite high rates of unemployment, patients with psychiatric disorders are not referred for vocational interventions. Growing professional awareness of vocational possibilities for patients with severe mental illness should mean that many patients could return to competitive employment and return to mainstream society.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Bond, G. R., Drake, R. E., Mueser, K.T., et al (1997) An update on supported employment for people with severe mental illness. Psychiatric Services, 48, 335346.
Drake, R. E., Becker, D. R., Biesanz, J. C., et al (1996) Day treatment versus supported employment for persons with severe mental illness: a replication study. Psychiatric Services, 47, 11251127.
Drake, R. E., McHugo, G. I., Bebout, R. R., et al (1999) A randomized clinical trial of supported employment for inner-city patients with severe mental disorders. Archives of General Psychiatry, 56, 627633.
Lehman, A. F., Goldberg, R., Dixon, L., et al (2002) Improving employment outcomes for persons with severe mental illness. Archives of General Psychiatry, 59, 165172.
Marshall, M., Crowther, R., Almaraz-Serrano, A., et al (2001) Systematic reviews of the effectiveness of day care for people with severe mental disorders: (1) acute day hospital versus admission; (2) vocational rehabilitation; (3) day hospital versus outpatient care. Health Technology Assessment, 5, 175.
Social Exclusion Unit (2004) Mental Health and Social Exclusion. London: Office of the Deputy Prime Minister. http://www.socialexclusion.gov.uk/downloaddoc.asp?id=134
Perkins, R. & Rinaldi, M. (2002) Unemployment rates among patients with long-term mental health problems: A decade of rising unemployment. Psychiatric Bulletin, 26, 295298.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Employment status and occupational care planning for people using mental health services

  • Mark Bertram (a1) and Louise Howard (a2)
  • Please note a correction has been issued for this article.
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A correction has been issued for this article: