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The structure of work environments in psychiatric rehabilitation: Therapeutic alternatives to the industrial workshop

  • Nigel Mills (a1)
Extract

There is now an extensive literature describing the value of work for people with a psychiatric disability (Shepherd, 1989; Bennett, 1970; Wing & Brown, 1970; Pilling, 1988). Apart from financial gain the benefits of work can include social contacts and support; social status and identity; ‘normal’ non-patient roles; a means of structuring and occupying one's time; a sense of personal achievement and mastery and a criterion of recovery from illness (Shepherd, 1984). However, for many people with a long-term psychiatric disability the range of opportunity for work is often very limited, usually consisting of subcontract packing or assembly work. The provision of this repetitive and simple work satisfies a basic occupational need. However to a large extent it neglects the fulfilment of broader psychological and social needs. People with a vulnerability to experience periods of major mental disorder usually have more than just an occupational need; they also need to be in an environment which can provide the conditions that will actively assist in the promotion of a state of positive mental health.

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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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Beard, J. H., Propst, R. N. & Malamud, T. J. (1982) The Fountain House model of psychiatric rehabilitation. Psychosocial Rehabilitation Journal, 5, 4753.
Bennett, D. H. (1970) The value of work in psychiatric rehabilitation. Social Psychiatry, 4, 224230.
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Leff, J. P. & Vaughn, C. E. (1985) Patterns of response in high EE and low EE relatives of psychiatric patients. In Expressed Emotion in Families: Its Significance for Mental illness (eds. Vaughn, C. E. & Leff, J. P.). New York: Guildford Press.
Pilling, S. (1988) Work and the continuing care client. In Community Care in Practice (eds. Lavender, A. & Holloway, F.). Chichester: John Wiley.
Shepherd, G. (1984) Institutional Care and Rehabilitation. London: Longmans.
Shepherd, G. (1989) The value of work in the 1980s. Psychiatric Bulletin, 13, 231233.
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Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. Cambridge University Press.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The structure of work environments in psychiatric rehabilitation: Therapeutic alternatives to the industrial workshop

  • Nigel Mills (a1)
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