Temporary migrant workers are widely regarded as a precarious group of workers. This precariousness is often traced back to the sphere of employment, though recent research also points to the implications of the limited rights entailed by temporary migrant status. This article draws on empirical work among registered nurses who have participated in the Australian 457 visa scheme -the major programme for temporary migrant workers in Australia. Using a range of empirical sources, including in-depth interviews with 26 temporary migrant nurses, we examine whether these nurses experience precariousness and locate the sites and sources of precariousness. The article draws attention to the importance of the regulatory context that defines different pathways from the country of departure to employment in the Australian healthcare system. We suggest that, although temporary migrant nurses are well integrated within the healthcare workforce in terms of formal wages and conditions, other stages in their migration pathways can be associated with precariousness. This in turn has significant impact on experiences at work and outside the workplace.

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BackgroundA key component of case-management in early intervention services for first-episode psychosis is engaging a person with the service and building a relationship from which therapy and treatment can be facilitated. The aim of this study was to understand how case-managers at an early intervention service experience the process of engagement and working with varying levels of attendance and participation.MethodsQualitative interviews were conducted with the case-managers of nine young people treated at an early intervention service for first-episode psychosis within 6 months of treatment entry. Interviews discussed the process of working with the young person and factors that influenced service engagement. Interviews were analyzed using thematic analysis.ResultsCase-managers described a range of influences on engagement which were grouped under the themes: young person and caregiver influences on engagement, case-manager influences on engagement, and influences of the early intervention service system on engagement. The experience of engagement was described as relational, however it occurred in the context of broader influences, some of which were unable to be changed or challenged by the case-manager (e.g., resource allocation, models of treatment, young person demographics).ConclusionThis study illustrates the challenges that case-managers face when working with young people with first-episode psychosis, and the direct influence this has on engagement with treatment. Understanding these challenges and addressing them in policy and service design may lead to improvements in young peoples’ recovery from first-episode psychosis and increase case-manager job satisfaction.

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