Mental disorders and work

Greef, Vanessa De; Kirkland, Anna E.; Jacob, Marie-Andrée

doi:10.4337/9781786437983.00010

Research Handbook on Socio-Legal Studies of Medicine and Health 2020

DOI: 10.4337/9781786437983.00010

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Mental disorders and work

Vanessa De Greef¹,

Anna E. Kirkland²,

Marie-Andrée Jacob³

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2020

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“…This study took as a starting point a previous study concluding that the existing programs were either not specific enough for people with mental health problems—in many cases, they were even excluded from them— either too limited—there was a long waiting list (De Greef, 2015). Indeed, people with mental health problems could sometimes be supported by mental health centers or employment services to go back to work or to find a job, but in general, they received a negative answer, except in the north of Belgium.…”

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Analysis of barriers and facilitators of existing programs in Belgium for the purpose of implementing individual placement and support (IPS).

Greef¹

2020

Psychiatric Rehabilitation Journal

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Objective:The goal was to build a strategy before implementing individual placement and support (IPS) in the country, leveraging existing facilitators and mitigating, as much as possible, identified barriers. Methods: A qualitative study called "group analysis" was conducted: Over 2 days, two groups of stakeholders were invited for a whole-day workshop to collect information on facilitators and barriers faced by existing programs. Results: Many perceived facilitators were related to some guidelines or key principles of the IPS model. Main barriers were lack of long-time job support, lack of funding, lack of communication between stakeholders, social or financial insecurity of the beneficiary, denial of their own disease, high hiring selectivity, and on-the-job requirements by employers looking to maintain a competitive workforce. The four points of divergence between participants in relation with IPS were (a) the (dis)advantages of internships and trainings compared to standard work contracts, (b) the risk associated with the communication of a medical diagnosis and the disclosure issue, (c) the best time to start a job search or to return to work, and (d) whether priority should be given to the search for an adapted job or the adaptation of existing jobs to the specific needs of the beneficiaries. Conclusion: The IPS model appears as a potential solution to many issues faced by stakeholders in Belgium in charge of helping people with moderate to severe mental illness to find a job. A stronger legal framework could help to achieve the integration of such model. Impact and ImplicationsThe group analysis method is a useful method to predict how an employment programindividual placement and support (IPS)-will be received. In the case discussed in this article, the method enabled the identification of points of convergence between participants and points of tension that could persist after the implementation of the IPS program. The confrontation of points of view also helped to get deeper insights on certain themes than in individual interviews. This has the advantage of allowing decision makers who wish to initiate change not only to see how to build on existing strengths but also to analyze how to reduce the identified weaknesses.

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confidence: 99%

Analysis of barriers and facilitators of existing programs in Belgium for the purpose of implementing individual placement and support (IPS).

Greef¹

2020

Psychiatric Rehabilitation Journal

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Mental disorders and work

Cited by 1 publication

References 0 publications

Analysis of barriers and facilitators of existing programs in Belgium for the purpose of implementing individual placement and support (IPS).

Analysis of barriers and facilitators of existing programs in Belgium for the purpose of implementing individual placement and support (IPS).

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