What helps people with bipolar affective disorder succeed in employment: a grounded theory approach

The present study used a qualitative research design to unfold those contextual factors which influence vocational outcomes amongst people with bipolar disorder (BD). The data for this qualitative study was collated using a grounded theory approach because of its particular relevance to the study's aims i.e., to propose a theory grounded in the data that provided an account of the vocational integration process people with BD go through. The emerging theory consists of two over-arching principles that determine an individual's readiness to join the workforce: i) recovery from an acute phase of BD and ii) goodness of fit between the individual, support, job and wider contextual components. The emerging theory is in general agreement with those issues discussed in the literature. The present study also highlights the importance of maintaining a sense of hope and how self-determination may help individuals achieve their vocational goals. The credibility of these findings was strengthened by the method of triangulation of data interpretation and sources.     

Patterns of employment among individuals with mental illness in vocational recovery

This article provides empirical evidence about the patterns of competitive employment among individuals with serious mental illness who are in vocational recovery. The findings are based on a 5-year longitudinal study on sustained employment, conducted with a national sample of 529 individuals with serious mental illness who were in vocational recovery at the time of study enrollment. Data analysis from the 328 participants who completed the study-from baseline through all five annual follow-up assessments-revealed three different postrecovery employment patterns: continuous, stable, and fluctuating. Although many participants demonstrated the capacity to sustain competitive employment during prolonged periods of time, others experienced employment interruptions. Work interruptions were most frequently attributed to exacerbation of psychiatric symptoms. Schizophrenia spectrum disorder, difficulties with daily functioning, and current receipt of disability benefits predicted the psychiatric-based work interruptions in this sample. Implications for clinical practice are also discussed.     

Intergenerational effects of further vocational training in Germany

ABSTRACT

This article analyses the influence of unemployed parents’ further vocational training on their children’s future apprenticeship and employment opportunities. We focus on households receiving means-tested benefits in Germany and investigate whether parents’ further vocational training helps avoid an intergenerational transmission of unemployment. Parents’ further vocational training can affect children’s future apprenticeship and employment opportunities directly, for instance by raising the value attributed to education and training within the family. Indirect effects via parents’ improved employment opportunities are possible as well. The sample consists of adolescents who were 14–17 years old when their parents participated in a further vocational training programme. We evaluate apprenticeship and employment outcomes for the young adults at ages 17–23 using entropy balancing methods on the basis of rich large-scale register data. Our findings indicate significantly positive effects of parents’ further vocational training on children’s apprenticeship enrolment but non-significant or negative effects on children’s regular employment at young ages. Moreover, mediation analysis gives evidence that these effects are partly mediated via an increase in parents’ own employment opportunities. Overall, our analyses indicate that parents’ further vocational training improves the qualifications of the next generation as well.     

Social policy and transitions to training and work for disabled young people in the United Kingdom: neo-liberalism for better and for worse?

Although New Labour distanced itself from the neo-liberal ‘underclass’ discourses of its predecessors, its approach to disabled young people maintained key aspects of neo-liberalism, particularly an emphasis on individuals’ human capital, aspirations and self-investments as causes of and solutions to disabled young people’s unemployment. This is also apparent in early Coalition government statements. Since the 1990s, policies have focused on providing individually-tailored advice, developing individuals’ skills, and motivating appropriate self-investment. We examine recent evidence that highlights a number of problems with this focus. Notably, it entails a simplistic and individualised notion of ‘barriers’ to employment that cannot account for the complex impacts of disablement and inequality; moves towards open-market models of training and work support create perverse incentives that divert support away from those most in need; employment success is dependent on unpredictable local opportunity structures; and the focus on paid employment undermines other social contributions made by disabled young people.     

Welfare Reform and Its Impact on the Employment Prospects of Individuals with Psychiatric Disabilities

ABSTRACT

Welfare policy in Australia has undergone a marked shift in direction since the election of the Liberal Coalition (Conservative) Government in 1996. This paper examines welfare policy and, in particular, the disability support pension, in the light of the vocational needs of those with psychiatric disabilities who seek to gain employment. Empirical data is presented concerning a case study of 65 clients participating in a vocational program. These participants had all been diagnosed with psychiatric disabilities, and were assisted to obtain open employment. The paper demonstrates that welfare policy, in conjunction with the recently privatized employment services network, not only fails to address the barriers faced by individuals with psychiatric disabilities, but undermines their efforts to gain employment and recover from the illness.     

The school-to-work transition of people with mental handicap in Hong Kong

The purpose of this study was to examine the school-to-work experience of people with mental handicap in Hong Kong. Fourteen young adults with mild mental handicap participated in in-depth interviews. An interview guide was utilized which included topics related to the participants' vocational preferences, work motivation and post-school placements. Data were analyzed according to a constant comparative method and content analysis. Three-quarters of the participants expressed job preferences. Three-quarters of the participants had taken a vocational training program unrelated to their job preferences. Half of the participants who had taken up open employment had not obtained their preferred jobs. None of the participants who had completed vocational training obtained job placements that matched their vocational training programs. All of the participants except five were not involved in making independent decisions regarding employment. The need to improve the quality of vocational services and empower people with mental handicap to take up self-determining roles are discussed.     

Adult vocational training for migrants in North‐East Italy

This article contributes to the study of policies for the integration of immigrants into the labour markets of European immigration countries by focusing on the specific issue of vocational training for immigrant workers in Italy. Vocational training has a central role in the European employment strategy. Moreover, with regard to migrants, it is also relevant to the topical issue of the governance of international labour migration. The article analyses both the demand and the supply of vocational training in north‐east Italy, generally regarded as the rich and industrialised heart of the country. It draws on 30 interviews conducted with key informants and experts from local and regional governmental bodies, trade unions, employment offices, and private educational agencies in the main towns of the Veneto region. Various types of vocational training for immigrant workers are considered, from traditional full‐time courses financed by the European Social Fund to new projects for the selection and pre‐training of immigrants in their countries of origin. The extent to which these policy tools are able to meet the actual needs of immigrant workers and of the local business sector is investigated, as well as their problematic interaction with the national regulatory framework for immigration control.     

The development of supported employment services for people with mental illness: local experience in Hong Kong

Before the 1960s in Hong Kong, specialized vocational services for people with mental illness were very limited, and sheltered workshop seemed to be the only option for their future vocational placement at that time. As discussed in the literature, there are still many shortcomings of the sheltered workshop model, that brings us to the emergence of another community-based vocational service: Supported Employment. Unlike traditional vocational services, the concept of supported employment emphasizes the placing of the clients into integrated work environments and then providing on-going support and work-related skills training in the job post. Though supported employment services help many clients to sustain a job in the competitive market, many service barriers and problems still remain unsolved. These service barriers and problems will be discussed in this article, and suggestions will be made.     

促进上海高校毕业生就业的建议

为促进高校毕业生就业,上海需继续推进职业教育发展,完善就业技能培训体系,促使就业培训市场化,全面提升高校毕业生的就业能力。支持中小企业发展,教育学生改变轻视中小企业的成见,促使其改变就业观念;解决中小企业融资难的问题,通过优惠政策鼓励其吸纳高校毕业生。发挥高校就业指导中心提供就业服务的主渠道功能,推动高校就业指导服务机构建设;增加对非重点院校就业促进工作的资金支持;注重专业设置与产业发展之间有效衔接的长期规划。激励高校学生通过实习增加实践经验,增加社会实践学分的比重,严格执行学分认定标准;开设实践知识讲堂,为学生储备实习知识。     

Autism,employment, and the role of occupational therapy

The purpose of this article is to review the existing literature to generate guidelines for the role of occupational therapy in employment for persons with autism. Previous research about strengths and barriers to employment, and types of employment commonly offered to persons with autism are reviewed. The supported employment model is identified as the most productive approach for use with this population. The four approaches to the supported employment model and the best practice contributions of several innovative supported employment programs are discussed. The interdisciplinary team approach is best to assist persons with autism to gain employment and ensure success on the job. The role of the occupational therapist as a beneficial team member in assessment, job development, job placement and training, and supported employment is outlined.     

Assessment of vocational opportunities and continuing job placement for persons with mental disabilities: factors indicating levels of necessary support

We determined primary factors in allocating support for vocational opportunities and continuing job placement for clients with mental disabilities. The study analyzed 29 items regarding work attitudes and vocational skills for 70 clients as assessed by the Tokyo Metropolitan Rehabilitation Center for the Physically and Mentally Disabled. The evaluations were performed using the situational assessment approach with a 3-point support scale system assigned through observation of behavior. The results of these evaluations placed 35 clients in employment groups (A and B) and 35 clients in a sheltered workshop group (C). The data was analyzed by multivariate analysis. Predictions of success and functional differences among the groups were indicated by the data. Differences were found among the three groups in work attitudes and skills such as "self-direction" and "directions for social participation". Out of the 35 clients currently employed, 11 were recognized as needing ongoing assistance from supported employment offices. For the supported employment group (B), the major work attitudes and skills for which they required continuous services for maintaining stable jobs were 'emotional stability' and 'learning of working skills and accomplishment of work.' In a previous study, the major differences between the competitive employment group (A) and the sheltered workshop group (C) were in areas of 'responsibilities,' 'goals for life,' 'motivation for the work and understanding of contents for work,' and 'safety during work.' Our study supports these findings. In addition, transition from the sheltered workshop to supported employment required training to improve skills and support for 'responsibilities,' 'goals for life,' 'participation in leisure activities and community-based activities,' and 'preparation and cleaning for work.'     

Young African American Males in Reentry: An Afrocentric Cultural Approach

Record numbers of young African American males are released from juvenile detention, residential commitment, and prison facilities each year. Many challenges must be overcome for them to integrate back into their families and communities. Incorporating an Afrocentric cultural approach with concrete, comprehensive services such as education, training, employment housing assistance, substance abuse treatment, and family support could serve as a powerful tool for successful reentry.     

The impact of vocational services and employment on people with HIV/AIDS

The perceptions of vocational services and the impact of employment among 25 individuals with HIV/AIDS diagnoses were explored through a qualitative study. Participants who ranged in age from 22 to 58, represented diverse ethnic backgrounds and were at various stages of the employment process. The key themes that emerged from the data fell into three main areas: (a) personal impact of vocational services, (b) programmatic qualities of vocational services, and (c) impact of employment. Factors that influenced each of these themes and the implications for rehabilitation counselors are discussed.     

Cultural aspects of bipolar disorder: Interpersonal meaning for clients & psychiatric nurses

Bipolar disorder is a complicated mental illness to diagnose and treat. The symptoms of the disorder cause a multitude of fluctuations in mood and behavior, affecting the way individuals function and interact with others on a daily basis. Individuals diagnosed with bipolar disorder experience symptoms within a framework that is grounded in their cultural beliefs, values, and norms. Culture is a complex and personal biopsychosocial phenomenon that provides meaning within life for an individual, a group, or a community. It is essential that psychiatric-mental health (PMH) nurses understand the role of culture and integrate this knowledge into the biopsychosocial care of clients. The development and maintenance of the interpersonal therapeutic relationship between PMH nurses and their clients requires the use of a cultural framework, which refers to the connection of culture and cultural competence. The purposes of this article are to define culture and the process of cultural competence, provide a brief overview of bipolar disorder, propose the use of a cultural framework for bipolar disorder, and discuss the implications for PMH nurses who care for culturally and ethnically diverse clients.     

Consumer participation in the employment rehabilitation process: contextual factors and implications for practice

Rehabilitation models of practice have emerged that offer persons' with disabilities opportunities to have an active role in the work entry or re(entry) process. Despite the growth and interest in empowering client involvement in practice, consumer views on the determinants of participation are not fully understood. Thus, consumer feedback on using a self-directed approach to employment rehabilitation was elicited to identify factors integral to their participation in the process. Focus groups were conducted with 35 adult consumers with developmental, mental health, physical and learning disabilities to gain insights into their involvement in a participatory approach to find employment. Content analysis of data revealed barriers and facilitators, which hindered or enabled consumer involvement in the vocational service process. This article discusses the importance of considering issues across the rehabilitation system, practice and lived contexts when implementing participatory approaches in vocational rehabilitation settings.     

Parenting Among Mothers With Bipolar Disorder: Strengths,Challenges, and Service Needs

Bipolar disorder is a severe form of mental illness with a primary disruption in mood. With fluctuating phases of mania and depression, bipolar disorder can have a serious impact on all activities of daily living, including parenting. Ten mothers with bipolar disorder were interviewed to understand their strengths, challenges, and service needs in parenting. Results describe their love for their children, problems in disciplining, and need for more support groups, among other findings. Interestingly, manic and hypomanic phases are reported to provide more energy to parent. Implications of the study for social work practice and research are discussed.     

Time to first significant job for vocational graduates in Spain

In this paper we analyze the transition from vocational education to a first significant job for Spanish young people. The data comes from the Survey on Education and Labor Market Transitions, targeting various collectives who finished their non-university studies. Discrete duration models are estimated to identify the determinants of the time-to-first significant job. The main results show that, contrary to what is expected, there are no significant differences for students graduating in intermediate or in advanced vocational training. Nonetheless, vocational education is characterized by a high specialization by gender, which is translated into differences in the transition to employment. Furthermore, previous professional experience in precarious jobs does not improve access to quality employment, whereas internships performed within studies, when evaluated by the young as satisfactory, have a positive impact. Other subjective aspects, such as a high value assigned to work or family or a priority focused on achieving a stable job lead to a smoother school-to-work transition.     

Horizontale und vertikale Adäquanz im Anschluss an die betriebliche Ausbildung in Deutschland

Graduates of the German dual system of vocational education and training differ in their chances of directly entering horizontally and vertically matching labour market positions. This article discusses how structural characteristics of training occupations impact such differences. I focus on three characteristics: the average training costs, the degree of occupational closure and how broadly applicable the qualifications are. Using data from the National Educational Panel Study (NEPS), I analyse the first labour market position for individuals who graduated from apprenticeship training between 1974 and 2004 in West Germany. I develop measures for occupational characteristics based on data from the BIBB Cost Benefit Studies and the BIBB/IAB Employment Surveys and merge these measures with the individual-level data. Applying multinomial logistic regression models, I simultaneously analyse the influence of the occupational characteristics on the probability to find employment in the first place and to reach horizontally and vertically matching positions. The results show that the occupational characteristics provide different opportunities within the training occupation but also within other occupations. The article, thus, helps us understand how occupational characteristics structure individual labour market chances and sheds light on the long-term consequences of unequal access to training occupations.