Jeroen Knaeps1, Inge Neyens1, Jaap van Weeghel2,3, Chantal Van Audenhove1. 1. a LUCAS Centre for Care Research and Consultancy, University of Leuven , Leuven , Belgium . 2. b Department of Tranzo , Tilburg University , Tilburg , the Netherlands , and. 3. c Phrenos Centre of Expertise , Utrecht , the Netherlands.
Abstract
BACKGROUND: People with mental disorders experience difficulties with finding competitive jobs. In countries with longer psychiatric hospitalization periods, the vocational rehabilitation process can start during hospitalization. Yet, rehabilitation can be hindered by a lack of focus by clinicians on the patients' vocational goals and a lack of agreement between clinicians and patients. AIMS: To compare (i) vocational goals, (ii) barriers to employment and (iii) support needed to overcome barriers faced by patients. METHOD: The paired data-set comprised 733 hospitalized patients and their 279 clinicians. Patients selected their vocational goals and clinicians indicated options that seemed realistic. Patients and clinicians indicated how many barriers exist and what support is needed to overcome barriers. RESULTS: Almost 45% of patients prefer competitive jobs, while 32% of clinicians find this realistic, indicating a moderate relationship between patients' goals and clinicians' perceptions. Patients and clinicians also differ in their perception of the level of barriers and types of support to overcome them. Patients perceive fewer vocational barriers than clinicians and prefer less intense vocational support options. CONCLUSIONS: Patients and clinicians have different perspectives concerning vocational recovery. Improving vocational rehabilitation requires a stronger alignment between patients and clinicians' vocational goals and barriers.
BACKGROUND:People with mental disorders experience difficulties with finding competitive jobs. In countries with longer psychiatric hospitalization periods, the vocational rehabilitation process can start during hospitalization. Yet, rehabilitation can be hindered by a lack of focus by clinicians on the patients' vocational goals and a lack of agreement between clinicians and patients. AIMS: To compare (i) vocational goals, (ii) barriers to employment and (iii) support needed to overcome barriers faced by patients. METHOD: The paired data-set comprised 733 hospitalized patients and their 279 clinicians. Patients selected their vocational goals and clinicians indicated options that seemed realistic. Patients and clinicians indicated how many barriers exist and what support is needed to overcome barriers. RESULTS: Almost 45% of patients prefer competitive jobs, while 32% of clinicians find this realistic, indicating a moderate relationship between patients' goals and clinicians' perceptions. Patients and clinicians also differ in their perception of the level of barriers and types of support to overcome them. Patients perceive fewer vocational barriers than clinicians and prefer less intense vocational support options. CONCLUSIONS:Patients and clinicians have different perspectives concerning vocational recovery. Improving vocational rehabilitation requires a stronger alignment between patients and clinicians' vocational goals and barriers.
Authors: Markus Kösters; Steffi G Riedel-Heller; Uta Gühne; Alexander Pabst; Margrit Löbner; Johanna Breilmann; Alkomiet Hasan; Peter Falkai; Reinhold Kilian; Andreas Allgöwer; Klemens Ajayi; Jessica Baumgärtner; Peter Brieger; Karel Frasch; Stephan Heres; Markus Jäger; Andreas Küthmann; Albert Putzhammer; Bertram Schneeweiß; Michael Schwarz; Thomas Becker Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2021-04-16 Impact factor: 4.328