Stuart Heather
Department of Community Health and Epidemiology, Queen's University, Kingston, Ontario, Canada.
Curr Opin Psychiatry. 2007 Sep;20(5):486-90. doi: 10.1097/YCO.0b013e32826fb356.
Recent research on the civil rights issue of employment equity for people with psychiatric disabilities is reviewed.
Mental disorders, particularly depression, are the most frequent source of occupational disability worldwide and are expected to grow. Employers are increasingly aware of the productivity costs associated with mental disorders and the importance of fostering a mentally healthy workforce. Few firms, however, have explicit policies to include disabled people in their workforce, and many employers continue to express prejudicial views toward people with mental disabilities which would exclude them from competitive work. At the same time, disability legislation has not offered the hoped-for protection for people with mental disorders. Employers have expressed concerns over the costs of making workplace accommodations and have successfully battled for a legal definition of disability that excludes many individuals with mental disorders.
In the absence of antistigma efforts directed toward the business community, one wonders if the growing awareness of the productivity costs associated with mental disability will foster greater employment equity, or fuel more subtle forms of employment discrimination. Low employment levels among people with disabilities remain a major determinant of the social disparities they face.
对近期关于精神疾病患者就业公平这一民权问题的研究进行综述。
精神障碍,尤其是抑郁症,是全球职业残疾最常见的原因,且预计会增加。雇主越来越意识到与精神障碍相关的生产力成本以及培养心理健康劳动力的重要性。然而,很少有公司制定明确政策将残疾人纳入其员工队伍,许多雇主继续对精神残疾者持有偏见性观点,这会使他们无法参与竞争性工作。与此同时,残疾立法并未为精神障碍患者提供预期的保护。雇主对进行工作场所便利调整的成本表示担忧,并成功争取到了一个将许多精神障碍患者排除在外的残疾法律定义。
在缺乏针对商业界的反污名化努力的情况下,人们不禁要问,对与精神残疾相关的生产力成本的日益认识会促进更大的就业公平,还是会助长更微妙的就业歧视形式。残疾人的低就业水平仍然是他们所面临社会差距的一个主要决定因素。