Ercan Doğu Selma, Gündoğmuş Ayşe Gökçen
Department of Occupational Therapy, University of Health Sciences, Hamidiye Faculty of Health Sciences, Istanbul, Turkey.
Department of Psychiatry, Etlik City Hospital, Ankara, Turkey.
Work. 2025 Apr;80(4):1564-1576. doi: 10.1177/10519815241292154. Epub 2024 Dec 14.
BackgroundEmployment is widely recognized for its crucial role in fostering recovery, promoting wellness, and facilitating community integration among individuals diagnosed with serious mental illness (SMI), despite facing inherent challenges. However, there exists a notable gap in comprehending the nuanced experiences of individuals with SMI engaged in long-term competitive employment.ObjectiveThis study sought to explore the long-term working journeys and narratives of recovery among individuals with SMI.MethodsQualitative interviews conducted from August to October 2022 employed a phenomenological method, delving into the experiences of 8 participants to explore their interpretations and constructions of workplace encounters.ResultsFollowing the Interpretative Phenomenological Analysis (IPA), four overarching themes emerged: (1) , (2) , (3) , and .ConclusionBased on the analysis, regular engagement in competitive employment emerges as a crucial component in the journey of recovery for individuals with SMI. The personal accounts of individuals underscore the significance of fostering a supportive environment to enable individuals with SMI to pursue and maintain employment opportunities. Moreover, the study shows that work plays a pivotal role in facilitating social inclusion, productivity, and enhanced social connections for individuals with SMI within society.
背景
尽管面临固有挑战,但就业在促进患有严重精神疾病(SMI)的个体康复、增进健康以及促进其融入社区方面所起的关键作用已得到广泛认可。然而,在理解从事长期竞争性就业的SMI个体的细微经历方面存在明显差距。
目的
本研究旨在探索SMI个体的长期工作历程及康复叙事。
方法
2022年8月至10月进行的定性访谈采用现象学方法,深入研究8名参与者的经历,以探索他们对工作场所遭遇的解读和构建。
结果
经过解释现象学分析(IPA),出现了四个总体主题:(1) ,(2) ,(3) ,以及 。
结论
基于分析,定期参与竞争性就业成为SMI个体康复过程中的关键组成部分。个体的亲身经历强调了营造支持性环境以使SMI个体能够追求并维持就业机会的重要性。此外,研究表明工作在促进SMI个体在社会中的社会包容、生产力以及增强社会联系方面发挥着关键作用。