Seeking and securing work: Individual-level predictors of employment of psychiatric survivors

Subtitle:

Article type: Research Article

Authors: Hall, Peter V.^{a; *} | Montgomery, Phyllis^b | Davie, Samantha^c | Dickins, Kevin^d | Forchuk, Cheryl^{e; f} | Jeng, Momodou S.^{e; g} | Kersey, Melissa^h | Meier, Amanda^{f; i} | Lahey, Pam^j | Rudnick, Abraham^{k; l} | Solomon, Michelle^m | Warner, Laura^f

Affiliations: [a] Department of Urban Studies, Simon Fraser University, Vancouver, BC, Canada | [b] School of Nursing, Laurentian University, Sudbury, ON, Canada | [c] Department of Epidemiology & Biostatistics, Western University, London, ON, Canada | [d] WOTCH Community Mental Health Services, London, ON, Canada | [e] Arthur Labatt Family School of Nursing, Western University, London, ON, Canada | [f] Lawson Health Research Institute, London, ON, Canada | [g] Neighbourhood, Children and Fire Services Department, London, ON, Canada | [h] Ontario Disability Support Program, London, ON, Canada | [i] Lyle S. Hallman Faculty of Social Work, Wilfred Laurier University, Waterloo, ON, Canada | [j] Canadian Mental Health Association Ontario, Toronto, ON, Canada | [k] Department of Psychiatry, Island Medical Program and Maurice Young Centre for Applied Ethics, University of British Columbia, Victoria, BC, Canada | [l] Mental Health and Substance Use Services, Vancouver Island Health Authority, Victoria, BC, Canada | [m] CONNECT for Mental Health, London, ON, Canada

Correspondence: [*] Corresponding author: Peter V. Hall, Simon Fraser University, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada. Tel.: +1 778 782 6691; Fax: +1 778 782 5297; E-mail:[email protected]

Abstract: BACKGROUND: For people with mental illness (psychiatric survivors), seeking and securing employment involves personal, social, and environmental factors. In Canada, psychiatric survivors are under-represented in the workforce, and services can help by tailoring their supports to help make the most gains in employment. OBJECTIVE: Determine whether individual socio-demographic and health factors predict seeking and securing employment among psychiatric survivors. METHODS: A community sample of psychiatric survivors from a Southwestern Ontario region participated in this study. Stepwise logistic regression was used to analyze data from 363 participants who had completed a variety of questionnaires to ascertain individual characteristics and employment outcomes. RESULTS: Health service utilization, living circumstances, homelessness, substance use issues, general health, social integration, ethnicity, having children under 18, and being a student emerged as significant predictors of seeking and securing work. Other commonly accepted human capital indicators, such as education and age, were not predictive of employment search behavior and outcomes. CONCLUSIONS: Individual characteristics that predict employment search and success outcomes for psychiatric survivors include aspects related to treatment and living circumstances, which stands in contrast to predictors of employment for the general population, suggesting that employment support services may need to be tailored to psychiatric survivors specifically.

Keywords: Employment, psychiatric survivors, Ontario, labour market, employment outcomes

DOI: 10.3233/WOR-141973

Journal: Work, vol. 52, no. 1, pp. 91-101, 2015