Work life after psychosis: A detailed examination

Subtitle:

Article type: Research Article

Authors: Turner, Niall^{a; b; *} | O'Mahony, Paul^b | Hill, Michelle^{a; d} | Fanning, Felicity^a | Larkin, Conall^a | Waddington, John^c | O'Callaghan, Eadbhard^{a; d} | Clarke, Mary^{a; d}

Affiliations: [a] DETECT Early Intervention for Psychosis Service, Dublin, Ireland | [b] Department of Occupational Therapy, Trinity College Dublin, Dublin, Ireland | [c] Royal College of Surgeons in Ireland, Dublin, Ireland | [d] School of Medicine, University College Dublin, Dublin, Ireland

Correspondence: [*] Corresponding author: Niall Turner, Avila House, Block 5, Blackrock Business Park, Blackrock, Co. Dublin, Ireland. Tel.: +353 12791700; Fax: +353 12791799; E-mail:[email protected]

Abstract: BACKGROUND: Conducting research on the work outcomes of first episode psychosis (FEP) samples may extend our understanding of the factors associated with the work outcome of people with schizophrenia and other psychotic illnesses. OBJECTIVE: To conduct a detailed study of the work outcome of an FEP sample. METHODS: Members of a FEP cohort, who had completed a 12-year clinical outcome assessment, were invited to participate in an adjunctive work outcome study. Engagement in paid and non-paid work was first established and the relationship with potentially influential baseline characteristics investigated. Subsequently the influence of work outcome to participants' level of quality of life, mental health, recovery, and social inclusion were examined. RESULTS: Among the 38 participants the mean percentage of time spent in work was 62% of which 50% was in paid work and 12% was in non-paid work. Being employed at inception was the only independent predictor of the duration of the follow-up period spent in work. Relationships between work outcome and all measures of wellbeing were found. CONCLUSION: The paid and non-paid work attained by people affected by a psychotic illness played an important role in the extent of their wellbeing, recovery, and social inclusion.

Keywords: Employment, schizophrenia, social inclusion, recovery, quality of life

DOI: 10.3233/WOR-141865

Journal: Work, vol. 51, no. 1, pp. 143-152, 2015