Table 1
Participant Profile Overview
| Employer Participant Profile | Type of vocational role offered to Service Users | |||||
|---|---|---|---|---|---|---|
| ID | Type of Business | Voluntary Role | Work Experience | Paid employment | Length of Time Service Users engaged with Employer and Roles | |
| EMP 1 | Funded Charitable Organisation | X | 1 x Service User 4 Weeks 2 x days per week | Work Experience in Clerical role, minimum completion level | ||
| EMP 2 | Retail | X | 1 x Service User 8 Weeks 2 x days per week | Completed Stockroom duties | ||
| EMP 3 | Funded Charitable Organisation | X | 2 x Service Users 4 Weeks 1 x day per week 4 Weeks 2 x days per week | Both Clerical Roles Completed Incomplete Only 2 days completed | ||
| EMP 4 | Retail | X | 2 x Service Users 3 months 2 x days per week 3 weeks 1 x day per week | Completed Stockroom Shop floor | ||
| EMP 5 | Construction and Service Industry | X | 8 x months 1 x day per week | Ongoing paid employment Office Cleaner | ||
| EMP 6 | Retail | X | 14 months 1 x day per week | Ongoing Shop Floor | ||
| EMP 7 | Retail | X | 2 years 1 x day per week | Ongoing Shop Floor | ||
| EMP 8 | Media | X | 16 weeks 1 day per week | Ongoing General assistant | ||
| Multi-Disciplinary Team Profile | Discipline | ||||
|---|---|---|---|---|---|
| ID | Nursing | Social Work | Nurse Management | Psychology | Occupational Therapy |
| MDT 1 | X | ||||
| MDT 2 | X | ||||
| MDT 3 | X | ||||
| MDT 4 | X | ||||
| MDT 5 | X | ||||
| MDT 6 | X | ||||
| MDT 7 | X | ||||
| MDT 8 | X | ||||
| Service User Participant Profile | Vocational activities engaged in | Background Details | ||||
|---|---|---|---|---|---|---|
| ID | Paid Employment | Voluntary Role | Upskilling/Re-training | Work Experiences | Length of time unemployed | Multiple supports |
| SU 1 | X | 12 years since last paid employment | Psychology Nursing | |||
| SU 2 | X | X | X | X | 20 years since last paid employment Attending Sheltered workshop | Peer Support Worker Occupational Therapy Health Care Assistant |
| SU 3 | X | X | 14 years since last paid employment | Nursing Staff Social Worker Occupational Therapy Peer Support Worker | ||
| SU 4 | X | 12 years since paid employment Currently attending Sheltered workshop | Nursing Staff Occupational Therapy | |||
| SU 5 | X | No previous employment history Currently attending Sheltered workshop | Nursing Health Care Assistant Peer Support Worker Occupational Therapy | |||
| SU 6 | X | 40 years approx. Sheltered workshops only since then | Nursing Health Care Assistant | |||
Table 2
Summary of themes identified in the literature
| THEME | AUTHORS | DESCRIPTION |
|---|---|---|
| Suitability of Individual Placement and | (Essen, 2012) | Costs involved in IPS implementation |
| Support (IPS) model of supported employment | (Drake & Bond, 2011) (Swanson, et al., 2014) (Khalema & Shankar, 2014) (Hamilton, et al., 2013) (Boardman & Rinaldi, 2013) (Krupa, et al., 2009) (Gaffey & Evans, 2016) | Success measured only in terms of paid competitive employment Non-vocational outcomes not measured Lack of knowledge in mental health treatment teams Recovery based practices |
| Cognitive and Social functioning of the mental health client | (Drake, et al., 2012) (Hodgson, et al., 2011) (Khalema & Shankar, 2014) (Meuser, et al., 2016) (Essen, 2012) (Prior, et al., 2013) (Mojtabai, et al., 2015) (Krupa, et al., 2009) | Clients low personal causation Side effects of medication – fatigue, concentration, weight gain Physical health issues and co-morbidity Educational attainments of clients |
| Employment/Vocational related issues | (Meuser, et al., 2016) (Pearson, et al., 2012) (O’Day, et al., 2017) (Cullen, et al., 2017) (Watson, et al., 2015) (Mental Health Reform, 2015) (Essen, 2012) (Prior, et al., 2013) (Khalema & Shankar, 2014) (Batinic, et al., 2010) (McClelland, et al., 2000) (Boardman & Rinaldi, 2013) (Krupa, et al., 2009) (Mental Health Reform, 2018) | Lack of guidance for employers when employing a person with a mental health difficulty Social welfare system – the benefits trap Lack of practical capabilities of clients Health benefits of suitable employment Vocational opportunities available |
| Stigma surrounding mental health | (Krupa, et al., 2009) (Hampson, et al., 2016) (Amnesty International, 2013) (Holland, 2012) (Gaffey & Evans, 2016) (Donnelly, 2017) (Rusch, et al., 2017) | Stigma Discrimination Media's portrayal of mental illness Negative career consequences of disclosure |