Employment Experiences and Employability of People in China Living With Schizophrenia: A Qualitative Study.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2024-09-17 DOI:10.1176/appi.ps.20240052

Yilu Li,Dan Qiu,Jiaxin Zhu,Feihong Gao,Shuiyuan Xiao

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Abstract

OBJECTIVE Employment support for people living with schizophrenia in China currently focuses only on patient-level factors. The authors' aim was to assess the employment experiences of this population and to identify factors related to their employability. METHODS In-depth interviews were conducted with 24 purposively selected respondents. A thematic analysis was performed. RESULTS A framework for examining the employment experiences and factors affecting employability of people living with schizophrenia was developed. Employability varied by individual characteristics, personal circumstances, and external factors. Individual-level characteristics, such as health and well-being, work skills and experience, educational attainment, personal social network, gender, and age, influenced individuals' work motivation and performance. Personal circumstances, such as family socioeconomic status and caregiving responsibilities, affected whether individuals decided to seek employment. External factors, such as labor market conditions, macroeconomic context, stigma and discrimination, mental health services, and policy factors, determined how likely individuals were to be employed and the types of jobs they were likely to obtain. CONCLUSIONS A multifaceted combination of factors was found to influence employability among people living with schizophrenia. This research provided a thematic framework to structure effective employment support for people in China living with schizophrenia.

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中国精神分裂症患者的就业经历和就业能力：定性研究。

目标目前，中国对精神分裂症患者的就业支持只关注患者层面的因素。作者旨在评估该人群的就业经历，并找出影响其就业能力的相关因素。结果为研究精神分裂症患者的就业经历和影响其就业能力的因素制定了一个框架。就业能力因个体特征、个人情况和外部因素而异。个人层面的特征，如健康和幸福感、工作技能和经验、教育程度、个人社交网络、性别和年龄，影响着个人的工作动机和表现。个人情况，如家庭社会经济地位和照料责任，影响个人是否决定求职。劳动力市场条件、宏观经济环境、污名化和歧视、精神健康服务和政策因素等外部因素决定了患者就业的可能性以及他们可能获得的工作类型。这项研究为中国精神分裂症患者提供了一个有效就业支持的主题框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.

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