Attitudes toward disabilities and mental illness in work settings: a review

2004 ◽  
Vol 13 (1) ◽  
pp. 29-46 ◽  
Author(s):  
Edoardo Mangili ◽  
Marco Ponteri ◽  
Chiara Buizza ◽  
Giuseppe Rossi

SummaryAims – The aim of the present work is to analyse employers' and employees' attitudes towards the job integration of people with mental illness or disability and to highlight the socio-demographic and organizational characteristic that are more significantly associated with such attitudes. Method – We performedPsycINFO, AskERIC and Medlinesearches for studies published from 1961 to 2002, with key words such asattitudes, stigma, schizophrenia, mental illness, disability, employers, employees, co-workers and supported employment. Results – Our review of the literature showed that the possibility for people with severe mental illness or disability to enter job market is limited by the discriminating attitudes of employers. The socio-demographic and organizational characteristics, which are more significantly associated with employers' more positive attitudes, are: dimension of the company, previous positive contact with people with disability and employers' high educational level. Conclusions – Such information could be useful to identify and, perhaps, select those companies, which can be predicted as more likely to accept people with mental disorders as part of their work force; they could also be used to train job applicants to improve their social skills. Finally such information could be used to plan specific programs to modify attitudes of employees and employers.Declaration of Interestsin the last two years, the authors have been paid by the IRCCS Centro San Giovanni di Dio Fatebenefratelli in Brescia (Italy), either as employees, or through research assistantships, or as free professionals.

2013 ◽  
Vol 37 (5) ◽  
pp. 654 ◽  
Author(s):  
Grenville Rose ◽  
Elena Cama ◽  
Loren Brener ◽  
Carla Treloar

Objectives People with mental illness are at significantly higher risk of acquiring hepatitis C virus (HCV) compared with the general population. This study assessed knowledge of and attitudes towards people with HCV and people who inject drugs (PWID) among support workers of clients with mental illness. Methods Support workers from a community managed organisation (CMO) in Australia were recruited to complete an online cross-sectional survey. The survey collected data about their knowledge of HCV and attitudes towards PWID and people with HCV. Results Valid responses were received from 117 support workers. Although HCV knowledge was moderate, there were significant knowledge gaps around transmission and treatment of HCV. Higher HCV knowledge was significantly associated with more positive attitudes towards PWID, but not with attitudes towards people with HCV. Participants had more positive attitudes towards people with HCV than towards PWID. Additionally, those with more positive attitudes towards HCV tended to also have more positive attitudes towards PWID. Conclusions Given that people with mental illness are at higher risk of acquiring HCV, these results point to the need for education targeted at support workers of clients with mental illness to increase HCV knowledge and promote positive attitudes towards PWID and people with HCV. What is known about this topic? The limited research available suggests that there are gaps in HCV knowledge among mental-health-service providers, although such research has generally targeted physicians. What does this paper add? This paper is the first to assess HCV knowledge, attitudes towards PWID and HCV among mental-health support workers. The findings suggest that although HCV knowledge is moderate, significant gaps exist, which are related to negative attitudes towards PWID. What are the implications for practitioners? Supportive and non-judgemental care is essential for people with mental illness and HCV, due to the potential for a double stigma arising from negative attitudes towards both mental illness and injecting drug use. This paper highlights the importance of targeted education for workers in the mental-health sector, to increase HCV knowledge and promote positive attitudes towards people with co-occurring mental-health, substance use problems and HCV.


2017 ◽  
Vol 46 (2) ◽  
pp. 195-202 ◽  
Author(s):  
Elisabeth Brantschen ◽  
Karin Landolt ◽  
Wolfram Kawohl ◽  
Wulf Rössler ◽  
Bettina Bärtsch ◽  
...  

2004 ◽  
Vol 7 (1) ◽  
pp. 83-96 ◽  
Author(s):  
Kenny K. Wong ◽  
Lai-ping Chiu ◽  
Sau-wai Tang ◽  
Hon-kit Kan ◽  
Chung-lung Kong ◽  
...  

2014 ◽  
Vol 65 (12) ◽  
pp. 1496-1498 ◽  
Author(s):  
Nicolas Rüsch ◽  
Carlos Nordt ◽  
Wolfram Kawohl ◽  
Elisabeth Brantschen ◽  
Bettina Bärtsch ◽  
...  

2016 ◽  
Vol 47 (1) ◽  
pp. 53-65 ◽  
Author(s):  
S. Yamaguchi ◽  
S. Sato ◽  
N. Horio ◽  
K. Yoshida ◽  
M. Shimodaira ◽  
...  

BackgroundLittle is known about the economic benefits of cognitive remediation and supported employment (CR + SE). The present study aimed to investigate the cost-effectiveness of CR + SE compared with traditional vocational services (TVS).MethodIndividuals with mental illness and low cognitive function were recruited at six sites in Japan. A total of 111 participants were randomly allocated to the CR + SE group or the TVS group. Clinical and vocational outcomes were assessed at baseline and 12-month follow-up. Service utilization data were collected monthly. The data on outcomes and costs were combined to examine cost-effectiveness.ResultsThe data were obtained from a total of 92 participants. The CR + SE group resulted in better vocational and clinical outcomes (employment rate, 62.2%; work tenures, 78.6 days; cognitive improvement, 0.5) than the TVS group (19.1%, 24.9 days and 0.2). There was no significant difference in mean total costs between the groups (CR + SE group: $9823, s.d. = $6372, TVS group: $11 063, s.d. = $11 263) with and without adjustment for covariates. However, mean cost for medical services in the CR + SE group was significantly lower than that in the TVS group after adjusting covariates (Β = −$3979, 95% confidence interval −$7816 to −$143, p = 0.042). Cost-effectiveness acceptability curves for vocational outcomes illustrated the high probabilities (approximately 70%) of the CR + SE group being more cost-effective than TVS when society is not willing to pay additional costs.ConclusionsCR + SE appears to be a cost-effective option for people with mental illness who have low cognitive functioning when compared with TVS.


2011 ◽  
Vol 58 (4) ◽  
pp. 350-354 ◽  
Author(s):  
Takashi Yamauchi ◽  
Tadashi Takeshima ◽  
Eugen Koh ◽  
Hisomu Chiba ◽  
Ryuji Nakagawa ◽  
...  

Background: Although researchers have suggested that consumer art can help reduce the stigma of mental illness, there is little evidence of the attitudes of the Japanese public towards such artwork. Material: A total of 277 Japanese visitors attending an exhibition of visual arts by people with mental illness completed a short questionnaire. Discussion: After their visit, approximately 87% of the participants reported being strongly or fairly impressed by the creative art. Word frequency analysis implied generally positive attitudes towards the works. Conclusions: The Japanese public might generally have positive and empathetic attitudes towards artwork by people with mental illness.


2019 ◽  
Author(s):  
Dirk Richter ◽  
Holger Hoffmann

Importance: Supported employment programs aim to re-integrate unemployed people with mental illness into the competitive labour market. While it is known that short-term economic developments like the 2008 recession may have negative consequences on the supported employment effectiveness rates, research into long-term secular trends has not yet been conducted. Objective: The primary objective of the regression analysis was to assess the effectiveness of supported employment programs for clients with any mental disorder over a longer time period. Further objectives were a comparison to prevocational training and the identification of moderating variables.Data sources: We retrieved publications on randomized controlled trials and on routine implementation programs that were included in four recent systematic reviews on supported employment for people with mental illness, plus very recent publications that were identified by a new search. This search was conducted in the following databases: Pubmed, PsycInfo, CINAHL (Cumulative Index on Nursing and Allied Health Literature), and Google Scholar. Study selection: We included any publication that was used in the four meta-analyses plus very recently published studies. The included studies were conducted between 1990 and 2015. Data extraction and synthesis: 80 studies with 14,437 participants were included in the analysis. Data was extracted by one author and cross-checked by the second author. We have conducted univariate and multivariate meta-regressions on the basis of a random-effects meta-analysis of proportions. The best-fitting model was computed by utilizing a statistical model selection procedure. Main Outcome and Measures: The outcome was the competitive employment rate over time. The year of study conduction (1990 to 2015) was regressed on the competitive employment rate. Regression coefficient estimates were computed and graphically displayed.


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