Self-Disclosure and Non-Communication: Stigma Management in Third-Sector Transitional Employment

People who are recovering from a mental illness often have difficulties finding and maintaining employment. One of the main reasons for these difficulties is the negative label, or stigma, attached to mental illnesses. People who possess stigmatizing characteristics may use compensatory stigma management strategies to reduce discrimination. Due to mental illnesses’ invisible characteristics, information control is an important stigma management strategy. People can often choose whether they disclose or non-communicate their illness. Nevertheless, it might be difficult to decide when and to whom to disclose or non-communicate the stigma. Since stigma management is a dilemmatic process, workers in mental health services play an important role in informing their clients of when it is best to disclose or non-communicate their illness. In this article, we adopt the perspective of discursive social psychology to investigate how workers of one mental health service programme evaluate and construct self-disclosure and non-communication as stigma management strategies. We demonstrate how these workers recommend non-communication and formulate strict stipulations for self-disclosure. At the same time, they differentiate non-communication from lying or providing false information. The study contributes to an improved understanding of stigma management in contemporary mental health services.

Recipes for resistance: Practical applications of restorative food justice in New Haven, Connecticut

In the United States, many people of color recently released from prison are likely to be food insecure. The intersections between race, food security, and release from prison are starting to be recognized. However, food justice should be informed by the perspectives and work being done by returning citizens and people of color. With the help of EMERGE CT, a transitional employment social enterprise for returning citizens in New Haven, Connecticut, I collected food access survey data and narratives of crewmembers at EMERGE to explore these issues. I merged restorative justice and food justice frame­works into one framework to develop an initiative that focuses on the availability of healthy, sustainable, and culturally appropriate food for returning citizens and addresses the social trauma that is perpetuated through both the food and prison systems. Further, I write about the importance of compensating food system leaders of color. I provide insight on the challenges in planning such a program. I discuss why we need to amplify the voices of returning citizens in food justice work. Lastly, I consider how these collaborative, cross-movement coalitions develop creative ways to re-envision equity.

Transitional Employment Programs within Clubhouses as a Means of Promoting Recovery for Individuals Living with Mental Illness: Reviewing the Case for Québec

Transitional employment (TE) within the Clubhouse model has been adopted across Canada and the world for its effectiveness in promoting work and recovery for persons living with mental illness. However, attempts to establish a TE program in the province of Québec have been met with numerous roadblocks. Using a qualitative phenomenological approach, this study aimed to synthesize knowledge that could inform local implementation of TE. Experiences of Montréal Clubhouse members and Canadian Clubhouse directors were examined. Member narratives identified employment-program and systemic shortcomings, while directors provided key strategies for overcoming barriers to TE implementation.

International employment schemes for people with mental health problems

It has been recognised that work is a positive factor for mental health since the days of Galen (2nd century CE). It was central to the theories and practice of William Tuke at the Retreat in York (founded 1796) and has continued in different forms as a therapy and/or a form of rehabilitation ever since. These forms can be usefully divided into four main categories: sheltered work, vocational training, transitional employment (or work experience) and supported employment. These broad categories have been adapted to different cultures and economic circumstances across the world. There are advantages and disadvantages to all forms, but the burgeoning research literature of the past 20 years does show that when it comes to finding people paid work in the open labour market, supported employment is markedly more successful than other methods.

Making work schemes work

The past 5 years have seen dramatically increased interest among users, professionals and the Government in enabling people with mental health problems to gain employment. Many new projects have been started, with a range of different approaches including supported employment, training and placement, transitional employment, social firms and cooperatives. There are a number of reasons for this increased interest.