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Vocational rehabilitation via social firms : a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians

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Morant, Nicola, Milton, Alyssa, Gilbert, Eleanor, Johnson, Sonia, Parsons, Nicholas R., Singh, Swaran P. and Marwaha, Steven (2021) Vocational rehabilitation via social firms : a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians. BMC Psychiatry, 21 (1). 566. doi:10.1186/s12888-021-03577-5 ISSN 1471-244X.

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Official URL: http://dx.doi.org/10.1186/s12888-021-03577-5

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Abstract

Background
Employment within social firms in the UK is under-developed and under-researched, but a potentially beneficial route to vocational rehabilitation for people with mental health problems. This study explores the views and experiences of employees with mental ill-health, managers of social firms and mental health clinicians, in order to understand the potential value of social firms for the vocational rehabilitation, employment and well-being of people with mental health problems.

Methods
Semi-structured interviews were conducted with 23 employees with mental health problems in 11 social firms in England. A focus group and individual interviews were conducted with 12 managers of social firms. Two focus groups were held with 16 mental health clinicians. Data were analysed using thematic analysis.

Results
Most employees expressed very positive views about working in a social firm. In responses from both employees and social firm managers, an overarching theme regarding the supportive ethos of social firms encompassed several related features: openness about mental health issues; peer, team and management support; flexibility; and support to progress and develop skills over time. Managers identified benefits of employing people with mental health problems who were sufficiently recovered. Knowledge of social firms within clinician focus groups was very limited, although clinicians thought they could be a welcome additional vocational resource.

Conclusions
High levels of job satisfaction among social firm employees may be explained by the supportive ethos of these working environments. Social firms have potential to be a helpful addition to the range of vocational pathways available for people with mental ill-health. Further mixed methods investigations of experiences and outcomes in order to understand who engages with and benefits from this form of vocational rehabilitation would be valuable in informing decisions about scaling up the model.

Item Type: Journal Article
Subjects: H Social Sciences > HD Industries. Land use. Labor
H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Vocational rehabilitation , People with disabilities -- Employment , People with mental disabilities -- Employment, Social responsibility of business, Mental illness, Mentally ill -- Employment
Journal or Publication Title: BMC Psychiatry
Publisher: BioMed Central Ltd.
ISSN: 1471-244X
Official Date: 12 November 2021
Dates:
DateEvent
12 November 2021Published
1 November 2021Accepted
Volume: 21
Number: 1
Article Number: 566
DOI: 10.1186/s12888-021-03577-5
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 16 November 2021
Date of first compliant Open Access: 17 November 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
PB-PG-0609-19079National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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