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The Social Context of Vocational Rehabilitation for Ex-psychiatric Patients

Published online by Cambridge University Press:  02 January 2018

Gerald Midgley*
Affiliation:
The Rehabilitation Resource Centre, Department of Systems Science, City University, Northampton Square, London EC1V 0HB

Extract

The main task of vocational rehabilitation facilities is to help people to return to work or, if they have never worked, to find a job for the first time. In the past seven years controversy has surfaced with regard to the role vocational rehabilitation plays in the economy. Some authors have claimed that it implicitly supports an ideology of individualism which actually acts against the interests of people with mental health problems looking for work. While accepting the need to offer a work adjustment service, these writers make a case for further socio-political intervention to help clients. The purpose of this article is to explore some of these ideas and examine their practical implications.

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Point of View
Copyright
Copyright © Royal College of Psychiatrists, 1990

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References

Anthony, W. A. & Buell, G. J. (1974) Predicting psychiatric rehabilitation outcome using demographic characteristics: a replication. Journal of Counseling Psychology, 21, 421422.CrossRefGoogle Scholar
Braunstein, W. B. (1977) Gainful employment: the myth and hope of rehabilitation consumers. Journal of Applied Rehabilitation Counseling, 8, 2227.CrossRefGoogle Scholar
Cole, N. J., Brewer, D. L., Allison, R. V., et al (1964) Employment characteristics of discharged schizophrenics. Archives of General Psychiatry, 10, 314319.CrossRefGoogle ScholarPubMed
Croxen, M. & Finkelstein, V. (1984) Vocational rehabilitation: a USA/UK cross-cultural perspective. Rehabilitation Literature, 45, 370374.Google ScholarPubMed
Davies, M. H. (1972) The rehabilitation of psychiatric patients at an industrial therapy unit outside the hospital. International Journal of Social Psychiatry, 18, 120126.CrossRefGoogle ScholarPubMed
Farina, A. & Felner, R. D. (1973) Employment interviewer reactions to former mental patients. Journal of Abnormal Psychology, 82, 268272.CrossRefGoogle ScholarPubMed
Farina, A., Gliha, D., Boudreau, L. A., et al (1971) Mental illness and the impact of believing others know about it. Journal of Abnormal Psychology, 77, 15.CrossRefGoogle Scholar
Floyd, M. & North, K. (1986) Quota schemes and the assessment of employment handicap in Britain and West Germany. Disability, Handicap and Society, 1, 291299.CrossRefGoogle Scholar
Goldberg, R. T. (1984) The human sciences and clinical methods: an historical perspective. Rehabilitation Literature, 45, 340344.Google ScholarPubMed
Gunn, R. L. (1974) Special problems in work adjustment of the mentally ill. In Modification of Behaviour of the Mentally Ill (eds Hardy, R. E. & Cull, J. G.). Springfield: Charles C. Thomas.Google Scholar
Hahn, H. (1984) Reconceptualizing disability: a political science perspective. Rehabilitation Literature, 45, 362365, 374.Google ScholarPubMed
Hale, P. P. (1968) The vocational worker's double bind. Hospital and Community Psychiatry, 19, 150151.Google ScholarPubMed
Hartlage, L. C. (1965) Expanding comprehensiveness of psychiatric rehabilitation. Mental Hygiene, 49, 238243.Google ScholarPubMed
Heilman, H. (1968) A study of the relationships between certain factors associated with employability and the rehabilitation status of selected psychiatric clients in a vocational rehabilitation program. PhD thesis, New York University.Google Scholar
Husni-Palacios, M., Gregory, C. C. & Sorenson, A. A. (1966) Prediction of improvement or regression in a neuropsychiatric hospital work program. Journal of Consulting Psychology, 30, 561.CrossRefGoogle ScholarPubMed
Kidd, H. B. (1965) Industrial units in psychiatric hospitals. British Journal of Psychiatry, 111, 12051209.CrossRefGoogle ScholarPubMed
Linde, T. (1966) Emotional disturbance and vocational adjustment: a multifactor approach. Proceedings of the 74th Annual Convention of the American Psychological Association. pp. 223226 (eds Parloff, M. B., Boamer, D. S., Dittman, A. T., et al.) Washington, DC: American Psychological Association.Google Scholar
Lindqvist, B. (1980) The right to work: a political issue. In Participation of People with Disabilities: An International Perspective (eds Miller, K. S. & Chadderdon, L. M.). Michigan: Rehabilitation International and the University Center for International Rehabilitation, Michigan State University.Google Scholar
Lipton, H., Reiner, E. & Sturm, I. E. (1963) The Employability of Persons Released from a Mental Hospital. Final Report. Worcester: Worcester State Hospital Vocational Rehabilitation Administration.Google Scholar
Long, E. & Runck, B. (1983) Combating stigma through work for the mentally restored. Hospital and Community Psychiatry, 34, 1920.Google ScholarPubMed
Lorei, T. W. & Gurel, L. (1973) Demographic characteristics as predictors of post-hospital employment and readmission. Journal of Consulting and Clinical Psychology, 40, 426430.CrossRefGoogle Scholar
Manpower Services Commission (1981) Review of the Quota Scheme for the Employment of Disabled People. Sheffield: Manpower Services Commission.Google Scholar
Manpower Services Commission (1982) Review of Assistance for Disabled People. Sheffield: Manpower Services Commission.Google Scholar
Manpower Services Commission (1985) Report of the Quota Scheme Working Group. Sheffield: Manpower Services Commission.Google Scholar
Marrone, J., Horgan, J., Scripture, D., et al (1984) Serving the severely psychiatrically disabled client within the VR system. Psychosocial Rehabilitation Journal, 8, 523.CrossRefGoogle Scholar
Melehov, D. E., Grossman, A. V. & Petrunek, V. P. (1970) Industrial rehabilitation of psychiatric patients in open industry and in special workshops. Social Psychiatry, 5, 1215.CrossRefGoogle Scholar
Mezquita-Blanco, J. (1984) Work-therapy in psychiatric rehabilitation. International Journal of Rehabilitation Research, 7, 310.CrossRefGoogle ScholarPubMed
Midgley, G. R. (1988) A systems analysis and evaluation of microjob – a vocational rehabilitation and information technology training centre for people with disabilities. MPhil thesis, City University, London.Google Scholar
Midgley, G. R. & Floyd, M. (1988) Microjob: A Computer Training Service for People with Disabilities. London: Rehabilitation Resource Centre, Department of Systems Science, City University.Google Scholar
MIND (1978) Nobody Wants You: 49 Cases of Discrimination at Work. London: MIND.Google Scholar
Monck, E. M. (1963) Employment experiences of 127 discharged schizophrenic men in London. British Journal of Preventive Social Medicine, 17, 101.Google Scholar
Moriarty, J. B. (1977) Issues in the evaluation of vocational rehabilitation. Professional Psychology, 8, 641649.CrossRefGoogle Scholar
Olshansky, S. (1959) Employer Receptivity in Rehabilitation of the Mentally Ill. Washington, DC: American Association for the Advancement of Science.Google Scholar
Olshansky, S. (1977) Job placement: another discovery. Rehabilitation Literature, 38, 116117.Google ScholarPubMed
Olshansky, S., Grob, S. & Malamud, I. T. (1958) Employers' attitudes and practices in the hiring of ex-mental patients. Mental Hygiene, 42, 391401.Google ScholarPubMed
Olshansky, S., Grob, S. & Ekdahl, M. (1960) Survey of employment experiences of patients discharged from three state mental hospitals during 1951–1953. Mental Hygiene, 44, 510521.Google ScholarPubMed
Olshansky, S., & Unterberger, H. (1965) Employer prejudice against the mentally restored: fact or fantasy? Journal of Rehabilitation, 31, 2324.Google ScholarPubMed
Parks, B. W. (1973) Selected client characteristics and their relationship to vocational rehabilitation outcomes in a psychiatric population. PhD thesis, Pennsylvania State University.Google Scholar
Price, B. (1978) Mental illness: a case for company concern. Personnel Management, December, 3943.Google Scholar
Ritchie, R. (1963) Predicting industrial therapy success and hospital progress in a schizophrenic population. Newsletter for Research in Psychology, 5, 2324.Google Scholar
Roth, W. & Sugarman, R. (1984) The phenomenology of disability: implications for vocational rehabilitation. Rehabilitation Literature, 45, 366369.Google ScholarPubMed
Rusalem, H. & Maliken, D. (1976) Contemporary Vocational Rehabilitation. New York: New York University Press.Google Scholar
Stubbins, J. (1984) Vocational rehabilitation as a social science. Rehabilitation Literature, 45, 375380.Google ScholarPubMed
Stubbins, J. & Albee, G. W. (1984) Ideologies of clinical and ecological models. Rehablitation Literature, 45, 349353.Google ScholarPubMed
Sturm, I. E. & Lipton, H. (1967) Some social and vocational predictors of psychiatric hospitalization outcome. Journal of Clinical Psychology, 23, 301.3.0.CO;2-P>CrossRefGoogle ScholarPubMed
Sturm, I. E. & Lipton, H. (1970) Preparing former patients for jobs. Hospital and Community Psychiatry, 21, 48.Google ScholarPubMed
Unterberger, H. (1959) Psychodynamics and rehabilitation. Mental Hospitals, 10, 1821.Google ScholarPubMed
Vandergoot, D. & Worrall, J. D. (1982) Promoting career development through vocational rehabilitation. Rehabilitation Counseling Bulletin, 26, 6977.Google Scholar
Watts, F. N. & Bennett, D. H. (1977) Previous occupational stability as a predictor of employment after psychiatric rehabilitation. Psychological Medicine, 7, 709712.CrossRefGoogle ScholarPubMed
Whatley, C. D. (1963) Status, role and vocational continuity of discharged mental patients. Journal of Health and Human Behaviour, 4, 105112.CrossRefGoogle ScholarPubMed
Whatley, C. D. (1964) Employer attitudes, discharged patients and job disability. Mental Hygiene, 48, 121131.Google Scholar
Whitehead, C. W. (1979) Sheltered workshops in the decade ahead: work and wages, or welfare. In Vocational Rehabilitation of Severely Handicapped Persons (eds Bellamy, G. T., O'Connor, G. & Karan, O. C.). Baltimore: University Park Press.Google Scholar
Whitehead, A. (1984) Recent developments in sheltered employment in Britain. In Disability and Employment: Report on an Anglo-German Conference (eds Floyd, M. & North, K.). London: Anglo-German Foundation.Google Scholar
Wood, C. (1986) Mental Illness and Employment in Westminster. London: Westminster Association for Mental Health.Google Scholar
Zharikov, N. M. (1974) Principles of organization of psychiatric care in the USSR, and its meaning for the rehabilitation of mental patients. Psychiatria Fennica, 337339.Google Scholar
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