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

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...

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Autores principales: Nicola Morant, Alyssa Milton, Eleanor Gilbert, Sonia Johnson, Nicholas Parsons, Swaran Singh, Steven Marwaha
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Publicado: BMC 2021
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spelling oai:doaj.org-article:d27854e510264c929aae5693270e30e22021-11-14T12:08:24ZVocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians10.1186/s12888-021-03577-51471-244Xhttps://doaj.org/article/d27854e510264c929aae5693270e30e22021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03577-5https://doaj.org/toc/1471-244XAbstract 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.Nicola MorantAlyssa MiltonEleanor GilbertSonia JohnsonNicholas ParsonsSwaran SinghSteven MarwahaBMCarticleVocational rehabilitationSupported employmentSocial firmsSocial enterpriseMental illnessQualitative researchPsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Vocational rehabilitation
Supported employment
Social firms
Social enterprise
Mental illness
Qualitative research
Psychiatry
RC435-571
spellingShingle Vocational rehabilitation
Supported employment
Social firms
Social enterprise
Mental illness
Qualitative research
Psychiatry
RC435-571
Nicola Morant
Alyssa Milton
Eleanor Gilbert
Sonia Johnson
Nicholas Parsons
Swaran Singh
Steven Marwaha
Vocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians
description 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.
format article
author Nicola Morant
Alyssa Milton
Eleanor Gilbert
Sonia Johnson
Nicholas Parsons
Swaran Singh
Steven Marwaha
author_facet Nicola Morant
Alyssa Milton
Eleanor Gilbert
Sonia Johnson
Nicholas Parsons
Swaran Singh
Steven Marwaha
author_sort Nicola Morant
title Vocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians
title_short Vocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians
title_full Vocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians
title_fullStr Vocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians
title_full_unstemmed Vocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians
title_sort vocational rehabilitation via social firms: a qualitative investigation of the views and experiences of employees with mental health problems, social firm managers and clinicians
publisher BMC
publishDate 2021
url https://doaj.org/article/d27854e510264c929aae5693270e30e2
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