Managing disclosure of personal information: An opportunity to enhance supported employment.

Emily Hielscher · Geoffrey Waghorn

27 citations0/0 files storedPsychiatric Rehabilitation Journal

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Disability Education and Employment Schizophrenia research and treatment Employment and Welfare Studies

Abstract

OBJECTIVE: To first provide an overview of studies that explore mental health disclosure in the workplace; including factors that influence the decision to disclose, and differing approaches to disclosure (binary, multidimensional, and evolving and ongoing). Second, to provide a critical overview of existing tools designed to help clients manage their mental health disclosure decisions. METHOD: Electronic searches of PubMed, PsycINFO and ScienceDirect were undertaken, excluding all articles published prior to 1990. The following search terms were used: mental health disclosure, employment, severe and persistent mental illness, psychosis, schizophrenia, supported employment, individual placement and support (IPS). RESULTS: We found that mental health disclosure involves a complex decision-making process, and yet clients of IPS supported employment are currently provided with little structured guidance on how to manage their personal information in the workplace. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: More extensive investigations are required of existing mental health disclosure tools before they can be developed into a standardized intervention for practitioners. However, preliminary evidence suggests that facilitating better disclosure decisions and management of personal information is a promising area of future research. This line of investigation is likely to find ways to enhance competitive employment outcomes in supported employment for people with severe and persistent mental illness.

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References

1999Mental Health Consumers' Experience of Stigma 2004Stigma: the feelings and experiences of 46 people with mental illness 2012Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace 2012Generalizability of the Individual Placement and Support (IPS) model of supported employment outside the US 2012Validation of the Revised Individual Placement and Support Fidelity Scale (IPS-25)2010Supported employment for adults with severe mental illness 2005The disclosure conundrum: How people with psychiatric disabilities navigate employment.2014Employee Decision-Making About Disclosure of a Mental Disorder at Work

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2017Mental illness disclosure decision making.2021Vocational Service Models and Approaches to Improve Job Tenure of People With Severe and Enduring Mental Illness: A Narrative Review 2017Self-stigma and fears of employment among adults with psychiatric disabilities 2024Supported employment interventions with people who have severe mental illness: Systematic mixed-methods umbrella review

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