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http://dx.doi.org/10.4040/jkan.21016

Job Retention Process among Working People with Mental Illness: A Grounded Theory Approach  

Hyun, Myung Sun (College of Nursing, Ajou University)
Nam, Kyoung A (School of Nursing.Research Institute of Nursing Science, Hallym University)
Kim, Hyunlye (Department of Nursing, College of Medicine, Chosun University)
Kim, Su Young (College of Nursing, Ajou University)
Publication Information
Journal of Korean Academy of Nursing / v.51, no.3, 2021 , pp. 320-333 More about this Journal
Abstract
Purpose: The study was conducted to explore the experiences of job retention among working people with mental illness. Methods: The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss's grounded theory method. Results: The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one's tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one's mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person. Conclusion: Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.
Keywords
Employment; Mentally Ill Persons; Qualitative Research; Grounded Theory;
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1 Kang S. Impact of social interaction on community integration in people with mental disabilities: With priority given to the mediating effect of ego-identity. Journal of Disability and Welfare. 2014;24:61-82. https://doi.org/10.22779/kadw.2014..24.61   DOI
2 Kim M, Millner U. Meaning of work for individuals with mental illness: Focused on cultural differences between Asians and white Americans. Korean Journal of Social Welfare. 2015;67(4):227-249. https://doi.org/10.20970/kasw.2015.67.4.010   DOI
3 Kim HJ, Park HW, Im YJ, Cho KM, Jeon YH, Kim UA. Survey of 2019 year economic activity among disabled person. Seongnam: Employment Development Institute; 2019 Dec. Report No.: 383004.
4 Therrien D, Corbiere M, Collette K. Workers with severe mental illness coping with clinical symptoms: Self-directed learning of work-health balance strategies. Australian Occupational Therapy Journal. 2020;67(4):341-349. https://doi.org/10.1111/1440-1630.12662   DOI
5 Park SY. Study on social integration of persons with mental illness. Journal of Social Research. 2010;11(1):79-108. https://doi.org/10.22862/kjsr.2010.11.1.004   DOI
6 Lee I, Lee B, Kim S. The effect of the accomplishment level of work adjustment training on the duration of job retention among the people with mental illness: Moderating effect of the type of service. Disability & Employment. 2009;19(2):117-142.   DOI
7 Linz SJ, Sturm BA. Facilitating social integration for people with severe mental illness served by assertive community treatment. Archives of Psychiatric Nursing. 2016;30(6):692-699. https://doi.org/10.1016/j.apnu.2016.05.006   DOI
8 Hall PV, Montgomery P, Davie S, Dickins K, Forchuk C, Jeng MS, et al. Seeking and securing work: Individual-level predictors of employment of psychiatric survivors. Work. 2015;52(1):91-101. https://doi.org/10.3233/WOR-141973   DOI
9 Choi HC. Present conditions and development plans for vocational rehabilitation for people with mental illness in Korea. Korean Journal of Clinical Social Work. 2015;12(1):39-54.
10 Villotti P, Corbiere M, Fossey E, Fraccaroli F, Lecomte T, Harvey C. Work accommodations and natural supports for employees with severe mental illness in social businesses: An international comparison. Community Mental Health Journal. 2017;53(7):864-870. https://doi.org/10.1007/s10597-016-0068-5   DOI
11 Fitzgerald MM. Comparison of recovery style and insight of patients with severe mental illness in secure services with those in community services. Journal of Psychiatric and Mental Health Nursing. 2010;17(3):229-235. https://doi.org/10.1111/j.1365-2850.2009.01498.x   DOI
12 Erikson EH, Erikson JM. The life cycle completed. Extended ed. New York (NY): W.W. Norton & Company; 1998. p. 66-76.
13 Ware NC, Hopper K, Tugenberg T, Dickey B, Fisher D. Connectedness and citizenship: Redefining social integration. Psychiatric Services. 2007;58(4):469-474. https://doi.org/10.1176/ps.2007.58.4.469   DOI
14 Elraz H. Identity, mental health and work: How employees with mental health conditions recount stigma and the pejorative discourse of mental illness. Human Relations. 2018;71(5):722-741. https://doi.org/10.1177/0018726717716752   DOI
15 Hielscher E, Waghorn G. Self-stigma and fears of employment among adults with psychiatric disabilities. British Journal of Occupational Therapy. 2017;80(12):699-706. https://doi.org/10.1177/0308022617712199   DOI
16 Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory. 4th ed. Thousand Oaks (CA): SAGE Publications; 2015. p. 1-310.
17 Lincoln YS, Guba EG. Naturalistic inquiry. Newbury Park (CA): SAGE Publications; 1985. p. 289-331.
18 Pahwa R, Kriegel L. Psychological community integration of individuals with serious mental illness. The Journal of Nervous and Mental Disease. 2018;206(6):410-416. https://doi.org/10.1097/NMD.0000000000000829   DOI
19 Khalaf Beigi M, Mohammadi Shahbolaghi F, Rassafiani M, Haghgoo HA, Taherkhani H. The meaning of work in people with severe mental illness (SMI) in Iran. Medical Journal of the Islamic Republic of Iran. 2015;29:179.
20 Millner UC, Rogers ES, Bloch P, Costa W, Pritchett S, Woods T. Exploring the work lives of adults with serious mental illness from a vocational psychology perspective. Journal of Counseling Psychology. 2015;62(4):642-654. https://doi.org/10.1037/cou0000109   DOI
21 Lee KJ. The phenomenological study on the employment experiences of people with psychiatric disabilities. Korean Journal of Social Welfare. 2010;62(1):237-261.   DOI
22 Byun EK, Jun SS, Kim MY. A study on the quality of life in work experience of employees with mentally disabled. Journal of the Korean Data Analysis Society. 2011;13(4):1965-1976.
23 Ha KH, Sung JM. An exploratory study on the economic activities of people with psychiatric disabilities: Comparisons between disability types. Journal of Rehabilitation Research. 2012;16(2):131-158.
24 Corbiere M, Zaniboni S, Lecomte T, Bond G, Gilles PY, Lesage A, et al. Job acquisition for people with severe mental illness enrolled in supported employment programs: A theoretically grounded empirical study. Journal of Occupational Rehabilitation. 2011;21(3):342-354. https://doi.org/10.1007/s10926-011-9315-3   DOI
25 Corrigan PW, Rao D. On the self-stigma of mental illness: Stages, disclosure, and strategies for change. The Canadian Journal of Psychiatry. 2012;57(8):464-469. https://doi.org/10.1177/070674371205700804   DOI