Maximizing work integration in job placement of individuals facing mental health problems: Supervisor experiences.

Link copied!

Academic Journal

Skarpaas LS; Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Science, Oslo, Norway.; Presenter, Stavanger, Norway.
Ramvi E; Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.
Løvereide L; Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.
Aas RW; Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, Oslo and Akershus University College of Applied Science, Oslo, Norway.; Presenter, Stavanger, Norway.; Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.

Work (Reading, Mass.) [Work] 2015; Vol. 53 (1), pp. 87-98.

English

Background: Many people confronting mental health problems are excluded from participation in paid work. Supervisor engagement is essential for successful job placement.
Objective: To elicit supervisor perspectives on the challenges involved in fostering integration to support individuals with mental health problems (trainees) in their job placement at ordinary companies.
Methods: Explorative, qualitative designed study with a phenomenological approach, based on semi-structured interviews with 15 supervisors involved in job placements for a total of 105 trainees (mean 7, min-max. 1-30, SD 8). Data were analysed using qualitative content analysis.
Results: Superviors experience two interrelated dilemmas concerning knowledge of the trainee and degree of preferential treatment. Challenges to obtaining successful integration were; motivational: 1) Supervisors previous experience with trainees encourages future engagement, 2) Developing a realistic picture of the situation, and 3) Disclosure and knowledge of mental health problems, and continuity challenges: 4) Sustaining trainee cooperation throughout the placement process, 5) Building and maintaining a good relationship between supervisor and trainee, and 6) Ensuring continuous cooperation with the social security system and other stakeholders.
Conclusions: Supervisors experience relational dilemmas regarding pre-judgment, privacy and equality. Job placement seem to be maximized when the stakeholders are motivated and recognize that cooperation must be a continuous process.