Exploring the tipping point: a qualitative study of labour marked experiences among young people with first episode of schizophrenia

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Abstract
Purpose Work holds significant value in the lives of most individuals, impacting various aspects such as identity, health, and the economy. However, young individuals with schizophrenia often encounter challenges in accessing and maintaining employment. Despite this, knowledge regarding their experiences with labor market is sparse. The study aimed to explore perspectives on labor market affiliation and vocational intervention in relation to quality of life and health among young people with schizophrenia. Methods A qualitative approach was employed, applying individual interviews as data collection method. Twelve patients with first episode of schizophrenia were recruited from two outpatient clinics. Thematic analysis was used, following an inductive process. A user panel was established to ensure quality and relevance of the study. Results Three key themes were identified from the analysis: 1. “Work is simultaneously rewarding and demanding”, highlighting the struggle to balance the benefits of employment with the difficulties of meeting labor market requirements; 2. “Mental health, stigma and work: A complex interplay”, which concerned how work simultaneously contributes to stress and reduces psychiatric symptoms; 3. “Supported employment: Facilitating work-life balance”, concerning how supported employment intervention facilitated a better work-life balance, enhancing overall quality of life, under specific conditions. Conclusion Young individuals with schizophrenia are highly motivated to work, yet encounter significant barriers to labour market participation, related both to their mental health condition and societal stigma. Supported employment programmes emerge as crucial in empowering individuals with schizophrenia to navigate the complexities of the labour market while managing their mental health effectively.
Funding Information
  • Health Research Foundation of Central Denmark Region (A3280, A3280, A3280, A3280)
  • Danish Regions (EMBN-2019-00852, EMBN-2019-00852, EMBN-2019-00852, EMBN-2019-00852)

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