Work Accommodation and Retention in Mental Health
Work Accommodation and Retention in Mental Health Izabela Z. Schultz and E. Sally Rogers, Editors Mental illness has long been recognized as a cause of unemployment and decreased job productivity. More recently, a myriad of social, legal, and demographic
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Izabela Z. Schultz E. Sally Rogers ●
Editors
Work Accommodation and Retention in Mental Health
Editors Izabela Z. Schultz University of British Columbia Vancouver, BC Canada [email protected]
E. Sally Rogers Boston University Boston, MA USA [email protected]
ISBN 978-1-4419-0427-0 e-ISBN 978-1-4419-0428-7 DOI 10.1007/978-1-4419-0428-7 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2010937649 © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
Mental health disabilities are burgeoning and are repeatedly implicated when describing the challenges our society faces in global health and the societal burden of disability, now and in the future. Central to these issues is the work impairment associated with mental health problems. Research suggests that the numbers of individuals with mental health disabilities both in and out of the workforce are large and growing. Relative to physical disabilities, mental health disabilities have been the focus of vocational and occupational interventions and related research much more recently. Therefore our understanding of the most effective ways to intervene to improve work outcomes among individuals with mental health disabilities is more tentative, more fragmented, and less evidence-informed than in the physical rehabilitation world. Mental health disabilities are repeatedly cited as reasons not only for unemployment but also for underemployment, lost productivity in the workplace (presenteeism and absenteeism), reduced quality of life, exploding medical costs, and public and private insurance programs. Historically, those involved in the provision of rehabilitation services have relied on the medical model of care for mental health disabilities with a correspondingly heavy emphasis on establishing a diagnosis and treating psychiatric symptoms. Such approaches to care may result in a stabilization of mental health symptoms, but have not been demonstrated to be sufficient for improving work function. Recent research has enhanced our understanding of the relationship between the functional impairments that individuals with mental health disabilities face in various life domains, in particular the role of worker. To intervene ef
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