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The recovery experiences of people with psychiatric disabilities in vocational rehabilitation
People with psychiatric disabilities
Even though mental illnesses are generally seen as unable to fully recover, many studies in recent years have found that people with psychiatric disabilities have the potential to reach "recovery", which means that even if they continue to suffer from illness, the individual's development is still worth looking forward to. Vocational rehabilitation services can help people with psychiatric disabilities be capable workers. In addition, many studies in recent years have pointed out that vocational rehabilitation help people with psychiatric disabilities to recover. Therefore, understanding the recovery experiences of people with psychiatric disabilities in vocational rehabilitation is an important issue in the field of rehabilitation counseling. The purpose of this study is to explore the recovery experiences of people with psychiatric disabilities who participated in vocational rehabilitation, and to understand the positive and negative factors affecting recovery. The study adapts intentional sampling strategy. We invited ten people with psychiatric disabilities who have more than 6 months vocational rehabilitation experience participated in this study. In-depth interviews were used to collect their recovery experience. The narrative information was analyzed via thematic analysis. Our study found that the recovery experience of people with psychiatric disabilities in vocational rehabilitation includes five core themes: (1) "Resume Independence", which includes building life and being responsible for oneself. (2) "Reconnection with others", which includes increasing social encounter opportunities, strengthening social confidence, establishing positive relationships, and maintaining interpersonal relationships. (3) "Regaining meaning", which includes defining the center of life and assuming roles. (4) "Rekindling hope", which includes gaining hope, self-motivation, and explore actively. (5) "Rebuild self", which includes strengthen self-esteem, adjusting identity, and regaining dignity. The positive factors of recovery: include (1) personal support, including self-help beliefs and motivation sources; (2) family support, including psychological support, daily life support, disease management, encouragement or assistance in employment; (3) professional support , including support from occupational therapists and employment specialists; (4) natural support in the workplace, including supervisors, peers and other staff; and (5) social support, including good accessibility of employment-related resources and good accessibility of medical resources. The negative factors of recovery include (1) personal barriers, including mental illness, physical illness and related symptoms, and self-stigma; (2) family barriers, including family members’ disagreement with vocational rehabilitation and not being trusted by family members; (3) workplace barriers, including low trust in staffs of vocational rehabilitation and interpersonal pressure in the workplace; (4) barriers of vocational rehabilitation system, including wages lower than the market, the ratio of manpower requirements for sheltered employment services, and staff service omissions negligence; and (5) society barriers, stigmatization. Finally, based on the results of the research, this study proposes practical, family and policy recommendations for the recovery of people with psychiatric disabilities through vocational rehabilitation, as well as recommendations for future research.
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