%0 Journal Article
%T Examining the Factors Associated with Paid Employment of Clients Enrolled in First Episode of Psychosis Programs
%A Carolyn S. Dewa
%A Lucy Trojanowski
%A Chiachen Cheng
%A Desmond Loong
%J Schizophrenia Research and Treatment
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/739616
%X Schizophrenia is one of the most debilitating mental disorders. For a significant portion of individuals who suffer from this disorder, onset occurs in young adulthood, arresting important social and educational development that is necessary for future successful labor force participation. The purpose of this paper is to contribute to the literature about clients enrolled in first episode psychosis programs and psychosocial outcomes by examining the factors associated with paid employment among young adults who have experienced their first psychotic episodes. In this paper, we consider the association of socioeconomic factors to employment. Our results suggest that in addition to treatment, socioeconomic factors such as receipt of public disability benefits and educational attainment are associated with employment status. These results can help to inform future directions for the enhancement of psychosocial programs in FEP models to promote paid employment. 1. Introduction Schizophrenia is one of the most debilitating mental disorders. For a significant portion of individuals who suffer from this disorder, onset occurs in young adulthood, arresting important social and educational development that is necessary for future successful labor force participation. As a result, schizophrenia is often associated with an eventual downward spiral ending in poverty and isolation[1]. To avert this dismal future, the focus on the first psychotic episode (FEP) is becoming a priority for mental health care globally (e.g., Johannessen et al. [2]). There is also growing evidence surrounding the low employment rates of people with FEP. Employment rate estimates range from 13 to 55% [3¨C5]. Reviews of the literature [3, 6] note that there are a number of factors associated with employment along a number of dimensions [7¨C9]. Along with cognitive impairment and symptoms, educational attainment, family socioeconomic status, social benefit structures, and labour market conditions also potentially affect employment of young adults with first episode psychosis [3]. There appears to be a complex mix of both individual and environmental factors linked to successful labour market participation. Although it is a multifaceted challenge, there is increasing evidence for the effectiveness of interventions such as Individual Placement and Support (IPS) programs and the interventions of vocational specialists for this population [4, 6, 10¨C13]. As such, the International First Episode Vocational Recovery (iFEVR) Group [14] released a consensus statement advocating for the ¡°right to
%U http://www.hindawi.com/journals/schizort/2012/739616/