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Disclosure of Psychiatric Disabilities in Vocational Rehabilitation

Published online by Cambridge University Press:  23 February 2012

Geoff R. Waghorn*
Affiliation:
Queensland Centre for Schizophrenia Research, Australia
Stephen J. Lewis
Affiliation:
West Uoreton Health Service District, Australia
*
The Park, Centre for Mental Health, Wacol, QLD4076, Australia, Email: geoff_waghom@qcsr.uq.edu.au
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Abstract

Vocational professionals aware of the stigma associated with psychiatric disability, generally exercise caution when disclosing psychiatric or disability related information to employers. However, few professionals directly address stigma or specify disclosure strategies in vocational rehabilitation plans. Integrated information tailored to vocational professionals is needed to guide this aspect of vocational rehabilitation practice. We review recent evidence with legal and ethical information relevant to vocational rehabilitation. Key elements of disclosure and stigma-countering strategies are identified which can be incorporated into the career planning, job preparation, job securing and job retaining phases of vocational rehabilitation plans.

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Articles
Copyright
Copyright © Cambridge University Press 2002

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References

Anthony, W.A., & Blanch, A. (1987). Supported employment for persons who are psychiatrically disabled: An historical and conceptual perspective. Psychosocial Rehabilitation Journal, 11(2), 523.CrossRefGoogle Scholar
Bhugra, D. (1989). Attitudes towards mental illness. A review of the literature. Acta Psychiatrica Scandinavica, 80, 112.CrossRefGoogle ScholarPubMed
Carling, P.J. (1993). Reasonable accommodations in the workplace for individuals with psychiatric disabilities. Consulting Psychology Journal, Spring, 4667.CrossRefGoogle Scholar
Combs, I.H., & Omvig, C. P. (1986). Accommodation of disabled people into employment: Perceptions of employers. Journal of Rehabilitation, April/May/June, 4245.Google Scholar
Commonwealth Department of Family and Community Services. (2002). Case based funding trial evaluation. Interim report. Canberra: Author.Google Scholar
Commonwealth Disability Discrimination Act (1992).Google Scholar
Commonwealth Privacy Amendment (Private Sector) Act (2000).Google Scholar
Corrigan, P.W., Edwards, A.B., Green, A., Diwan, S.L., & Penn, D.L. (2001). Prejudice, social distance, and familiarity with mental illness. Schizophrenia Bulletin, 27(2), 219225.CrossRefGoogle ScholarPubMed
Corrigan, P.W., River, L.P., Campion, J., Mathisen, J., Gagnon, C., Bergman, M., Goldstein, H., & Kubiak, M.A. (2001). Three strategies for changing attributions about severe mental illness. Schizophrenia Bulletin, 27(2), 187195.CrossRefGoogle ScholarPubMed
Crisp, R. (2000). Qualitative methods in rehabilitation research and their relevance to rehabilitation counselling practice. Australian journal of Rehabilitation Counselling, 6(1), 1219.CrossRefGoogle Scholar
Crowther, R.E., Marshall, M., Bond, G.R., & Huxley, P. (2001). Helping people with severe mental illness to obtain work: Systematic review. British Medical journal, 322, 204208.CrossRefGoogle ScholarPubMed
Dalgin, R.S. (2001). Impact of Title 1 of the Americans with Disabilities Act on people with psychiatric disabilities, journal of Applied Rehabilitation Counseling, 32(1), 4550.CrossRefGoogle Scholar
Diksa, E., & Rogers, E.S. (1996). Employer concerns about hiring persons with psychiatric disability: Results of the Employer Attitude Questionnaire. Rehabilitation Counseling Bulletin, 40(1), 3144.Google Scholar
Dindia, K. (1998). Going into and coming out of the closet: The dialectics of stigma disclosure. In Montgomery, B. M. & Baxter, L. A. (Eds.), Dialectical approaches to studying personal relationships (pp. 83108). Mahwah, NJ: Lawrence Erlbaum Associates, Inc.Google Scholar
Egan, G. (1994). The skilled helper. California: Brooks Cole.Google Scholar
Fabian, E.S., Waterworth, A., & Ripke, B. (1993). Reasonable accommodations for workers with serious mental illness: Type, frequency, and associated outcomes. Psychosocial Rehabilitation Journal, 17(2), 163172.CrossRefGoogle Scholar
Farina, A., & Felner, R.D. (1973). Employment interviewer reactions to former mental patients. Journal of Abnormal Psychology, 82(2), 268272.CrossRefGoogle ScholarPubMed
Finlay, W.M.L., Dinos, S., & Lyons, E. (2001). Stigma and multiple social comparisons in people with schizophrenia. European Journal of Social Psychology, 31, 579592.CrossRefGoogle Scholar
Fuqua, D.R., Rathbun, M., & Gade, E.M. (1983). A comparison of employer attitudes toward the worker problems of eight types of disabled workers, Journal of Applied Rehabilitation Counseling, 15(1), 4043.CrossRefGoogle Scholar
Gehrs, M., & Goering, P. (1994). The relationship between the working alliance and rehabilitation outcomes of schizophrenia. Psychosocial Rehabilitation Journal, 18(2), 4354.CrossRefGoogle Scholar
Glozier, N. (1998). Workplace effects of the stigmatisation of depression. Journal of Occupational and Environmental Medicine, 40(9), 793800.CrossRefGoogle Scholar
Goffman, E. (1963). Stigma. Notes on the management of spoiled identity. Ringwood, Vic: Penguin Books Australia Ltd.Google Scholar
Granger, B. (2000). The role of psychiatric rehabilitation practitioners in assisting people in understanding how to best assert their ADA rights and arrange job accommodations. Psychiatric Rehabilitation Journal, 23(3), 215223.CrossRefGoogle Scholar
Granger, B., Baron, R., & Robinson, S. (1997). Findings from a national survey of job coaches and job developers about job accommodations arranged between employers and people with psychiatric disabilities. Journal of Vocational Rehabilitation, 9, 235251.CrossRefGoogle Scholar
Green, M.F. (1996). What are the functional consequences of neurocognitive deficits in schizophrenia? American Journal of Psychiatry, 153(3), 321330.Google ScholarPubMed
Harding, C.M., & Zahniser, J.H. (1994). Empirical correction of seven myths about schizophrenia with implications for treatment. Acta Psychiatrica Scandinavica, 90(suppl. 384), 140146.CrossRefGoogle Scholar
Herman, N.J. (1993). Return to sender. Reintegrative stigma-management strategies of ex-psychiatric patients. Journal of Contemporary Ethnography, 22(3), 295331.CrossRefGoogle Scholar
Holmes, E.P., Corrigan, P.W., Williams, P., Canar, J., & Kubiak, M.A. (1999). Changing attitudes about schizophrenia. Schizophrenia Bulletin, 25(3), 447456.CrossRefGoogle ScholarPubMed
Hughes, R. (1999). Psychosocial rehabilitation: New protocols, ethics and outcomes. International Journal of Mental Health, 28(1), 333.CrossRefGoogle Scholar
Human Rights and Equal Opportunity Commission (HREOC) (2002). Information Sheet. Complaints under the Disability Discrimination Act. Sydney. Retrieved from http://www.humanrights.gov.auGoogle Scholar
Imber-Black, E. (1998). The secret life of families. New York: Bantam Books.Google Scholar
Johnstone, M. (1999). Bioethics: A nursing perspective. Sydney: Harcourt Saunders.Google Scholar
Lehman, A.F., Goldberg, R., Dixon, L.B., McNary, S., Postrado, L., Hackman, A., et al. (2002). Improving employment outcomes for persons with severe mental illnesses. Archives of General Psychiatry, 59, 165172.CrossRefGoogle ScholarPubMed
Limandri, B. (1989). Disclosure of stigmatizing conditions: The discloser's perspective. Archives of Psychiatric Nursing, 111(2), 6978.Google Scholar
Link, B.G. (1982). Mental patient status, work, and income: An examination of the effects of a psychiatric label. American Sociological Review, 47(4), 202215.CrossRefGoogle ScholarPubMed
Link, B.G. (1987). Understanding labeling effects in the area of mental disorders: An assessment of the effects of expectations of rejection. American Sociological Review, 52(2), 96112.CrossRefGoogle Scholar
Link, B.G., Mirotznik, J., & Cullen, F.T. (1991). The effectiveness of stigma coping orientations: Can negative consequences of mental illness labeling be avoided? Journal of Health and Social Behaviour, 32, 302320.CrossRefGoogle ScholarPubMed
Link, B.G., & Phelan, J.C. (2001). Conceptualizing stigma. Annual Review Sociology, 27, 363385.CrossRefGoogle Scholar
Link, B.G., Struening, E.L., Neese-Todd, S., Asmussen, S., & Phelan, J.C. (2001). The consequences of stigma for the self-esteem of people with mental illness. Psychiatric Services, 52(12), 16211626.CrossRefGoogle Scholar
Link, B.G., Struening, E.L., Rahav, M., Phelan, J.C., & Nuttbrock, L. (1997). On stigma and its consequences: Evidence from a longitudinal study of men with dual diagnoses of mental illness and substance abuse. Journal of Health and Social Behavior, 38(06), 177190.CrossRefGoogle ScholarPubMed
Long, E., & Runck, B. (1983). Combating stigma through work for the mentally restored. Hospital and Community Psychiatry, 34(1), 1920.Google ScholarPubMed
MacDonald-Wilson, K.L., Rogers, E.S., Massaro, J.M., Lyass, A., & Crean, T. (2002). An investigation of reasonable workplace accommodations for people with psychiatric disabilities: Quantitative findings from a multi-site study. Community Mentai Health Journal, 38(1), 3550.CrossRefGoogle ScholarPubMed
MacFarlane, P.J.M., & Reid, S.J. (2002). Queensland health law handbook. Brisbane: Queensland Department of Health.Google Scholar
Macan, T.H., & Dipboye, R.L. (1994). The effects of the application on processing of information from the employment interview. Journal of Applied Social Psychology, 24(14), 12911314.CrossRefGoogle Scholar
Macan, T.H., & Hayes, T.L., (1995). Both sides of the employment interview interaction: Perceptions of interviewers and applicants with disabilities. Rehabilitation Psychology, 40(4), 261278.CrossRefGoogle Scholar
Mancuso, L.L. (1990). Reasonable accommodation for workers with psychiatric disabilities. Psychosocial Rehabilitation Journal, 14(2), 319.CrossRefGoogle Scholar
Manning, C., & White, P.D. (1995). Attitudes of employers to the mentally ill. Psychiatric Bulletin, 19, 541543.CrossRefGoogle Scholar
Mansouri, L., & Dowell, D.A. (1989). Perceptions of stigma among the long-term mentally ill. Psychosocial Rehabilitation Journal, 13(1), 7991.CrossRefGoogle Scholar
Marrone, J., Gandolfo, C., Gold, M., & Hoff, D. (1998). Just doing it: Helping people with mental illness get good jobs. Journal of Applied Rehabilitation Counseling, 29(1), 3748.CrossRefGoogle Scholar
Marty, D., Rapp, C.A., & Carlson, L. (2001). The experts speak: The critical ingredients of strengths model case management. Psychiatric Rehabilitation Journal, 24(3) 214221.CrossRefGoogle ScholarPubMed
Mosher, L.R., & Burti, L. (1992). Relationships in rehabilitation: When technology fails. Psychosocial Rehabilitation Journal, 15(4), 1117.CrossRefGoogle Scholar
Murray, C.J.L., & Lopez, A.D. (Eds.). (1996). The global burden of disease. A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge, MA: Harvard University Press.Google Scholar
Otlowski, M. (2001). Recent legislation and legislative commentary: Employment sector by-passed by the privacy amendments. Australian Journal of Labour Law, 14.Google Scholar
Penn, D.L., Guynan, K., Daily, T., Spaulding, W.D., Garbin, C.P., & Sullivan, M. (1994). Dispelling the stigma of schizophrenia: What sort of information is best? Schizophrenia Bulletin, 20(3), 567578.CrossRefGoogle ScholarPubMed
Penn, D.L., Kohlmaier, J.R., & Corrigan, P.W. (2000). Interpersonal factors contributing to the stigma of schizophrenia: Social skills, perceived attractiveness, and symptoms. Schizophrenia Research, 45, 3745.CrossRefGoogle Scholar
Penn, D.L., Kommana, S., Mansfield, M., & Link, B.G. (1999). Dispelling the stigma of schizophrenia: II. The impact of information on dangerousness. Schizophrenia Bulletin, 25(3), 437446.CrossRefGoogle ScholarPubMed
Penn, D.L., & Nowlin-Drummond, A. (2001). Politically correct labels and schizophrenia: A rose by any other name? Schizophrenia Bulletin, 27(2), 197203.CrossRefGoogle ScholarPubMed
Perlick, D.A., Rosenheck, R.A., Clarkin, J.F., Sirey, J., Salahi, J., Struening, E.L., & Link, B.G. (2001). Adverse effects of perceived stigma on social adaptation of persons diagnosed with bipolar affective disorder. Psychiatric Services, 52(12), 16271632.CrossRefGoogle ScholarPubMed
Queensland Anti-Discrimination Act (1991).Google Scholar
Queensland Criminal Law (Rehabilitation of Offenders) Act (1986).Google Scholar
Queensland Equal Opportunity in Employment Act (1992).Google Scholar
Queensland Family Services Act (1987).Google Scholar
Queensland Nursing Act (1992).Google Scholar
Queensland Workplace Health and Safety Act (1995).Google Scholar
Rutman, I.D. (1994). How psychiatric disability expresses itself as a barrier to employment. Psychosocial Rehabilitation Journal, 17(3), 1535.CrossRefGoogle Scholar
Sirey, J., Bruce, M.L., Alexopoulos, G.S., Perlick, D.A., Friedman, S.J., & Meyers, B.S. (2001). Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatric Services, 52(2), 16151620.CrossRefGoogle ScholarPubMed
Spillane, R. (1999). Australian managers' attitudes to mental illness. Journal of Occupational Health and Safety, 15(4), 359364.Google Scholar
Tsang, W.H.H., & Pearson, V. (1996). A conceptual framework for work-related social skills in psychiatric rehabilitation. Journal of Rehabilitation, July/August/September, 6166.Google Scholar
Tsang, H., & Pearson, V. (2000). Reliability and validity of a simple measure for assessing the social skills of people with schizophrenia necessary for seeking and securing a job. Canadian Journal of Occupational Therapy, 67(4), 250259.CrossRefGoogle ScholarPubMed
Tsang, H.W.H., & Pearson, V. (2001). Work-related social skills training for people with schizophrenia in Hong Kong. Schizophrenia Bulletin, 27(1), 139148.CrossRefGoogle ScholarPubMed
Waghorn, G. (2002). To tell or not to tell, that is the question. Balance, The Journal of the Mental Health Association (Qld Inc.), Summer, 913.Google Scholar
Waghorn, G., Chant, D., & Whiteford, H. (2002). Clinical and non-clinical predictors of vocational recovery for Australians with psychotic disorders. The Journal of Rehabilitation, 68(4), 4051.Google Scholar
Wahl, O.F. (1999). Mental health consumers' experience of stigma. Schizophrenia Bulletin, 25(3), 467478.CrossRefGoogle ScholarPubMed
World Health Organization (2001). The worldhealth report: 2001: Mental health: New understanding, new hope. Geneva: Author.Google Scholar