Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-10T13:44:52.917Z Has data issue: false hasContentIssue false

The Relationship Between Hope, Social Inclusion, and Mental Wellbeing in Supported Employment

Published online by Cambridge University Press:  10 May 2017

Debra A. Dunstan*
Affiliation:
School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, NSW, Australia
Amanda K. Falconer
Affiliation:
School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, NSW, Australia
Ian R. Price
Affiliation:
School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, NSW, Australia
*
Address for correspondence: Debra A Dunstan Discipline of Psychology, School of Behavioural, Cognitive and Social Sciences University of New England Armidale, NSW, 2351Australia. E-mail: ddunstan@une.edu.au
Get access

Abstract

This study explored the relationships between hope, social inclusion, and mental wellbeing in a sample of people in recovery from mental illness. Participants were 70 adults (60% male) with a psychiatric disability (71.4% schizophrenia) who were engaged in supported employment by an Australian Disability Enterprise. Compared to others diagnosed with a mental disorder, the participants in this study had higher levels of hope, social inclusion, and mental wellbeing, and lower levels of psychological distress. Hope and social inclusion predicted mental wellbeing, with social inclusion partially mediating the relationship between the other two constructs. Participants reported experiencing the psychosocial benefits of work (e.g., structured activity and a shared purpose) but were dissatisfied with their wages. The findings support Jahoda's Latent Deprivation theory of social inclusion and the psychosocial benefits of work participation to recovery from mental illness.

Type
Articles
Copyright
Copyright © The Author(s) 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Andresen, R., Oades, L., & Caputi, P. (2003). The experience of recovery from schizophrenia: Towards an empirically validated stage model. Australian and New Zealand Journal of Psychiatry, 37 (5), 586594. doi: 10.1046/j.1440-1614.2003.01234.x.Google Scholar
Anthony, W.A. (1993). Recovery from mental illness: The guiding vision of the mental health system in the 1990s. Psychosocial Rehabilitation Journal, 16 (4), 1123.Google Scholar
Australian Bureau of Statistics. (2010). Feature article 2: Mental health. 1301.0 - Year Book Australia, 2009-10. Retrieved from http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/1301.0Chapter11082009%E2%80%9310.Google Scholar
Australian Government. (1986). Disability services act, 1986. Retrieved from https://www.legislation.gov.au/Details/C2016C00953.Google Scholar
Australian Government Department of Employment. (2016). Disability support pension. Retrieved from https://www.humanservices.gov.au/customer/services/centrelink/disability-support-pension.Google Scholar
Australian Government Department of Health. (2011). Estimates of the prevalence of psychotic disorders. Retrieved from http://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-p-psych10-toc~mental-pubs-p-psych10-2.Google Scholar
Australian Government Department of Health. (2013). A National Framework for Recovery-Oriented Mental Health Services: Guide for Practitioners and Providers. Canberra, ACT: Commonwealth of Australia.Google Scholar
Australian Government Department of Human Services. (2016). Program of support for disability support pension. Retrieved from https://www.humanservices.gov.au/customer/enablers/program-support-disability-support-pension.Google Scholar
Australian Government Department of Social Services. (2016). About Australian disability enterprises. Retrieved from https://www.dss.gov.au/disability-and-carers-programmes-services-for-people-with-disability/about-australian-disability-enterprises.Google Scholar
Australian Health Ministers. (2009). The Fourth National Mental Health Plan 2009–2014. Canberra: Department of Health, Commonwealth of Australia. Retrieved from http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-f-plan09.Google Scholar
Baron, R.M., & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 11731182.Google Scholar
Boardman, J., Grove, B., Perkins, R., & Shepherd, G. (2003). Work and employment for people with psychiatric disabilities. The British Journal of Psychiatry, 182 (6), 467468. doi: 10.1192/02-345.Google Scholar
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Quarterly Research in Psychology, 3, 77101. doi: 10.1191/1478088706qp063oa.Google Scholar
Cheavens, J.S., Feldman, D.B., Gum, A., Michael, S.T., & Snyder, C.R. (2006). Hope therapy in a community sample: A pilot investigation. Social Indicators Research, 77 (1), 6178. doi:10.1007/s11205-005-5553-0.Google Scholar
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Cornelius, B.L., Groothoff, J.W., van der Klink, J.J., & Brouwer, S. (2013). The performance of the K10, K6 and GHQ-12 to screen for present state DSM-IV disorders among disability claimants. BMC Public Health, 13 (1), 1.CrossRefGoogle ScholarPubMed
Creed, P.A., & Macintyre, S.R. (2001). The relative effects of deprivation of the latent and manifest benefits of employment on the well-being of unemployed people. Journal of Occupational Health Psychology, 6 (4), 324331. doi: 10.1037/1076-8998.6.4.324.CrossRefGoogle ScholarPubMed
Drake, R.E., & Whitley, R. (2014). Recovery and severe mental illness: Description and analysis. The Canadian Journal of Psychiatry, 59 (5), 236242.CrossRefGoogle ScholarPubMed
Drake, R.E., McHugo, G.J., Xie, H., Fox, M., Packard, J., & Helmstetter, B. (2006). Ten-year recovery outcomes for clients with co-occurring schizophrenia and substance use disorders. Schizophrenia Bulletin, 32 (3), 464473.Google Scholar
Farkas, M. (2007). The vision of recovery today: What it is and what it means for services. World Psychiatry, 6 (2), 6874. doi: 10.1007/s10597-005-2649-6.Google Scholar
Gallagher, M.W., & Lopez, S.J. (2009). Positive expectancies and mental health: Identifying the unique contributions of hope and optimism. The Journal of Positive Psychology, 4 (6), 548556. doi: 10.1080/17439760903157166.Google Scholar
Gilbert, E., Marwaha, S., Milton, A., Johnson, S., Morant, N., Parsons, N., . . . Cunliffe, D. (2013). Social firms as a means of vocational recovery for people with mental illness: A UK survey. BioMed Central Health Services Research, 13, 19. doi: 10.1186/1472-6963-13-270.Google Scholar
Hayes, A.F. (2013). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York: The Guilford Press.Google Scholar
Irving, L.M., Snyder, C.R., Cheavens, J.S., Gravel, L., Hanke, J., Hillberg, P., & Nelson, N. (2004). The relationships between hope and outcomes at the pretreatment, beginning and later phases of psychotherapy. Journal of Psychotherapy Integration, 14 (4), 419443. doi: 10.1037/1053-0479.14.4.419.Google Scholar
Iyer, S.N., Rothmann, T.L., Vogler, J.E., & Spaulding, W.D. (2005). Evaluating outcomes of rehabilitation for severe mental illness. Rehabilitation Psychology, 50 (1), 43.Google Scholar
Jacobson, N., & Greenley, D. (2001). What is recovery? A conceptual model and explication. Psychiatric Services, 52 (4), 482485. doi: 10.1176/appi.ps.52.4.482.Google Scholar
Jahoda, M. (1982). Employment and Unemployment: A Socio-Psychological Analysis. Cambridge: Cambridge University Press.Google Scholar
Keks, N., & Hope, J. (2007). Long-term management of people with psychotic disorders in the community. Australian Prescriber, 30 (2).Google Scholar
Kessler, R.C., Barker, P.R., Colpe, L.J., Epstein, J.F., Gfroerer, J.C., Hiripi, E., . . . Zaslavsky, A.M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184189. doi: 10.1001/archpsyc.60.2.184.CrossRefGoogle ScholarPubMed
Kirst, M., Zerger, S., Harris, D.W., Plenert, E., & Stergiopoulos, V. (2014). The promise of recovery: Narratives of hope among homeless individuals with mental illness participating in a Housing First randomised controlled trial in Toronto, Canada. BMJ Open, 4 (3), e004379.Google Scholar
Le Boutillier, C., Leamy, M., Bird, V.J., Davidson, L., Williams, J., & Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance. Psychiatric Services, 62 (12), 14701476. doi: 10.1176/appi.ps.001312011.Google Scholar
Maheswaran, H., Weich, S., Powell, J., & Stewart-Brown, S. (2012). Evaluating the responsiveness of the Warwick Edinburgh mental well-being scale (WEMWBS): Group and individual level analysis. Health and Quality of Life Outcomes, 10 (156), 18. doi: 10.1186/1477-7525-10-156.CrossRefGoogle ScholarPubMed
Margrove, K.L., SE-SURG, Heydinrych, K., & Secker, J. (2013). Waiting list-controlled evaluation of a participatory arts course for people experiencing mental health problems. Perspectives in Public Health, 133 (1), 2835. doi: 10.1177/1757913912461587.CrossRefGoogle ScholarPubMed
McGorry, P.D., Killackey, E., & Yung, A.R. (2007). Early intervention in psychotic disorders: Detection and treatment of the first episode and the critical early stages. Medical Journal of Australia, 187 (Suppl. 7), S8S10.Google Scholar
Morris, A., Waghorn, G., Robson, E., Morre, L., & Edwards, E. (2014). Implementation of evidence-based supported employment in regional Australia. Psychiatric Rehabilitation Journal. 37 (2), 144147. doi: 10.1037/prj0000051.Google Scholar
Preacher, K.J., & Hayes, A.F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879891. doi: 0.3758/brm.40.3.879.CrossRefGoogle ScholarPubMed
Resnick, S.G., Rosenheck, R.A., & Lehman, A.F. (2004). An exploratory analysis of correlates of recovery. Psychiatric Services, 55 (5), 540547. doi: 10.1016/j.schres.2004.05.009.CrossRefGoogle ScholarPubMed
Secker, J., Hacking, S., Kent, L., Shenton, J., & Spandler, H. (2009). Development of a measure of social inclusion for arts and mental health project participants. Journal of Mental Health, 18 (1), 6572. doi: 10.1080/09638230701677803.CrossRefGoogle Scholar
Shepherd, G., Boardman, J., Rinaldi, M., & Roberts, G. (2014). Supporting recovery in mental health services: Quality and outcomes. Implementing Recovery Through Organisational Change. London.Google Scholar
Smith-Merry, J., Sturdy, S., & Freeman, R. (2010). Recovering mental health in Scotland. ‘Recovery’ from Social Movement to Policy Goal.Google Scholar
Snyder, C.R., Lehman, K.A., Kluck, B., & Monsson, Y. (2006). Hope for rehabilitation and vice versa. Rehabilitation Psychology, 51 (2), 89112. doi: 10.1037/0090-5550.51.2.89.Google Scholar
Snyder, C.R., Sympson, S.C., Ybasco, F.C., Borders, T.F., Babyak, M.A., & Higgins, R.L. (1996). Development and validation of the state hope scale. Journal of Personality and Social Psychology, 70 (2), 321335. doi: 10.1037/0022-3154.70.2.321.CrossRefGoogle ScholarPubMed
Stewart-Brown, S.L., Platt, S., Tennant, A., Maheswaran, H., Parkinson, J., Weich, S., . . . Clarke, A. (2011). The Warwick-Edinburgh mental well-being scale (WEMWBS): A valid and reliable tool for measuring mental well-being in diverse populations and projects. Journal of Epidemiology and Community Health, 65 (Suppl. 2), A38A39.Google Scholar
Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., . . . Stewart-Brown, S. (2007). The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): Development and UK validation. Health and Quality of Life Outcomes, 5, 63. doi: 10.1186/1477-7525-5-63.Google Scholar
Wehman, P. (2012). Supported employment: What is it? Journal of Vocational Rehabilitation, 37(Special Issue), 139142. doi:10.3233/JVR-2012-0607.Google Scholar
Wilson, C., & Secker, J. (2015). Validation of the Social Inclusion Scale with Students. Social Inclusion, 3 (4), 5262. doi: 10.17645/si.v3i4.121.Google Scholar
World Health Organisation. (2004). Promoting mental health; concepts, emerging evidence and practice. Summary Report. Retrieved from http://www.who.int/mental_health/evidence/en/promoting_mhh.pdf.Google Scholar