Transcript Slide 1

Integration of people with mental disturbances and
psychiatric illnesses in the labour market
Maris Taube, Raisa Andrezina,
Agnese Uzkalna
Latvian situation description
• 450 million people around the world have psychiatric and
neurological problems
• Each year 873 000 people commit suicide
• About 200 000 Latvians have psychiatric and behavior
disturbances
• The number of regular psychiatry service users are 65000
• 28% from persons, who use psychiatry services, have
schizophrenia, 24% organic mental disorders (dementia etc.),
23% intellectual disabilities
• 25% of service users are under the treatment longer than
one year
Target auditory of the project
• Patients from mental hospitals or patients
who regularly use ambulatory services,
• Patients who don’t have job, never had a job,
had lost the job or were disabled,
• Patients who have psychiatric illnesses (for
example, schizophrenia) or who have other
type of mental disturbances (intellectual
disabilities, organic mental disorders)
Target auditory of the project I
Totally 243 patients were working at
the project, from them:
• 178 with psychical illness, mostly
schizophrenia,
• 65 with mental disturbances, mostly
intellectual disabilities.
Latvian project partners
AINAZI
Valka
Limbaži
Valmiera
STRENCI
Alūksne
Ventspils
Cēsis
VECPIEBALGA
Talsi
Gulbene
Kuldīga
Tukums
RIGA
Balvi
Sigulda
Jūrmala
Madona
Ogre
Liepāja
Saldus
Dobele
JELGAVA
Jelgava
Bauska
Ludza
Aizkraukle
Preiļi
Jēkabpils
Rēzekne
AKNISTE
Krāslava
DAUGAVPILS
Daugavpils
Patients were doing following jobs
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Auxiliary worker in gardening,
Auxiliary worker in cleaning up the territory,
Janitor,
Courier,
Iodine-sticks planer in specialized workroom,
Cutter in workshop of cardboard articles,
Kitchen worker,
Dressmaker,
Auxiliary worker in inventory warehouse,
Repair- locksmith,
Patients’ newspaper editor.
Targets of the Project
• Recommendations for System of
employment of mental health
users in Latvia,
• Role of Mental health facilities in
Latvian employment system
The aim of research
To evaluate importants of employment
for persons with mental problems
The participants of research
• 58 persons from Riga, Vecpiebalga,
Ainaži, Strenči, Jelgava, Daugavpils and
Aknīste
Methods
• Demographic questionnaire – structured questionnaire about
marital status, lifestyle, living place, education etc.
• Life Satisfaction Questionnaire - assessment of satisfaction
of person with his life, life factors, free time, work, financial
situation, family situation, relation with friends, health
situation etc.
• Modified Role checklist (Ocenley F., Kielhofner G., Burris R.,
1985) – consist of 10 Roles – student, volunteer, family
member, householder, friend etc.
Modification means that person choose role in past (till 7
days), present (today) and in future (from today).
Methods I
• Daily activities Questionnaire for working days and
holidays – assessment of regular activities during one
typical day every half hour (self care, productivity, free
time, sleep). This instrument helps to compare balance of
person’s activities in working days and holidays.
• Modified Occupational Case Analyze Interview & Rating
Scale OCAIRS (Kaplan & Kielhofner 1989) – consist of 14
questions about will, habit etc. The instrument was
modified make little easier and also was included
questions about work situation, previous work
experience.
Results
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58 workers participate in research –
37 (64%) of them men
21 (36%) women.
From all participants 6 was marred, 25 single,
12 diverse, 3 widower, 12 have friends.
Results
• 28 workers current living is hospital, 19 – in
own flat, 7 – in own house, 4 – in social flat.
• Education level is different – 8 persons (14%)
are without any education, 20 persons (34%)
with basic education, 15 (26%) professional
education, 12 persons (21%) secondary
education.
Role checklist
Most important role’s:
• worker - 52 times
• family member 31 times,
• friend – 22 times,
• household housekeeper – 11 time,
• student – 8 time.
Life satisfaction
• 91% of project participants were satisfied and
much satisfied with their life. Partly satisfied
were 9% of participants.
• Important, that persons who work longer
hours, was most satisfied with their life.
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Non satisfaction aspects
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Satisfaction with financial situation
• „Wen was changing life (independent Latvia) is
problematic to fit in new life, world, money,
nowadays all problems concentric to money”
• „..I’m looking for greater salary; I will go to
market not one time, but more.”
Satisfaction with health
• „..If you are sic, you looking also for relaxation,
and if you use medicines, you must relax,
because there have side effects, sleepiness
etc.”
Satisfaction with free time
• „There is lack of possibilities to do something;
there work is all, after work I’m going to sleep
and relax.”
Satisfaction with family
• Social workers/job consultants indicate, that
situation in families is very important and give
serious impact to workers feeling and
relationship in collective and also to quality
and quantity of job
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Satisfaction with work
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Satisfaction with work
• „I’m happy to do this work, I’m able to work and I will be here
until its will be possible”
• „If I’m going in to real life, for me will be many difficulties; in
work, education, will be problems, because my thinking
process is slow, I have problems with memory, sometime is
problem with concentration. But if someone helps me,
support me – I will work.”
• „I’m not tired, because we now our responsibilities, we have
work, we not thinking about our fantasies, delusion...”
• „In work I’m worriless. I forget for all, all my attention is to
work. That’s much easier.”
• „I like that’s at work not very strong time-limit. I try to
stimulate self for more quigley work.”
Satisfaction with work
• „..I like that’s work is not difficult, the collective is
good, and also money is very necessary for me. You
feel needful, able to do something necessary for
others.”
• „..It’s sometime difficult, but after that I’m to screw
oneself up to do something.”
• „What is good? I like ... How can I say – I’m accuped,
I’m working, not to rove, like others.”
• „It’s not enough stability. Hospital is bad place, you
think – if you will not able to stand up one day...and
work, today we are in this project, but whats
happened after project...”
Activities
• „..It’s very important, if it’s strong agenda,
that’s help for sleep, also help for organization
of daily activities.”
• „It’s easy to concentrated, because you have
job.”
• „No sleeplessness – after work I’m ready for
sleep.”
Social environment
• I don’t like work alone, I fear, I’m alone also in life, I
don’t have relatives, all is gone.”
• „You feel there safely, you understand, you are
supported.”
• “If people have similar problems, it’s easy to
understand, because if you are not health problems,
you are very difficult to understand mentally ill
person’s problems. Will be very difficult work together
with healthy persons...”
• „I will work together with people who understand me.
With young people will be problems, better with older
or middle age people.”
Social environment
• Most respondents not will work together with persons
without mental health problems, because there life
experience show, that this persons are not able to
understand mentally ill persons situation and there
attitude is negative, some time merciless.
• „There is, of course, better, because healthy people are
assuming, I don’t like contact with them.”
• „Some time relatives misunderstanding, some time I
do something wrong because I’m sick, but other
people not understand me.”
Results
• Employment is very important in the life of
persons with mental problems, because that’s
give some structure for life, financial support,
development physical and cognitive function,
support integration into society, support
positively self-esteem of persons
• Results of current research in area of
employment give basic knowloges for decision
makers.
Results I
• Most of persons working in project are happy for
these possibilities. Some persons will try to work
after project in society, but most of workers much
better will work in shelter work system.
• Most important problem is small salary, unsafely
future and not clear future after projects end.
• EQUAL project “Integration of people with mental
disturbances and psychiatric illnesses in the labor
market” was important for development mental
health system user’s employment possibilities.
Thank you!
Phone +371 26599434
[email protected]