%0 Journal Article
%T Perspectives on Employment Integration, Mental Illness and Disability, and Workplace Health
%A Nene Ernest Khalema
%A Janki Shankar
%J Advances in Public Health
%D 2014
%R 10.1155/2014/258614
%X This paper reviews the literature on the interplay between employment integration and retention of individuals diagnosed with mental health and related disability (MHRD). Specifically, the paper addresses the importance of an integrative approach, utilizing a social epidemiological approach to assess various factors that are related to the employment integration of individuals diagnosed with severe mental illness. Our approach to the review incorporates a research methodology that is multilayered, mixed, and contextual. The review examines the literature that aims to unpack employers¡¯ understanding of mental illness and their attitudes, beliefs, and practices about employing workers with mental illness. Additionally we offer a conceptual framework entrenched within the social determinants of the mental health (SDOMH) literature as a way to contextualize the review conclusions. This approach contributes to a holistic understanding of workplace mental health conceptually and methodologically particularly as practitioners and policy makers alike are grappling with better ways to integrate employees who are diagnosed with mental health and disabilities into to the workplace. 1. Introduction Employment is an important social determinant of health and participation in employment can enhance health and wellbeing. Unfortunately, the majority of individuals with serious mental illness are unemployed [1¨C5]. For those with mental illness who are employed there is increasing evidence that current workplace environments are contributing to the development and/or exacerbation of mental illness and disability [6, 7]. Limited mental health literacy among employers has been identified as a major barrier to people diagnosed with mental health and related disability (MHRD), making a successful return to work or sustaining employment difficult [8]. Although there is a considerable body of the clinical literature on the experiences of individuals with severe mental health illness in the workplace, much less has been written about an epidemiological approach to understanding employers¡¯ perspectives on hiring workers who experience mental illness and related disability and the kinds of support they need for reintegrating these workers in the workplace. A research approach proposed in this paper makes it possible to assess employers¡¯ perspectives on employing workers with mental illness and related disability, their attitudes and concerns about employing workers with these conditions, and the kinds of information and support they need to facilitate the worker¡¯s return to work.
%U http://www.hindawi.com/journals/aph/2014/258614/