An Evaluation of 'Work' for People with a Severe Persistent Mental Illness

The idea of employment for people with a severe persistent mental illness (SPMI) has great merit and much research has been conducted which identifies the value of such initiatives. However, it seems that the success stories remain limited. This paper draws on the literature and research findings therein to suggest that the issue of employing someone with a SPMI is complex and that the reality of being able to achieve long-term satisfactory outcomes for all parties involved in employment relationships needs careful consideration. It contends that the idea of people with SPMI gaining meaningful work is important but that in doing so, there is a need to review the meaning of 'work' to one which incorporates a broader view of 'occupation' and inclusion of 'daily activities' as work. In addition, this paper emphasises the necessity to take an integrated approach which considers the needs and capabilities of the individual with SPMI and so, keep everyone well and safe, and improve individual's quality of life. In light of this, this paper presents a diagram that articulates the various domains which need to be considered if someone with a SPMI is to engage with meaningful and sustained 'work'. © 2013 Springer Science+Business Media New York.