title: Personal experiences of people with serious mental illness when seeking, obtaining and maintaining competitive employment in Queensland, Australia.
abstract: BACKGROUND
  High non-participation in the labour force and unemployment remain challenging for adults with serious mental illness.
  
  
  OBJECTIVE
  This study examined the personal experiences of people with serious mental illness when seeking, obtaining and maintaining competitive employment. The aim was to increase understanding of personal experiences of employment and how these experiences can be used to inform the assistance provided in support of clients' competitive employment goals.
  
  
  METHODS
  Qualitative data from a two-year period were thematically analysed from one participating site in a multi-site trial of employment services integrated with public funded community mental health treatment and care.
  
  
  RESULTS
  Both positive and negative themes arose. Positive themes included: Aspirations for a better life, receiving feedback on good job performance, employment displacing preoccupation with illness, and employment improving self-esteem and reducing financial stress. Negative themes included stigma experiences, stress, and health difficulties. Both positive and negative experiences did not depend on type of employment service assistance nor key client characteristics such as age, sex, and diagnostic category.
  
  
  CONCLUSIONS
  Despite its many benefits, employment can also increase the risk of negative personal experiences. These findings suggest that employment service providers could do more to assist people who commence employment, to reduce the risk of negative personal experiences and to enhance the benefits of competitive employment.
authors.affiliation: Queensland Centre for Mental Health Research (QCMHR), The Park Centre for Mental Health, Brisbane, QLD, Australia.|The School of Medicine, The University of Queensland, Brisbane, QLD, Australia.
authors.forename: Beverley
authors.initials: B
authors.lastname: Gladman
authors.affiliation: Queensland Centre for Mental Health Research (QCMHR), The Park Centre for Mental Health, Brisbane, QLD, Australia.|School of Applied Psychology, Griffith University, Mount Gravatt, Brisbane, QLD, Australia.
authors.forename: Geoff
authors.initials: G
authors.lastname: Waghorn
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D004651:Employment / Q000379:methods / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health / Q000592:standards*; D008875:Middle Aged; D036301:Qualitative Research; D011793:Queensland; D057545:Social Stigma; D000078329:Workforce
keywords: Employment; disclosure; personal experiences; psychiatric disability; stigma