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Erfarenheter av rehabiliteringsprocessen mot ett arbetsliv: brukarens och de professionellas perspektiv
Örebro University, School of Health and Medical Sciences.
2010 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Erfarenheter av rehabiliteringsprocessen mot ett arbetsliv - brukarens och de professionellas perspektiv. Örebro, Studies from the Swedish Institute of Disability Research No 34, 107 pp.The overall aim of this dissertation is to (1) describe and analyse perceived barriers and opportunities from the perspective of the individual receiving vocational rehabilitation services as a result of unemployment and psychiatric disability (2) describe and analyse perceived barriers and opportunities in services for unemployed people with psychiatric disabilities from the perspective of professionals working in the area of vocational rehabilitation and (3) utilize empowerment theory to explore and develop a deeper understanding of the experiences and perceptions described by these individuals and professionals. The data consists of open-ended interviews with service users and professionals’ working in the area of vocational rehabilitation. A content analysis together with an interpretive approach was used to analyse the data. The results revealed that support and the psychosocial work environment are important factors that influence the rehabilitation process for the individual. These factors can facilitate opportunities to develop skills in contacts with fellow employees, increase belief in one’s own abilities, and can contribute to the achievement of specified goals. These factors are also seen as supporting empowerment and active participation in the rehabilitation process. However, the results also revealed that the rehabilitation process is negatively effected by environmental factors to which the professionals and their organizations contributed. Barriers related to interagency collaboration contributed to barriers to a successful rehabilitation for the individual. The professionals were consistent in what they viewed as enabling factors in the rehabilitation process but the results also showed how difficult it was for the service system to create a rehabilitation context in line with their knowledge and experience.Keywords: Psychiatric disabilities, vocational rehabilitation, empowerment, interagency collaboration, support system.

Place, publisher, year, edition, pages
Örebro: Örebro universitet , 2010. , 107 p.
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 34
National Category
Social Work Social Sciences
Research subject
Disability Research
Identifiers
URN: urn:nbn:se:oru:diva-11267ISBN: 978-91-7668-741-3 (print)OAI: oai:DiVA.org:oru-11267DiVA: diva2:327241
Public defence
2010-09-22, Hörsal P2, Fakultetsgatan, Örebro universitet, 701 82 Örebro, 13:00
Opponent
Supervisors
Available from: 2010-06-28 Created: 2010-06-28 Last updated: 2017-10-18Bibliographically approved
List of papers
1. Expectations, visions and sense of empowerment: in the face of a vocational rehabilitation process for people with psychiatric disabilities 
Open this publication in new window or tab >>Expectations, visions and sense of empowerment: in the face of a vocational rehabilitation process for people with psychiatric disabilities 
2010 (English)In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 12, no 2, 109-124 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to reveal the meaning some people with psychiatric disabilities assigned to important experiences related to long periods of participation restrictions owing to unemployment and sick leave. The data comprise open-ended interviews with eight informants. A hermeneutic approach together with a comparative analysis was used to analyze the data. The results showed six types of mechanisms important for the outcome of the rehabilitation process: support, understanding, time, control, self-image and vision of the future. Our results indicate that environmental factors such as experience of support and understanding of professionals and time-efficacy seemed to have a great effect on the individuals' attitudes concerning the activities and measures they expected to carry out during their coming rehabilitation. These experiences seemed to affect their belief in their own abilities, their sense of control, and their belief in successful performance. Theories about empowerment closely related to social emotions like pride and shame are also discussed in an attempt to deepen the understanding of the studied phenomena.

National Category
Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-6411 (URN)10.1080/15017410903478931 (DOI)
Available from: 2009-04-29 Created: 2009-04-29 Last updated: 2017-12-13Bibliographically approved
2. Towards a working life?: Experiences in a rehabilitation process for people with psychiatric disabilities
Open this publication in new window or tab >>Towards a working life?: Experiences in a rehabilitation process for people with psychiatric disabilities
2010 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 17, no 2, 149-161 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to reveal the meaning some people with psychiatric disabilities assigned to important personal experiences in relation to an ongoing rehabilitation process. The data comprises open-ended interviews of eight participants. A hermeneutic approach together with a content analysis was used to analyse the data. The results indicated the importance of not relying on simplified prognoses early in a rehabilitation process when assessing rehabilitation measures and/or work capacity. The phenomenon of rehabilitation seemed to be very complex, diverse, and changed over time depending on different circumstances that arose during the rehabilitation process. These circumstances arose on individual, contextual as well as structural levels and all had an impact on the outcomes. The results also indicated that it seemed to be possible to achieve success, change attitudes, and create a positive image of a future related to a working life if the support was perceived as relevant and the activities undertaken were perceived as contributing to achievement of the individual's goals. Regardless of which path the informants later chose these factors were seen to support an empowerment process and active participation in their own rehabilitation.

Place, publisher, year, edition, pages
London, United Kingdom: Informa Healthcare, 2010
Keyword
Vocational rehabilitation, return to work, empowerment, psychiatric disabilities
National Category
Social Sciences Social Sciences Sociology
Research subject
Sociology
Identifiers
urn:nbn:se:oru:diva-6410 (URN)10.3109/11038120902906303 (DOI)000278023300006 ()19452352 (PubMedID)
Available from: 2009-04-29 Created: 2009-04-29 Last updated: 2017-12-13Bibliographically approved
3. Interagency collaboration in vocational rehabilitation for persons with mental health problems: the perspective of the service users and the professionals
Open this publication in new window or tab >>Interagency collaboration in vocational rehabilitation for persons with mental health problems: the perspective of the service users and the professionals
2011 (English)In: Disability & Society, ISSN 0968-7599, E-ISSN 1360-0508, Vol. 26, no 6, 699-713 p.Article in journal (Refereed) Published
Abstract [en]

There is an aspiration and policy within the European Union to fully involve persons with disabilities in the community; this implies an opportunity to gainful employment. A large percentage of disabled persons remain unemployed despite this policy, especially persons with mental health problems. This study aims at investigating how people with mental health problems and caseworkers in different agencies experience the vocational rehabilitation process from an interagency collaboration perspective. The study reveals a number of hindering factors portrayed and discussed in six themes – the time available for rehabilitation, management, new ways of working, absence of an actor, continuity and consensus – and also tables the implications for interagency collaboration in the field of vocational rehabilitation.

Place, publisher, year, edition, pages
Routledge, 2011
National Category
Social Work
Research subject
Disability Science
Identifiers
urn:nbn:se:oru:diva-15529 (URN)10.1080/09687599.2011.602862 (DOI)000299630100003 ()2-s2.0-80052581499 (Scopus ID)
Available from: 2011-05-10 Created: 2011-05-10 Last updated: 2017-12-11Bibliographically approved
4. Professionals' perceptions and views about vocational rehabilitation for people with psychiatric disabilities
Open this publication in new window or tab >>Professionals' perceptions and views about vocational rehabilitation for people with psychiatric disabilities
2013 (English)Manuscript (preprint) (Other academic)
National Category
Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-15530 (URN)
Available from: 2011-05-10 Created: 2011-05-10 Last updated: 2017-10-17Bibliographically approved

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