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A Scoping and Systematic Review of Employment Processes and Outcomes for Young Adults Experiencing Psychosis

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Abstract

Young adults who experience psychosis want to work but are less likely to be employed than their peers. Sixty two studies relating to young adults with psychosis and employment were reviewed following a systematic search of five databases: CINAHL, PsycINFO, MEDLINE, SCOPUS and EMBASE. Publication date ranged from 1973 to 2019 with > 70% between 2010 and 2019. Intervention was considered in 29 papers; critical appraisal revealed 90% of these had moderate to good methodological quality with only three RCTs. Of 11 intervention types “Early Intervention” and “Individual Placement and Support” were most common; both demonstrating positive impact on obtaining employment. The review identified minimal participant perspectives and great variability in: terminology used; the reporting of participant attributes; intervention characteristics and ways employment outcomes were measured. Employment processes identified were preparing for, seeking, obtaining, keeping and re-obtaining employment, with current research efforts focused on obtaining work. More focus is required on keeping and re-obtaining employment.

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References

  • Abdel-Baki, A., Létourneau, G., Morin, C., & Ng, A. (2013). Resumption of work or studies after first-episode psychosis: The impact of vocational case management. Early Intervention in Psychiatry, 7(4), 391–398.

    Article  PubMed  Google Scholar 

  • Abdel-Baki, A., Ouellet-Plamondon, C., Salvat, É., Grar, K., & Potvin, S. (2017). Symptomatic and functional outcomes of substance use disorder persistence 2 years after admission to a first-episode psychosis program. Psychiatry Research, 247, 113–119.

    Article  PubMed  Google Scholar 

  • Allott, K. A., Cotton, S. M., Chinnery, G. L., Baksheev, G. N., Massey, J., Sun, P., Collins, Z., Barlow, E., Broussard, C., Wahid, T., Proffitt, T.-M., Jackson, H. J., & Killackey, E. (2013a). The relative contribution of neurocognition and social cognition to 6-month vocational outcomes following Individual Placement and Support in first-episode psychosis. Schizophrenia Research, 150(1), 136–143.

    Article  PubMed  Google Scholar 

  • Allott, K. A., Killackey, E., Sun, P., Brewer, W. J., & Velligan, D. I. (2017). Improving vocational outcomes in first-episode psychosis by addressing cognitive impairments using Cognitive Adaptation Training. Work (reading, Mass.), 56(4), 581–589.

    PubMed  Google Scholar 

  • Allott, K. A., Turner, L. R., Chinnery, G. L., Killackey, E. J., & Nuechterlein, K. H. (2013b). Managing disclosure following recent-onset psychosis: Utilizing the Individual Placement and Support model. Early Intervention in Psychiatry, 7(3), 338–344.

    Article  PubMed  Google Scholar 

  • Allott, K. A., Yuen, H. P., Garner, B., Bendall, S., Killackey, E. J., Alvarez-Jimenez, M., Phassouliotis, C., Markulev, C., Yun, Y., McGorry, P. D., & Phillips, L. J. (2013c). Relationship between vocational status and perceived stress and daily hassles in first-episode psychosis: An exploratory study. Social Psychiatry and Psychiatric Epidemiology, 48(7), 1045–1052.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). American Psychiatric Association.

    Book  Google Scholar 

  • Amminger, G. P., Henry, L. P., Harrigan, S. M., Harris, M. G., Alvarez-Jimenez, M., Herrman, H., Jackson, H. J., & McGorry, P. D. (2011). Outcome in early-onset schizophrenia revisited: Findings from the Early Psychosis Prevention and Intervention Centre long-term follow-up study. Schizophrenia Research, 131(1), 112–119.

    Article  PubMed  Google Scholar 

  • Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32.

    Article  Google Scholar 

  • Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469–480.

    Article  CAS  PubMed  Google Scholar 

  • Arnett, J. J., Žukauskienė, R., & Sugimura, K. (2014). The new life stage of emerging adulthood at ages 18–29 years: Implications for mental health. The Lancet Psychiatry, 1(7), 569–576.

    Article  PubMed  Google Scholar 

  • Aromataris, E., & Munn, Z. (2020). JBI manual for evidence synthesis. JBI. Retrieved from https://synthesismanual.jbi.global

  • Atterbury, K. (2021). Rethinking why we do what we do: Individual placement and support. Psychiatric Services, 72(9), 1088–1090.

    Article  PubMed  Google Scholar 

  • Australian Government. (2022). Work assist. Retrieved from https://www.servicesaustralia.gov.au/work-assist?context=22276

  • Baksheev, G. N., Allott, K., Jackson, H. J., McGorry, P. D., & Killackey, E. (2012). Predictors of vocational recovery among young people with first-episode psychosis: Findings from a randomized controlled trial. Psychiatric Rehabilitation Journal, 35(6), 421–427.

    Article  PubMed  Google Scholar 

  • Bao, Y., Li, Y., Jeng, P. J., Scodes, J., Papp, M. A., Humensky, J. L., Wall, M., Lee, R., Ancker, J. S., Pincus, H. A., Smith, T. E., & Dixon, L. B. (2021). Design of a payment decision-support tool for coordinated specialty care for early psychosis. Psychiatric Services, 72(2), 180–185.

    Article  PubMed  Google Scholar 

  • Bardell-Williams, M., Eaton, S., Downey, L., Bowtell, M., Thien, K., Ratheesh, A., Killackey, E., McGorry, P., & O’Donoghue, B. (2019). Rates, determinants and outcomes associated with the use of community treatment orders in young people experiencing first episode psychosis. International Journal of Law and Psychiatry, 62, 85–89.

    Article  PubMed  Google Scholar 

  • Bassett, J., Lloyd, C., & Bassett, H. (2001). Work issues for young people with psychosis: Barriers to employment. The British Journal of Occupational Therapy, 64(2), 66–72.

    Article  Google Scholar 

  • Boardman, J., Grove, B., Perkins, R., & Shepherd, G. (2018). Work and employment for people with psychiatric disabilities. The British Journal of Psychiatry, 182(6), 467–468.

    Article  Google Scholar 

  • Boeren, E., Mackie, A., & Riddell, S. (2020). Employability pathways for young adults: Lived experiences of learners and practitioners in Youth Guarantee programmes. International Journal of Lifelong Education, 39(1), 119–131.

    Article  Google Scholar 

  • Bond, G. R., Drake, R. E., & Luciano, A. (2015). Employment and educational outcomes in early intervention programmes for early psychosis: A systematic review. Epidemiology and Psychiatric Sciences, 24(5), 446–457.

    Article  CAS  PubMed  Google Scholar 

  • Bowman, S., McKinstry, C., & McGorry, P. (2017). Youth mental ill health and secondary school completion in Australia: Time to act. Early Intervention in Psychiatry, 11(4), 277–289.

    Article  PubMed  Google Scholar 

  • Breitborde, N. J. K., & Moe, A. M. (2019). Optimizing mental health treatment for emerging adults with first-episode psychosis. Evidence-Based Practice in Child and Adolescent Mental Health, 4(2), 157–169.

    Article  Google Scholar 

  • Brown, J. A. (2011). Talking about life after early psychosis: The impact on occupational performance. Canadian Journal of Occupational Therapy, 78(3), 156–163.

    Article  Google Scholar 

  • Campbell, K., Bond, G. R., Drake, R. E., McHugo, G. J., & Xie, H. (2010). Client predictors of employment outcomes in high-fidelity supported employment: A regression analysis. The Journal of Nervous and Mental Disease, 198(8), 556–563.

    Article  PubMed  Google Scholar 

  • Cannon-Spoor, H. E., Potkin, S. G., & Wyatt, R. J. (1982). Measurement of premorbid adjustment in chronic schizophrenia. Schizophrenia Bulletin, 8(3), 470–484.

    Article  CAS  PubMed  Google Scholar 

  • Caruana, E., Cotton, S., Killackey, E., & Allott, K. (2015). The relationship between cognition, job complexity, and employment duration in first-episode psychosis. Psychiatric Rehabilitation Journal, 38(3), 210–217.

    Article  PubMed  Google Scholar 

  • Chan, S. K. W., Hui, C. L. M., Chang, W. C., Lee, E. H. M., & Chen, E. Y. H. (2019). Ten-year follow up of patients with first-episode schizophrenia spectrum disorder from an early intervention service: Predictors of clinical remission and functional recovery. Schizophrenia Research, 204, 65–71.

    Article  PubMed  Google Scholar 

  • Chang, W. C., Chu, A. O. K., Kwong, V. W. Y., Wong, C. S. M., Hui, C. L. M., Chan, S. K. W., Lee, E. H. M., & Chen, E. Y. H. (2018a). Patterns and predictors of trajectories for social and occupational functioning in patients presenting with first-episode non-affective psychosis: A three-year follow-up study. Schizophrenia Research, 197, 131–137.

    Article  PubMed  Google Scholar 

  • Chang, W. C., Kwong, V. W. Y., Chan, G. H. K., Jim, O. T. T., Lau, E. S. K., Hui, C. L. M., Chan, S. K. W., Lee, E. H. M., & Chen, E. Y. H. (2016). Prediction of functional remission in first-episode psychosis: 12-month follow-up of the randomized-controlled trial on extended early intervention in Hong Kong. Schizophrenia Research, 173(1), 79–83.

    Article  PubMed  Google Scholar 

  • Chang, W. C., Kwong, V. W. Y., Or Chi Fai, P., Lau, E. S. K., Chan, G. H. K., Jim, O. T. T., Hui, C. L. M., Chan, S. K. W., Lee, E. H. M., & Chen, E. Y. H. (2018b). Motivational impairment predicts functional remission in first-episode psychosis: 3-Year follow-up of the randomized controlled trial on extended early intervention. Australian & New Zealand Journal of Psychiatry, 52(12), 1194–1201.

    Article  Google Scholar 

  • Chang, W. C., Tang, J. Y. M., Hui, C. L. M., Chiu, C. P. Y., Lam, M. M. L., Wong, G. H. Y., Chung, D. W. S., Law, C. W., Tso, S., Chan, K. P. M., Hung, S. F., & Chen, E. Y. H. (2011). Gender differences in patients presenting with first-episode psychosis in Hong Kong: A three-year follow up study. Australian & New Zealand Journal of Psychiatry, 45(3), 199–205.

    Article  Google Scholar 

  • Chang, W. C., Tang, J. Y. M., Hui, C. L. M., Lam, M. M. L., Wong, G. H. Y., Chan, S. K. W., Chiu, C. P. Y., Chung, D. W. S., Law, C. W., Tso, S., Chan, K., Hung, S. F., & Chen, E. Y. H. (2012). Duration of untreated psychosis: Relationship with baseline characteristics and three-year outcome in first-episode psychosis. Psychiatry Research, 198(3), 360–365.

    Article  PubMed  Google Scholar 

  • Chen, E. Y. H., Tang, J. Y. M., Hui, C. L. M., Chiu, C. P. Y., Lam, M. M. L., Law, C. W., Yew, C. W. S., Wong, G. H. Y., Chung, D. W. S., Tso, S., Chan, K. P. M., Yip, K. C., Hung, S. F., & Honer, W. G. (2011). Three-year outcome of phase-specific early intervention for first-episode psychosis: A cohort study in Hong Kong. Early Intervention in Psychiatry, 5(4), 315–323.

    Article  PubMed  Google Scholar 

  • Chen, R., Tsan-Hon, L., Kwang-Hwa, C., Chia-Feng, Y., Hua-Fang, L., Wen-Chou, C., & Chou, K.-R. (2018). Assessment of functioning and disability in patients with schizophrenia using the WHO Disability Assessment Schedule 2.0 in a large-scale database. European Archives of Psychiatry and Clinical Neuroscience, 268(1), 65–75.

    Article  PubMed  Google Scholar 

  • Conus, P., Cotton, S., Schimmelmann, B. G., McGorry, P. D., & Lambert, M. (2017). Rates and predictors of 18-months remission in an epidemiological cohort of 661 patients with first-episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 52(9), 1089–1099.

    Article  PubMed  Google Scholar 

  • Correll, C. U., Galling, B., Pawar, A., Krivko, A., Bonetto, C., Ruggeri, M., Craig, T. J., Nordentoft, M., Srihari, V. H., Guloksuz, S., Hui, C. L. M., Chen, E. Y. H., Valencia, M., Juarez, F., Robinson, D. G., Schooler, N. R., Brunette, M. F., Mueser, K. T., Rosenheck, R. A., Marcy, P., … Kane, J. M. (2018). Comparison of early intervention services vs treatment as usual for early-phase psychosis. JAMA Psychiatry, 75(6), 555–565. https://doi.org/10.1001/jamapsychiatry.2018.0623

    Article  PubMed  PubMed Central  Google Scholar 

  • Cotton, S. M., Lambert, M., Schimmelmann, B. G., Filia, K., Rayner, V., Hides, L., Foley, D. L., Ratheesh, A., Watson, A., Rodger, P., McGorry, P. D., & Conus, P. (2017). Predictors of functional status at service entry and discharge among young people with first episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 52(5), 575–585.

    Article  CAS  PubMed  Google Scholar 

  • Cougnard, A., Goumilloux, R., Monello, F., & Verdoux, H. (2007). Time between schizophrenia onset and first request for disability status in France and associated patient characteristics. Psychiatric Services, 58(11), 1427–1432.

    Article  PubMed  Google Scholar 

  • Davidson, M., Kapara, O., Goldberg, S., Yoffe, R., Noy, S., & Weiser, M. (2016). A nation-wide study on the percentage of schizophrenia and bipolar disorder patients who earn minimum wage or above. Schizophrenia Bulletin, 42(2), 443–447.

    Article  PubMed  Google Scholar 

  • Davis, M., Delman, J., & Duperoy, T. (2013). Employment and careers in young adults with psychiatric disabilities. In M. Davis (Ed.), Tools for system transformation for young adults with psychiatric disabilities: State of the science papers (pp. 59–95). University of Massachusetts Medical School, Department of Psychiatry, Center for Mental Health Services Research, Transitions RTC.

    Google Scholar 

  • Davis, S. (1986). The “new young chronic” psychiatric patient. Social Work in Health Care, 11(2), 87–100.

    Article  CAS  Google Scholar 

  • Drake, R. E., Bond, G. R., & Becker, D. R. (2012). Individual placement and support: An evidence-based approach to supported employment. Oxford University Press.

    Book  Google Scholar 

  • Drake, R. E., & Whitley, R. (2014). Recovery and severe mental illness: Description and analysis. The Canadian Journal of Psychiatry, 59(5), 236–242.

    Article  PubMed  Google Scholar 

  • Early Psychosis Guidelines Writing Group & National Support Program. (2016). Australian clinical guidelines for early psychosis (2nd ed.). The National Centre of Excellence in Youth Mental Health.

    Google Scholar 

  • Evensen, S., Wisløff, T., Lystad, J. U., Bull, H., Ueland, T., & Falkum, E. (2016). Prevalence, employment rate, and cost of schizophrenia in a high-income welfare society: A population-based study using comprehensive health and welfare registers. Schizophrenia Bulletin, 42(2), 476–483.

    Article  PubMed  Google Scholar 

  • Falk, J., Burstrom, B., Dalman, C., Jorgensen, L., Bruce, D., & Nylen, L. (2016). Employment and income among first-time cases diagnosed with non-affective psychosis in Stockholm, Sweden: A follow-up study 2004/2005—2010 (Report). Social Psychiatry and Psychiatric Epidemiology, 51(2), 259.

    Article  PubMed  Google Scholar 

  • Fu, S., Czajkowski, N., & Torgalsbøen, A.-K. (2019). Cognitive, work and social outcomes in fully recovered first-episode schizophrenia: On and off antipsychotic medication. Psychiatry: Interpersonal & Biological Processes, 82(1), 42–56.

    Article  Google Scholar 

  • Gardner, A., Cotton, S. M., Allott, K., Filia, K. M., Hester, R., & Killackey, E. (2019). Social inclusion and its interrelationships with social cognition and social functioning in first-episode psychosis. Early Intervention in Psychiatry, 13(3), 477–487.

    Article  PubMed  Google Scholar 

  • Gioia, D. (2006). Examining work delay in young adults with schizophrenia. American Journal of Psychiatric Rehabilitation, 9(3), 167–190.

    Article  Google Scholar 

  • Goeree, R., O’Brien, B. J., Goering, P., Blackhouse, G., Agro, K., Rhodes, A., & Watson, J. (1999). The economic burden of schizophrenia in Canada. The Canadian Journal of Psychiatry, 44(5), 464–472.

    Article  CAS  PubMed  Google Scholar 

  • Gregg, P., & Tominey, E. (2005). The wage scar from male youth unemployment. Labour Economics, 12(4), 487–509.

    Article  Google Scholar 

  • Greve, J., & Nielsen, L. H. (2013). Useful beautiful minds—An analysis of the relationship between schizophrenia and employment. Journal of Health Economics, 32(6), 1066–1076.

    Article  PubMed  Google Scholar 

  • Hansen, H., Bourgois, P., & Drucker, E. (2014). Pathologizing poverty: New forms of diagnosis, disability, and structural stigma under welfare reform. Social Science & Medicine, 103, 76–83.

    Article  Google Scholar 

  • Hegelstad, W. T. V., Joa, I., Heitmann, L., Johannessen, J. O., & Langeveld, J. (2019). Job- and schoolprescription: A local adaptation to individual placement and support for first episode psychosis. Early Intervention in Psychiatry, 13(4), 859–866.

    Article  PubMed  Google Scholar 

  • Heinrichs, D. W., Hanlon, T. E., & Carpenter, W. T., Jr. (1984). The quality of life scale: An instrument for rating the schizophrenic deficit syndrome. Schizophrenia Bulletin, 10(3), 388–398.

    Article  CAS  PubMed  Google Scholar 

  • Henry, L. P., Amminger, G. P., Harris, M. G., Yuen, H. P., Harrigan, S. M., Prosser, A. L., Schwartz, O. S., Farrelly, S. E., Herrman, H., Jackson, H. J., & McGorry, P. (2010). The EPPIC follow-up study of first-episode psychosis: longer-term clinical and functional outcome 7 years after index admission. The Journal of Clinical Psychiatry, 71(6), 716–728.

    Article  PubMed  Google Scholar 

  • Hollingshead, A. B., & Redlich, F. C. (1958). Social class and mental illness: Community study. Wiley.

    Book  Google Scholar 

  • Holm, M., Taipale, H., Tanskanen, A., Tiihonen, J., & Mitterdorfer-Rutz, E. (2020). Employment among people with schizophrenia or bipolar disorder: A population-based study using nationwide registers. Acta Psychiatrica Scandinavica, 143(1), 61–71.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hui, C.L.-M., Li, A.W.-Y., Leung, C.-M., Chang, W.-C., Chan, S.K.-W., Lee, E.H.-M., & Chen, E. Y. H. (2014). Comparing illness presentation, treatment and functioning between patients with adolescent- and adult-onset psychosis. Psychiatry Research, 220(3), 797–802.

    Article  PubMed  Google Scholar 

  • International Labour Organisation. (1973). Minimum age convention, 1973 (No. 138).

  • Iyer, S., Mustafa, S., Gariépy, G., Shah, J., Joober, R., Lepage, M., & Malla, A. (2018). A NEET distinction: Youths not in employment, education or training follow different pathways to illness and care in psychosis. Social Psychiatry and Psychiatric Epidemiology, 53(12), 1401–1411.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jarbin, H., & Hansson, L. (2004). Adult quality of life and associated factors in adolescent onset schizophrenia and affective psychotic disorders. Social Psychiatry and Psychiatric Epidemiology, 39(9), 725–729.

    Article  PubMed  Google Scholar 

  • Jordan, G., Lutgens, D., Joober, R., Lepage, M., Iyer, S. N., & Malla, A. (2014). The relative contribution of cognition and symptomatic remission to functional outcome following treatment of a first episode of psychosis. The Journal of Clinical Psychiatry, 75(6), e566–e572.

    Article  PubMed  Google Scholar 

  • Karambelas, G. J., Allott, K. A., Killackey, E., Farhall, J., & Cotton, S. M. (2018). The contribution of employment duration to 18-month neurocognitive outcomes in first-episode psychosis. Psychiatric Rehabilitation Journal, 41(4), 319–327.

    Article  PubMed  Google Scholar 

  • Karambelas, G. J., Cotton, S. M., Farhall, J., Killackey, E., & Allott, K. A. (2019). Contribution of neurocognition to 18-month employment outcomes in first-episode psychosis. Early Intervention in Psychiatry, 13(3), 453–460.

    Article  PubMed  Google Scholar 

  • Killackey, E., Allott, K., Jackson, H. J., Scutella, R., Tseng, Y.-P., Borland, J., Proffitt, T.-M., Hunt, S., Kay-Lambkin, F., Chinnery, G., Baksheev, G., Alvarez-Jimenez, M., McGorry, P. D., & Cotton, S. M. (2019). Individual placement and support for vocational recovery in first-episode psychosis: Randomised controlled trial. The British Journal of Psychiatry, 214(2), 76–82.

    Article  PubMed  Google Scholar 

  • Killackey, E., Jackson, H., & McGorry, P. (2008). Vocational intervention in first-episode psychosis: Individual placement and support v. treatment as usual. The British Journal of Psychiatry, 193(2), 114–120.

    Article  PubMed  Google Scholar 

  • Kim, D. J., Brown, E., Reynolds, S., Geros, H., Sizer, H., Tindall, R., McGorry, P., & O’Donoghue, B. (2019). The rates and determinants of disengagement and subsequent re-engagement in young people with first-episode psychosis. Social Psychiatry and Psychiatric Epidemiology, 54(8), 945–953.

    Article  PubMed  Google Scholar 

  • Lally, J., Ajnakina, O., Stubbs, B., Cullinane, M., Murphy, K. C., Gaughran, F., & Murray, R. M. (2017). Remission and recovery from first-episode psychosis in adults: Systematic review and meta-analysis of long-term outcome studies. British Journal of Psychiatry, 211(6), 350–358.

    Article  Google Scholar 

  • Lambert, M., Schimmelmann, B. G., Naber, D., Schacht, A., Karow, A., Wagner, T., & Czekalla, J. (2006). Prediction of remission as a combination of symptomatic and functional remission and adequate subjective well-being in 2960 patients with schizophrenia. The Journal of Clinical Psychiatry, 67(11), 1690–1697.

    Article  PubMed  Google Scholar 

  • Lewine, R. R. J. (2005). Social class of origin, lost potential, and hopelessness in schizophrenia. Schizophrenia Research, 76(2), 329–335.

    Article  PubMed  Google Scholar 

  • Liljeholm, U., & Bejerholm, U. (2020). Work identity development in young adults with mental health problems. Scandinavian Journal of Occupational Therapy, 27(6), 431–440.

    Article  PubMed  Google Scholar 

  • Linszen, D., Dingemans, P., & Lenior, M. (2001). Early intervention and a five year follow up in young adults with a short duration of untreated psychosis: Ethical implications. Schizophrenia Research, 51(1), 55–61.

    Article  CAS  PubMed  Google Scholar 

  • MacDonald, R., & Giazitzoglu, A. (2019). Youth, enterprise and precarity: Or, what is, and what is wrong with, the ‘gig economy’? Journal of Sociology, 55(4), 724–740.

    Article  Google Scholar 

  • Marwaha, S., & Johnson, S. (2004). Schizophrenia and employment. Social Psychiatry and Psychiatric Epidemiology, 39(5), 337–349.

    Article  PubMed  Google Scholar 

  • McGorry, P. D., Trethowan, J., & Rickwood, D. (2019). Creating headspace for integrated youth mental health care. World Psychiatry, 18(2), 140–141.

    Article  PubMed  PubMed Central  Google Scholar 

  • McKee-Ryan, F. M., Song, Z., Wanberg, C. R., & Kinicki, A. J. (2005). Psychological and physical well-being during unemployment: A meta-analytic study. Journal of Applied Psychology, 90(1), 53–76.

    Article  PubMed  Google Scholar 

  • Metzl, J. M., & Hansen, H. (2014). Structural competency: Theorizing a new medical engagement with stigma and inequality. Social Science & Medicine, 103, 126–133.

    Article  Google Scholar 

  • Mezquita, J. (1973). Four years of industrial therapy at Mapperly hosptial: A survey. Acta Psychiatrica Scandinavica, 49(1), 1–14.

    Article  CAS  PubMed  Google Scholar 

  • Modini, M., Tan, L., Brinchmann, B., Wang, M.-J., Killackey, E., Glozier, N., Mykletun, A., & Harvey, S. H. (2016). Supported employment for people with severe mental illness: Systematic review and meta-analysis of the international evidence. The British Journal of Psychiatry, 209(1), 14–22.

    Article  PubMed  Google Scholar 

  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., The PRISMA Group*. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151(4), 264–269.

    Article  PubMed  Google Scholar 

  • Mueser, K. T., Drake, R. E., & Bond, G. R. (2016). Recent advances in supported employment for people with serious mental illness. Current Opinion in Psychiatry, 29(3), 196–201.

    Article  PubMed  Google Scholar 

  • National Library of Medicine. (2021). Medical subject headings. Retrieved 8 September, 2021, from https://www.nlm.nih.gov/mesh/meshhome.html

  • Nossel, I., Wall, M. M., Scodes, J., Marino, L. A., Zilkha, S., Bello, I., Malinovsky, I., Lee, R., Radigan, M., Smith, T. E., Sederer, L., Gu, G., & Dixon, L. (2018). Results of a coordinated specialty care program for early psychosis and predictors of outcomes. Psychiatric Services, 69(8), 863–870.

    Article  PubMed  Google Scholar 

  • NSW Government. (2022). Minimum age for workers in NSW. Retrieved from https://www.industrialrelations.nsw.gov.au/employees/related-information-and-contacts-for-nsw-employees/minimum-age-for-workers-in-new-south-wales/#minimum-age-intro

  • O’Connell, J., Sunwoo, M., McGorry, P., & O’Donoghue, B. (2019). Characteristics and outcomes of young people with substance induced psychotic disorder. Schizophrenia Research, 206, 257–262.

    Article  PubMed  Google Scholar 

  • OCEBM Levels of Evidence Working Group*. (2011). The Oxford 2011 levels of evidence. Oxford Centre for Evidence-Based Medicine.

  • Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: A global public-health challenge. The Lancet, 369(9569), 1302–1313.

    Article  Google Scholar 

  • Paul, M., Street, C., Wheeler, N., & Singh, S. P. (2015). Transition to adult services for young people with mental health needs: A systematic review. Clinical Child Psychology and Psychiatry, 20(3), 436–457.

    Article  PubMed  Google Scholar 

  • Pencer, A., Addington, J., & Addington, D. (2005). Outcome of a first episode of psychosis in adolescence: A 2-year follow-up. Psychiatry Research, 133(1), 35–43.

    Article  PubMed  Google Scholar 

  • Pohlan, L. (2019). Unemployment and social exclusion. Journal of Economic Behavior & Organization, 164, 273–299.

    Article  Google Scholar 

  • Popay, J., Roberts, H., Sowden, A., Petticrew, M., Arai, L., Rodgers, M., Britten, N., Roen, K., & Duffy, S. (2006). Guidance on the conduct of narrative synthesis in systematic reviews. A Product from the ESRC Methods Programme Version, 1(1), b92.

    Google Scholar 

  • Porteous, N., & Waghorn, G. (2007). Implementing evidence-based employment services in New Zealand for young adults with psychosis: Progress during the first five years. The British Journal of Occupational Therapy, 70(12), 521–526.

    Article  Google Scholar 

  • Ramsay, C. E., Broussard, B., Goulding, S. M., Cristofaro, S., Hall, D., Kaslow, N. J., Killackey, E., Penn, D., & Compton, M. T. (2011). Life and treatment goals of individuals hospitalized for first-episode nonaffective psychosis. Psychiatry Research, 189(3), 344–348.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ramsay, C. E., Stewart, T., & Compton, M. T. (2012). Unemployment among patients with newly diagnosed first-episode psychosis: Prevalence and clinical correlates in a US sample. Social Psychiatry and Psychiatric Epidemiology, 47(5), 797–803.

    Article  PubMed  Google Scholar 

  • Reilly, R., Evans, K., Gomersall, J., Gorham, G., Peters, M. J., Warren, S., O’Shea, R., Cass, A., & Brown, A. (2016). Effectiveness, cost effectiveness, acceptability and implementation barriers/enablers of chronic kidney disease management programs for Indigenous people in Australia, New Zealand and Canada: A systematic review of mixed evidence. BMC Health Services Research, 16, 119.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rinaldi, M., Killackey, E., Smith, J., Shepherd, G., Singh, S., & Craig, T. (2010). First episode psychosis and employment: A review. International Review of Psychiatry, 22(2), 148–162.

    Article  PubMed  Google Scholar 

  • Robson, E., Waghorn, G., Sherring, J., & Morris, A. (2010). Preliminary outcomes from an individualised supported education programme delivered by a Community Mental Health Service. The British Journal of Occupational Therapy, 73(10), 481–486.

    Article  Google Scholar 

  • Rogers, E. S., Anthony, W. A., & Farkas, M. (2006). The choose-get-keep model of psychiatric rehabilitation: A synopsis of recent studies. Rehabilitation Psychology, 51(3), 247–256.

    Article  Google Scholar 

  • Rosenheck, R., Leslie, D., Keefe, R., McEvoy, J., Swartz, M., Perkins, D., Stroup, S., Hsiao, J. K., & Lieberman, J. (2006). Barriers to employment for people with schizophrenia. American Journal of Psychiatry, 163(3), 411–417.

    Article  PubMed  Google Scholar 

  • Roy, L., Rousseau, J., Fortier, P., & Mottard, J. P. (2009). Perception of community functioning in young adults with recent-onset psychosis: Implications for practice. The British Journal of Occupational Therapy, 72(10), 424–433.

    Article  Google Scholar 

  • Roy, L., Rousseau, J., Fortier, P., & Mottard, J. P. (2013). Transitions to adulthood in first-episode psychosis: A comparative study. Early Intervention in Psychiatry, 7(2), 162–169.

    Article  PubMed  Google Scholar 

  • Sartorius, N., Gulbinat, W., Harrison, G., Laska, E., & Siegel, C. (1996). Long-term follow-up of schizophrenia in 16 countries. Social Psychiatry and Psychiatric Epidemiology, 31(5), 249–258.

    Article  CAS  PubMed  Google Scholar 

  • Selenko, E., & Pils, K. (2019). The after-effects of youth unemployment: More vulnerable persons are less likely to succeed in Youth Guarantee programmes. Economic and Industrial Democracy, 40(2), 282–300.

    Article  Google Scholar 

  • Sharac, J., McCrone, P., Clement, S., & Thornicroft, G. (2010). The economic impact of stigma and discrimination: A systematic review. Epidemiologia e Psichiatria Sociale, 19(3), 223–232.

    Article  PubMed  Google Scholar 

  • Shimitras, L., Fossey, E., & Harvey, C. (2003). Time use of people living with schizophrenia in a North London catchment area. British Journal of Occupational Therapy, 66(2), 46–54.

    Article  Google Scholar 

  • Strauss, J. S., & Carpenter, W. T., Jr. (1977). Prediction of outcome in schizophrenia: III. Five-year outcome and its predictors. Archives of General Psychiatry, 34(2), 159–163.

    Article  CAS  PubMed  Google Scholar 

  • Suijkerbuijk, Y. B., Schaafsma, F. G., van Mechelen, J. C., Ojajärvi, A., Corbière, M., & Anema, J. R. (2017). Interventions for obtaining and maintaining employment in adults with severe mental illness, a network meta-analysis. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD011867.pub2

    Article  PubMed  PubMed Central  Google Scholar 

  • Sunwoo, M., O’Connell, J., Brown, E., Lin, A., Wood, S. J., McGorry, P., & O’Donoghue, B. (2020). Prevalence and outcomes of young people with concurrent autism spectrum disorder and first episode of psychosis. Schizophrenia Research, 216, 310–315.

    Article  PubMed  Google Scholar 

  • Susser, E., Finnerty, M., Mojtabai, R., Yale, S., Conover, S., Goetz, R., & Amador, X. (2000). Reliability of the life chart schedule for assessment of the long-term course of schizophrenia. Schizophrenia Research, 42(1), 67–77.

    Article  CAS  PubMed  Google Scholar 

  • Swanson, S. J., Becker, D. R., Bond, G. R., Reeder, K. E., & Ellison, M. L. (2020). IPS supported employment for transition age youth: Helping youth with serious mental health conditions to access jobs, education and careers. Psychiatry Information in Brief, 17(3), 1143.

    Article  Google Scholar 

  • The International First Episode Vocational Recovery Group. (2010). Meaningful lives: Supporting young people with psychosis in education, training and employment: An international consensus statement. Early Intervention in Psychiatry, 4(4), 323–326.

    Article  Google Scholar 

  • Thien, K., Bowtell, M., Eaton, S., Bardell-Williams, M., Downey, L., Ratheesh, A., McGorry, P., & O’Donoghue, B. (2018). Clozapine use in early psychosis. Schizophrenia Research, 199, 374–379.

    Article  PubMed  Google Scholar 

  • Tohen, M., Hennen, J., Zarate, C. M., Baldessarini, R. J., Strakowski, S. M., Stoll, A. L., Faedda, G. L., Suppes, T., Gebre-Medhin, P., & Cohen, B. M. (2000). Two-year syndromal and functional recovery in 219 cases of first-episode major affective disorder with psychotic features. The American Journal of Psychiatry, 157(2), 220–228.

    Article  CAS  PubMed  Google Scholar 

  • Torres Stone, R. A., Sabella, K., Lidz, C. W., McKay, C., & Smith, L. M. (2018). The meaning of work for young adults diagnosed with serious mental health conditions. Psychiatric Rehabilitation Journal, 41(4), 290–298.

    Article  PubMed  Google Scholar 

  • Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., et al. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473.

    Article  PubMed  Google Scholar 

  • UK Government. (2022). Minimum ages children can work. Retrieved from https://www.gov.uk/child-employment

  • United Nations. (1948). Universal declaration of human rights. Retrieved from https://www.un.org/en/about-us/universal-declaration-of-human-rights

  • United Nations. (2006). Convention on the rights of persons with disabilities. Retrieved from https://www.un.org/development/desa/disabilities/convention-on-the-rights-of-persons-with-disabilities.html

  • US Department of Labor. (2022). Workers under 18. Retrieved from https://www.dol.gov/general/topic/hiring/workersunder18

  • Waghorn, G., Chant, D., Lloyd, C., & Harris, M. (2011). Earning and learning among Australian community residents with psychiatric disorders. Psychiatry Research, 186(1), 109–116.

    Article  PubMed  Google Scholar 

  • Waghorn, G., Chant, D., White, P., & Whiteford, H. (2004). Delineating disability, labour force participation and employment restrictions among persons with psychosis. Acta Psychiatrica Scandinavica, 109(4), 279–288.

    Article  CAS  PubMed  Google Scholar 

  • Waghorn, G., Chant, D., & Whiteford, H. (2002). Clinical and non-clinical predictors of vocational recovery for Australians with psychotic disorders. Journal of Rehabilitation, 68(4), 40–51.

    Google Scholar 

  • Waghorn, G., Chant, D., & Whiteford, H. (2003). The strength of self-reported course of illness in predicting vocational recovery for persons with schizophrenia. Journal of Vocational Rehabilitation, 18(1), 33–41.

    Google Scholar 

  • Waghorn, G., & Lloyd, C. (2005). The employment of people with mental illness. Australian e-Journal for the Advancement of Mental Health, 4(2), 129–171.

    Article  Google Scholar 

  • Waghorn, G., Saha, S., Harvey, C., Morgan, V. A., Waterreus, A., Bush, R., Castle, D., Galletly, C., Stain, H. J., Neil, A. L., McGorry, P., & McGrath, J. J. (2012). ‘Earning and learning’ in those with psychotic disorders: The second Australian national survey of psychosis. Australian & New Zealand Journal of Psychiatry, 46(8), 774–785.

    Article  Google Scholar 

  • Waghorn, G., Shield, J., & Hielscher, E. (2015). Planning post-employment support for people with psychiatric disabilities. Journal of Rehabilitation, 81(3), 21–33.

    Google Scholar 

  • Weissman, M. M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report. Archives of General Psychiatry, 33(9), 1111–1115.

    Article  CAS  PubMed  Google Scholar 

  • Williams, P. L., & Lloyd, C. (2016). A review of job tenure under the Job in Jeopardy programme in first episode psychosis. British Journal of Occupational Therapy, 79(5), 284–289.

    Article  Google Scholar 

  • Williams, P. L., Lloyd, C., Waghorn, G., & Machingura, T. (2015). Implementing evidence-based practices in supported employment on the Gold Coast for people with severe mental illness. Australian Occupational Therapy Journal, 62(5), 316–325.

    Article  PubMed  Google Scholar 

  • World Health Organisation (WHO). (2022). World mental health report. Transforming mental health for all. World Health Organisation.

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Acknowledgements

We thank Health Sciences Librarian Elaine Tam for her expert assistance in developing and refining the search strategy and search terms used in this study.

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Melisa Aguey-Zinsou was supported by an Australian Government Research Training Program Scholarship.

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  1. Centre for Disability Research and Policy, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia

    Melissa Aguey-Zinsou, Justin Newton Scanlan & Anne Cusick

  2. Faculty of Health Sciences, School of Allied Health, Australian Catholic University, North Sydney, NSW, Australia

    Melissa Aguey-Zinsou

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All authors collaborated equally in: formulating the research question and the research design; screening of abstract/full text for inclusion and exclusion; interpretation of aggregated results and all contributed to writing the submitted manuscript. MAZ led literature searching, screening of source titles, study appraisal, data extraction, data charting, summary of results, descriptive analysis and drafting of manuscript.

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Aguey-Zinsou, M., Scanlan, J.N. & Cusick, A. A Scoping and Systematic Review of Employment Processes and Outcomes for Young Adults Experiencing Psychosis. Community Ment Health J 59, 728–755 (2023). https://doi.org/10.1007/s10597-022-01056-z

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