Skip to main content

The quality of work life of people with severe mental disorders working in social enterprises: a qualitative study

Abstract

Purpose

The aim of this phenomenological study is to provide an in-depth understanding of the meaning that people with severe mental disorders give about their quality of work life (QWL) while working in social enterprises.

Methods

Semi-structured interviews with 14 participants were conducted. All interviews were recorded and transcribed verbatim. Colaizzi’s framework for data analysis was used.

Results

Eight sub-themes emerged and can be better understood within two larger themes: (A) interpersonal and intrapersonal aspects of QWL and (B) structural and physical aspects. Within theme A, sub-themes were (1) having a sense of belonging to the enterprise, (2) having the feeling of being a good worker, (3) establishing relationships with co-workers, and (4) establishing relationships with supervisors. Within theme B, sub-themes were (5) working tasks, (6) working conditions, (7) working environment, and (8) organizational management.

Conclusions

The findings highlight the importance of understanding the perspective of people with severe mental disorders regarding their QWL in order to better tailor interventions that enhance it. Although some sub-themes of QWL identified in the present study were similar to those found in previous studies conducted with other populations, a unique sub-theme of QWL was identified: having the feeling of being a good worker. Specific QWL measurement that addresses this unique sub-theme is needed when assessing QWL of people with severe mental disorders.

This is a preview of subscription content, access via your institution.

Fig. 1

References

  1. Dunn, E. C., Wewiorski, N. J., & Rogers, E. S. (2008). The meaning and importance of employment to people in recovery from serious mental illness: Results of a qualitative study. Psychiatric Rehabilitation Journal, 32(1), 59–62.

    PubMed  Article  Google Scholar 

  2. Bell, M. D., Lysaker, P. H., & Milstein, R. M. (1996). Clinical benefits of paid work activity in schizophrenia. Schizophrenia Bulletin, 22(1), 51–67.

    PubMed  Article  CAS  Google Scholar 

  3. Burns, T., Catty, J., White, S., Becker, T., Koletsi, M., Fioritti, A., et al. (2009). The impact of supported employment and working on clinical and social functioning: results of an international study of individual placement and support. Schizophrenia Bulletin, 35(5), 949–958.

    PubMed  Article  Google Scholar 

  4. Browne, S. (1999). Rehabilitation programmes and quality of life in severe mental illness. International Journal of Social Psychiatry, 45(4), 302–309.

    PubMed  Article  CAS  Google Scholar 

  5. Fabian, E. (1992). Supported employment and the quality of life: Does a job make a difference? Rehabilitation Counseling Bulletin, 36(2), 84–97.

    Google Scholar 

  6. Waddell, G., & Burton, K. (2006). Is work good for your health and well-being? London: The Stationery Office.

  7. Xie, H., Dain, B. J., Becker, D. R., & Drake, R. E. (1997). Job tenure among persons with severe mental illness. Rehabilitation Counseling Bulletin, 40(4), 230–240.

    Google Scholar 

  8. Corbière, M., Lesage, A., Villeneuve, K., & Mercier, C. (2006). Le maintien en emploi de personnes souffrant d’une maladie mentale. Santé Mentale au Québec, 31(2), 215–235.

    PubMed  Article  Google Scholar 

  9. Harnois, G., & Gabriel, P. (2000). Mental health and work: Impact, issues and good practices. Mental Health Policy and Service Development Department of Mental Health and Substance Dependence Noncommunicable Diseases and Mental Health. Geneva: World Health Organisation.

  10. Boardman, J., Grove, B., Perkins, R., & Shepherd, G. (2003). Work and employment for people with psychiatric disabilities. British Journal of Psychiatry, 182, 467–468.

    PubMed  Article  Google Scholar 

  11. Tsang, H. W. H., NG, B. F. L., & Chiu, F. P. F. (2002). Job profiles of people with severe mental illness: implications for rehabilitation. International Journal of Rehabilitation Research, 25, 189–196.

    PubMed  Article  Google Scholar 

  12. Svanberg, J., Gumley, A., & Wilson, A. (2010). How do social firms contribute to recovery from mental illness? A qualitative study. Clinical Psychology and Psychotherapy, 17(6), 482–496.

    PubMed  Article  Google Scholar 

  13. Savio, M., & Righetti, A. (1993). Cooperatives as a social enterprise in Italy: A place for social integration and rehabilitation. Acta Psychiatrica Scandinavica, 88(4), 238–242.

    PubMed  Article  CAS  Google Scholar 

  14. Tan, B.-L. (2009). Hybrid transitional-supported employment using social enterprise: a retrospective study. Psychiatric Rehabilitation Journal, 33(1), 53–55.

    PubMed  Article  Google Scholar 

  15. Warner, R., & Mandiberg, J. (2006). An update on affirmative businesses or social firms for people with mental illness. Psychiatric Services, 57(10), 1488–1492.

    PubMed  Article  Google Scholar 

  16. Kirsh, B., Krupa, T., Cockburn, L., & Gewurtz, R. (2006). Work initiatives for persons with severe mental illnesses in Canada: A decade of development. Canadian Journal of Community Mental Health, 25(2), 173–191.

    Google Scholar 

  17. Krupa, T. (1998). The consumer-run business: People with psychiatric disabilities as entrepreneurs. Work: A Journal of Prevention Assessment and Rehabilitation, 11, 3–10.

    Google Scholar 

  18. Trainor, J., & Tremblay, J. (1992). Consumer/survivor businesses in Ontario: Challenging the rehabilitation model. Canadian Journal of Community Mental Health, 11(2), 65–71.

    Google Scholar 

  19. Che Rose, R., Beh, L., Uli, J., & Idris, K. (2006). Quality of work life: Implications of career dimensions. Journal of Social Sciences, 2(2), 61–67.

    Article  Google Scholar 

  20. Gurses, A. P., Carayon, P., & Wall, M. (2009). Impact of performance obstacles on intensive care nurses’ workload, perceived quality and safety of care and quality of working life. Health Services Research, 44(2), 422–443.

    PubMed  Article  Google Scholar 

  21. Korunka, C., Hoonakker, P., & Carayon, P. (2008). Quality of working life and turnover intention in information technology work. Human Factors and Ergonomics in Manufacturing, 18(4), 409–423.

    Article  Google Scholar 

  22. Hayes, L. J., O’Brien-Pallas, L., Duffied, C., Shamian, J., Buchan, J., Hughes, F., et al. (2006). Nurse turnover: A literature review. International Journal of Nursing Studies, 43, 237–263.

    PubMed  Article  Google Scholar 

  23. Knox, S., & Irving, J. A. (1997). An interactive quality of work life model applied to organizational transition. Journal of Nursing Administration, 27(1), 39–47.

    PubMed  Article  CAS  Google Scholar 

  24. Brousseau, S., Alderson, M., & Cara, C. (2008). A caring environment to foster male nurses’ quality of working life in community setting. International Journal for Human Caring, 12(1), 33–43.

    Google Scholar 

  25. Brooks, B. A., & Anderson, M. A. (2005). Defining quality of nursing work life. Nursing Economics, 23(6), 319–326.

    PubMed  Google Scholar 

  26. Islam, Z., & Siengthai, S. (2009). Quality of work life and organizational performance: Empirical evidence from Dhaka export processing zone. Paper presented at the International Labour Office Conference.

  27. Hsu, M. Y., & Kernohan, G. (2006). Dimensions of hospital nurses’ quality of working life. Journal of Advanced Nursing, 54(1), 120–131.

    PubMed  Article  Google Scholar 

  28. Martel, J.-P., & Dupuis, G. (2006). Quality of work life: Theoretical and methodological problems, and presentation of a new model and measuring instrument. Social Indicators Research, 77, 333–368.

    Article  Google Scholar 

  29. Elizur, D., & Shye, S. (1990). Quality of work life and its relation to quality of life. Applied Psychology: An International Review, 39(3), 275–291.

    Article  Google Scholar 

  30. Loscocco, K. A., & Roschelle, A. R. (1991). Influences on the quality of work and nonwork life: Two decades in review. Journal of Vocational Behavior, 39(2), 182–225.

    Article  Google Scholar 

  31. Royuela, V., Lopez-Tamayo, J., & Surinach, J. (2008). The institutional vs. the academic definition of quality of life. What is the focus of the European Commission? Social Indicators Research, 86(3), 401–415.

    Article  Google Scholar 

  32. Argentero, P., Miglioretti, M., & Angilletta, C. (2007). Quality of work life in a cohort of italian health workers. Giornale Italiano di Medicina del Lavoro ed Ergonomia, 29(1), A50–A54.

    PubMed  CAS  Google Scholar 

  33. Giorgi, A., & Giorgi, B. (2003). Phenomenology. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods. London: Sage Publications.

    Google Scholar 

  34. Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King (Eds.), Existential phenomenological alternatives for psychology. New York: Oxford University Press.

    Google Scholar 

  35. Benner, P. (1994). The tradition and skill of interpretive phenomenology in studying health, illness, and caring practices. In P. Benner (Ed.), Interpretive phenomenology: Embodiment, caring and ethics in health and illness. Thousand Oaks: Sage Publications.

    Google Scholar 

  36. Creswell, J. W. (2007). Qualitative inquiry and research design. Thousand Oaks: Sage Publication.

  37. Hycner, R. H. (1985). Some guidelines for the phenomenological analysis of interview data. Human Studies, 8, 279–303.

    Google Scholar 

  38. Turcotte, P. R. (1988). QVT: la qualité de vie au travail: une voie vers l’excellence. Montréal: Agence d’ARC.

    Google Scholar 

  39. Gahnstrom-Strandqvist, K., Liukko, A., & Tham, K. (2003). The meaning of the working cooperative for persons with long-term mental illness: A phenomenological study. American Journal of Occupational Therapy, 57(3), 262–272.

    PubMed  Article  Google Scholar 

  40. Baldwin, M. L., & Marcus, S. C. (2006). Perceived and measured stigma among workers with serious mental illness. Psychiatric Services, 57(3), 388–392.

    PubMed  Article  Google Scholar 

  41. Krupa, T., kirsh, B., Cockburn, L., & Gewurtz, R. (2009). Understanding the stigma of mental illness in employment. Work: A Journal of Prevention Assessment and Rehabilitation, 33, 413–425.

    Google Scholar 

  42. Link, B. G., & Phelan, J. C. (1999). Labeling and stigma. In C. S. Neshensel & J. C. Phelan (Eds.), The handbook of the sociology of mental health. New York: Plenum.

    Google Scholar 

  43. Bianco, C., & Shaheen, G. (2001). Employment. In C. Bianco & S. M. Wells (Eds.), Overcoming barriers to community integration for people with mental illnessess (pp. 37–48). Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  44. Corbière, M., Lanctot, N., Sanquirgo, N., & Lecomte, T. (2009). Evaluation of self-esteem as a worker for people with severe mental disorders. Journal of Vocational Rehabilitation, 30, 87–98.

    Google Scholar 

  45. Velayudhan, A., & Venkatachalam, J. (1997). Quality of work life dimensions: an empirical study. Indian Journal Applied Psychology, 34(2), 1–7.

    Google Scholar 

  46. Mirvis, P., & Lawler, E. E. (1984). Accounting for the quality of work life. Journal of Occupational Behavior, 5, 197–212.

    Article  Google Scholar 

  47. Steers, R., & Mowday, R. T. (1981). Employee turnover and the post-decision accommodation process. In B. M. Staw & L. L. Cummings (Eds.), Research in organizational behavior (Vol. 3, pp. 235–282). Greenwich, CT: JAI Press.

    Google Scholar 

Download references

Acknowledgments

We would like to acknowledge the contribution of the participants and the social enterprise for kindly taking part in this study.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Nathalie Lanctôt.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Lanctôt, N., Durand, MJ. & Corbière, M. The quality of work life of people with severe mental disorders working in social enterprises: a qualitative study. Qual Life Res 21, 1415–1423 (2012). https://doi.org/10.1007/s11136-011-0057-7

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-011-0057-7

Keywords

  • Quality of work life
  • Severe mental disorder
  • Social enterprise
  • Phenomenology