Skip to main content
Log in

Schizophrenia and Employment: Evaluation From Professionals Point of View

  • Original Paper
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

Schizophrenia is a severe and chronic disorder requiring long-lasting and comprehensive treatment. Because of this disorder patients are socially isolated. Consequently, schizophrenia has a significant economic burden both in a group of direct and indirect costs. The aim was to analyse experts’ opinions in the field of psychiatry concerning work possibilities among people with schizophrenia and to present the importance of employment for more effective treatment. A worldwide study was conducted between June 2011 and June 2013 using a questionnaire consisting of six open-closed questions and a short metrics. The questionnaire was delivered to experts and spread all over the world by post and via the internet. Over 3000 questionnaires were sent and the addressed specialists were requested to return them. From received 403 questionnaires 320 were included into the study, based on adopted inclusion and exclusion criteria. Although patients are afraid of looking for a job, respondents indicated that they crave for employment. The number of people that are able to work during remission of schizophrenia is considerably higher (50.35 %) than the number of actually employed (15.85 %). Non-pharmacological therapies were indicated as important to improve patients′ chances of finding a job during remission of schizophrenia. The number of people that can work during remission of schizophrenia is considerably higher than the number of affected people employed. Patients crave for a job and supported employment should be treated as priority by health-care decision makers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Garcia-Ruiz A, Costillas LP, Montesinos AC, Alcalde J, Oyagüez I, Casado M: Cost-effectiveness analysis of antipsychotics in reducing schizophrenia relapses. Health Econ Rev. 2012. doi:10.1186/2191-1991-2-8.

    PubMed Central  PubMed  Google Scholar 

  2. Phanthunane P, Vos T, Whiteford H, Bertram M, Udomratn P: Schizophrenia in Thailand: prevalence and burden of disease. Popul Health Metr. 2010. doi:10.1186/1478-7954-8-24.

    PubMed Central  PubMed  Google Scholar 

  3. Piccinelli M, Gomez Homen F: Gender differences in the epidemiology of affective disorders and schizophrenia, Division of Mental Health and Prevention of substance abuse. Ed World Health Organization. 1997. http://whqlibdoc.who.int/hq/1997/WHO_MSA_NAM_97.1.pdf. Accessed 8 Oct 2012.

  4. Knapp M, Mangalore R, Simon J: The Global Costs of Schizophrenia. Schizophr Bull. 30:279–293, 2004.

    Article  PubMed  Google Scholar 

  5. Nowakowska E: Pharmacoeconomic research methodology. In: Nowakowska E, editor. Pharmacoeconomics-cooperation work. Poznań: Dział Wydawnictw Uczelnianych UMiKM; 2009. pp. 20–40.

    Google Scholar 

  6. Chang SM, Cho SJ, Hong JJ, Hahm BJ, Lee HJ, Park JI, Cho MJ: Economic Burden of Schizophrenia in South Korea. J Korean Med Sci. 23:167–175, 2008.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Barbato A: Schizophrenia and public health. Geneva: World Health Organization: 1998. http://www.who.int/mental_health/media/en/55.pdf. Accessed 29 Aug 2014.

  8. Gustavsson A, Svensson M, Jacobi F, et al: Cost of disorders of the brain in Europe. Eur Neuropsychopharmacol. 21:718–779, 2010.

    Article  Google Scholar 

  9. Mueser K, Salyers M, Mueser P: A prospective Analysis of Work in Schizophrenia. Schizophr Bull. 27(2):281–296, 2001.

    Article  CAS  PubMed  Google Scholar 

  10. Rogers ES, Walsh D, Masotta L, Danley K: Massachusetts Survey of Client Preferences for Community Support Services (Final Report). Boston: Center for Psychiatric Rehabilitation; 1991.

    Google Scholar 

  11. Twamley EW, Narvaez JM, Becker DR, Bartels SJ, Jeste DV: Supported employment for Middle-Aged and Older People with Schizophrenia. Am J Psychiatr Rehabil. 11(1):76–89, 2008.

    Article  PubMed Central  PubMed  Google Scholar 

  12. McGurk SR, Mueser K, DeRosa J, Wolfe R: Work, Recovery, and Comorbidity in Schizophrenia: A Randomized Controlled Trial of Cognitive Remediation. Schizophr Bull. 35(2):319–335, 2009.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Clark RE, Bradley DJ, Xie H, Becker DR, Drake RE: The Economic Benefits of supported employment for Persons with Mental Illness. J Ment Health Policy Econ. 1:63–71, 1998.

    Article  PubMed  Google Scholar 

  14. Marwaha S, Johnson S, Bebbington P, Stafford M, Angermeyer MC, Brugha T, Azorin J, Kilian R, Hansen K, Toumi M: Rates and correlates of employment in people with schizophrenia in the UK, France and Germany. Brit J Psychiat. 191:30–37, 2007.

    Article  PubMed  Google Scholar 

  15. Twamley EW, Vella L, Burton CZ, Deborah RB, Bell MD, Jeste DV: The efficacy of supported employment for middle-aged and older people with schizophrenia. Schizophr Res. 135:100–104, 2012.

    Article  PubMed Central  PubMed  Google Scholar 

  16. Priebe S, Warner R, Hubschmid T, Eckle I: Employment, Attitudes Toward Work, and Quality of Life Among People With Schizophrenia in Three Countries. Schizophr Bull. 24(3):469–477, 1998.

    Article  CAS  PubMed  Google Scholar 

  17. Srivastava AK, Stitt L, Thakar M, Shah N, Chinnasamy G: The abilities of improved schizophrenia patients to work and live independently in the community: a 10-year long-term outcome study from Mumbai, India. Ann Gen Psychiat. 2009. doi:10.1186/1744-859X-8-24.

    Google Scholar 

  18. Rummel-Kluge C, Pitschel-Walz G, Bäuml J, Kissling W: Psychoeducation in Schizophrenia – Results of a survey of all psychiatric institutions in Germany, Austria, and Switzerland. Schizophr Bull. 32:765–775, 2006.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Marwaha S, Johnson S: Schizophrenia and employment— a review. Soc Psychiatry Psychiatr Epidemiol. 39:337–349, 2004.

    Article  PubMed  Google Scholar 

  20. Żołnierczuk-Kieliszek D, Żak B: Social consequences of schizophrenia. Zdr Publ. 112 (3):362–366, 2002.

    Google Scholar 

  21. Mueser KT, McGurk SR: Schizophrenia. Lancet 363:2063–2072, 2004.

    Article  PubMed  Google Scholar 

  22. Magliano L, Fadden G, Madianos M, de Almieda JM, Held T, Guarneri M, Marasco C, Tosini P, Maj M: Burden on the families of patients with schizophrenia: Results of the BIOMED I study. Soc Psychiatry Psychiatr Epidemiol. 33(9):405–412, 1998.

    Article  CAS  PubMed  Google Scholar 

  23. Campbell K, Bond G, Drake R: Who benefits from supported employment: a meta-analytic study. Schizophr Bull. 37(2):370–380, 2011.

    Article  PubMed Central  PubMed  Google Scholar 

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

    Article  PubMed Central  PubMed  Google Scholar 

  25. Pfammatter M, Jungham UM, Brenner HD: Efficacy of psychological therapy in schizophrenia: conclusions from meta-analyses. Schizophr Bull. 32:64–80, 2006.

    Article  Google Scholar 

Download references

Acknowledgments

We thank several non-profit organizations, but especially Makshivim, EUFAMI (European Federation of Associations of Families of People with Mental Illness) and Pomost, who kindly helped us in collecting the questionnaires.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tomasz Zaprutko.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zaprutko, T., Kus, K., Bilobryvka, R. et al. Schizophrenia and Employment: Evaluation From Professionals Point of View. Psychiatr Q 86, 569–579 (2015). https://doi.org/10.1007/s11126-015-9354-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11126-015-9354-6

Keywords

Navigation