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

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 da...

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Bibliographic Details
Published in:Community mental health journal 2023-05, Vol.59 (4), p.728-755
Main Authors: Aguey-Zinsou, Melissa, Scanlan, Justin Newton, Cusick, Anne
Format: Article
Language:English
Subjects:
Community and Environmental Psychology
Early intervention
Employment
Humans
Medicine
Medicine & Public Health
Original Paper
Peers
Psychiatry
Psychosis
Psychotic Disorders
Rehabilitation, Vocational
Systematic review
Terminology
Young Adult
Young adults
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Summary: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.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-022-01056-z