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首页> 外文期刊>American journal of psychiatric rehabilitation >'I'm Not Sure That I Can Figure Out How to Do That': Pursuit of Work Among People with Mental Illnesses Leaving Jail
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'I'm Not Sure That I Can Figure Out How to Do That': Pursuit of Work Among People with Mental Illnesses Leaving Jail

机译:“我不确定我能想出如何做到这一点”:在离开监狱的精神疾病患者中追求工作

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摘要

Restoring people with mental illnesses to community life after detention in jail is fraught with significant challenges. Many of these challenges mirror those faced by anyone else who has been detained in jail. Among these is the particular challenge of seeking gainful employment and financial support for day-to-day life. This challenge is intensified when individuals return from jail to impoverished communities where employment prospects are already limited for residents and where either a criminal record or a mental illness creates still additional barriers to work. To understand these barriers more fully, this study examined the process of seeking employment among people with mental illness leaving jail. Seventeen individuals with a history of mental health problems and with recent jail incarceration were recruited from either a community based employment program or a mental health service setting. The informants were interviewed using life history interview techniques. Results show that connections to the paid workforce were tenuous at best for these respondents, both before and after their jail detention. Although psychiatric symptoms, addiction, and the lack of productive social connections were individual-level factors that affected employment, the most pernicious impediments were rooted in policy, community structures, stigma, and other social and economic realities. If employment interventions are to have any traction at all in these settings, interventionists need to dig for innovative ways to address these factors, which are not complications, but bedrock realities that undergird all else.
机译:让精神疾病患者在被拘留后重返社区生活充满了重大挑战。其中许多挑战反映了其他任何被关押在监狱中的人所面临的挑战。其中包括寻求有报酬的工作和日常生活的经济支持的特殊挑战。当个人从监狱返回贫困社区时,这一挑战就更加严峻,那里的居民就业前景已经有限,犯罪记录或精神疾病会给工作带来额外的障碍。为了更全面地了解这些障碍,这项研究研究了出狱的精神疾病患者寻找工作的过程。17名有精神健康问题史和最近被监禁的人是从社区就业计划或精神卫生服务机构招募的。使用生活史访谈技术对线人进行访谈。结果显示,对于这些受访者来说,无论是在监狱拘留之前还是之后,与有偿劳动力的联系充其量是脆弱的。尽管精神症状、成瘾和缺乏生产性社会联系是影响就业的个人因素,但最有害的障碍植根于政策、社区结构、耻辱和其他社会和经济现实。如果就业干预要在这些环境中有任何吸引力,干预主义者需要挖掘创新方法来解决这些因素,这些因素不是并发症,而是支撑所有其他因素的基本现实。

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