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Disclosure of a mental health problem in the employment context: qualitative study of beliefs and experiences

Brohan, E., Evans-Lacko, S. ORCID: 0000-0003-4691-2630, Henderson, C., Murray, J., Slade, M. and Thornicroft, G. (2014) Disclosure of a mental health problem in the employment context: qualitative study of beliefs and experiences. Epidemiology and Psychiatric Sciences, 23 (03). pp. 289-300. ISSN 2045-7960

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Identification Number: 10.1017/S2045796013000310


Aims. Decisions regarding disclosure of a mental health problem are complex and can involve reconciling conflicting needs and values. This article provides a qualitative account of the beliefs and experiences of mental health service users regarding disclosure in employment contexts. Methods. Total sample of 45 individuals were interviewed in two study phases. In phase one, semi-structured interviews were carried out with 15 mental health service users. The transcripts were analysed using interpretative phenomenological analysis (IPA). In phase two, identified themes were further explored through interviews with mental health service users (n = 30) in three employment contexts: in paid employment (n = 10); in study or voluntary work (n = 10); and currently unemployed (n = 10). These were analysed using directed content analysis. Results. Four super-ordinate themes were drawn from phase one analysis: (1) public understanding of mental health problems; (2) the employment context; (3) personal impact of labelling and (4) disclosure needs. These themes were reflective of the content of phase two interviews. Conclusions. Greater emphasis needs to be placed on considering the societal, employment and interpersonal influences which form the basis for disclosure beliefs and experiences.

Item Type: Article
Official URL:
Additional Information: © 2013 Cambridge University Press
Divisions: Personal Social Services Research Unit
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 06 Aug 2015 14:22
Last Modified: 20 Oct 2021 02:13

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