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The nature and correlates of paid and unpaid work among service users of London Community Mental Health Teams

Published online by Cambridge University Press:  18 October 2012

B. Lloyd-Evans ,
S. Marwaha ,
T. Burns ,
J. Secker ,
E. Latimer ,
R. Blizard ,
H. Killaspy ,
J. Totman ,
S. Tanskanen  and
S. Johnson
B. Lloyd-Evans*
Affiliation:
Mental Health Sciences Unit, University College London, UK
S. Marwaha
Affiliation:
Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK
T. Burns
Affiliation:
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK
J. Secker
Affiliation:
Faculty of Health, Social Care and Education, Anglia Ruskin University, Chelmsford Essex, UK
E. Latimer
Affiliation:
Department of Psychiatry, McGill University, Montreal, Canada
R. Blizard
Affiliation:
Mental Health Sciences Unit, University College London, UK
H. Killaspy
Affiliation:
Mental Health Sciences Unit, University College London, UK
J. Totman
Affiliation:
Camden and Islington Early Intervention Service, Camden and Islington NHS Foundation Trust, London, UK
S. Tanskanen
Affiliation:
Camden and Islington Early Intervention Service, Camden and Islington NHS Foundation Trust, London, UK
S. Johnson
Affiliation:
Mental Health Sciences Unit, University College London, UK Camden and Islington Early Intervention Service, Camden and Islington NHS Foundation Trust, London, UK
*
*Address for correspondence: Dr Brynmor Lloyd-Evans, Mental Health Sciences Unit UCL, Charles Bell House, 67–73 Riding House Street, London W1W 7EJ, UK. (Email: [email protected])
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Abstract

Aims.

Little is known about how the rates and characteristics of mental health service users in unpaid work, training and study compare with those in paid employment.

Methods.

From staff report and patient records, 1353 mental health service users of seven Community Mental Health Teams in two London boroughs were categorized as in paid work, unpaid vocational activity or no vocational activity. Types of work were described using Standard Occupational Classifications. The characteristics of each group were reported and associations with vocational status were explored.

Results.

Of the sample, 5.5% were in paid work and 12.7% were in unpaid vocational activity, (including 5.3% in voluntary work and 8.1% in study or training). People in paid work were engaged in a broader range of occupations than those in voluntary work and most in paid work (58.5%) worked part-time. Younger age and high educational attainment characterized both groups. Having sustained previous employment was most strongly associated with being in paid work.

Conclusions.

Rates of vocational activity were very low. Results did not suggest a clear clinical distinction between those in paid and unpaid activity. The motivations for and functions of unpaid work need further research.

Keywords

Cross-sectional studyemploymentmental healthvoluntary work
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 22 , Issue 2 , June 2013 , pp. 169 - 180
Copyright
Copyright © Cambridge University Press 2012 

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