Mental health rehabilitees' agency construction and promotion in community-based transitional work programme.

Autor: Niska M; Faculty of Social Sciences, University of Helsinki, Helsinki, Finland., Stevanovic M; Faculty of Social Sciences, Tampere University, Tampere, Finland., Nevalainen H; Faculty of Social Sciences, Tampere University, Tampere, Finland., Weiste E; Finno-Ugrian and Scandinavian studies, University of Helsinki, Helsinki, Finland.; Finnish Institute of Occupational Health, Helsinki, Finland., Lindholm C; Faculty of Information Technology and Communication Sciences (Language Studies), Tampere University, Tampere, Finland.
Jazyk: angličtina
Zdroj: International journal of qualitative studies on health and well-being [Int J Qual Stud Health Well-being] 2023 Dec; Vol. 18 (1), pp. 2202972.
DOI: 10.1080/17482631.2023.2202972
Abstrakt: Purpose: The integration of mental health rehabilitees into the labour market is an important policy objective everywhere in the world. The international Clubhouse organization is a third-sector actor that offers community-based psychosocial rehabilitation and supports and promotes rehabilitees' state of acting and exerting power over their lives, including their (re)employment. In this article, we adopt the perspective of discursive psychology and ask how mental health rehabilitees' agency is constructed and ideally also promoted in the Clubhouse-based Transitional Employment (TE) programme.
Methods: The data consisted of 26 video-recorded TE meetings in which staff and rehabilitees of one Finnish Clubhouse discussed ways to further their contacts with potential employers. The analysis was informed by discursive psychology, which has been heavily influenced by conversation analysis.
Results: The analysis demonstrated how rehabilitees adopt agentic positions in respect to TE-related future activities, and how Clubhouse staff promote and encourage but also discourage and invalidate these agentic positionings. The analysis demonstrated the multifaceted nature of agency and agency promotion in the TE programme.
Conclusions: Although ideally, Clubhouse activities are based on equal opportunities, in everyday interaction practices, the staff exercise significant power over the question whose agency is promoted and validated in the TE programme.
Databáze: MEDLINE