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  • 1.
    Germundsson, Per
    et al.
    Örebro University, School of Health and Medical Sciences.
    Hillborg, Helene
    Örebro University, School of Health and Medical Sciences.
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences.
    Interagency collaboration in vocational rehabilitation for persons with mental health problems: the perspective of the service users and the professionals2011In: Disability & Society, ISSN 0968-7599, E-ISSN 1360-0508, Vol. 26, no 6, p. 699-713Article in journal (Refereed)
    Abstract [en]

    There is an aspiration and policy within the European Union to fully involve persons with disabilities in the community; this implies an opportunity to gainful employment. A large percentage of disabled persons remain unemployed despite this policy, especially persons with mental health problems. This study aims at investigating how people with mental health problems and caseworkers in different agencies experience the vocational rehabilitation process from an interagency collaboration perspective. The study reveals a number of hindering factors portrayed and discussed in six themes – the time available for rehabilitation, management, new ways of working, absence of an actor, continuity and consensus – and also tables the implications for interagency collaboration in the field of vocational rehabilitation.

  • 2.
    Hillborg, Helene
    Örebro University, School of Health and Medical Sciences.
    Erfarenheter av rehabiliteringsprocessen mot ett arbetsliv: brukarens och de professionellas perspektiv2010Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Erfarenheter av rehabiliteringsprocessen mot ett arbetsliv - brukarens och de professionellas perspektiv. Örebro, Studies from the Swedish Institute of Disability Research No 34, 107 pp.The overall aim of this dissertation is to (1) describe and analyse perceived barriers and opportunities from the perspective of the individual receiving vocational rehabilitation services as a result of unemployment and psychiatric disability (2) describe and analyse perceived barriers and opportunities in services for unemployed people with psychiatric disabilities from the perspective of professionals working in the area of vocational rehabilitation and (3) utilize empowerment theory to explore and develop a deeper understanding of the experiences and perceptions described by these individuals and professionals. The data consists of open-ended interviews with service users and professionals’ working in the area of vocational rehabilitation. A content analysis together with an interpretive approach was used to analyse the data. The results revealed that support and the psychosocial work environment are important factors that influence the rehabilitation process for the individual. These factors can facilitate opportunities to develop skills in contacts with fellow employees, increase belief in one’s own abilities, and can contribute to the achievement of specified goals. These factors are also seen as supporting empowerment and active participation in the rehabilitation process. However, the results also revealed that the rehabilitation process is negatively effected by environmental factors to which the professionals and their organizations contributed. Barriers related to interagency collaboration contributed to barriers to a successful rehabilitation for the individual. The professionals were consistent in what they viewed as enabling factors in the rehabilitation process but the results also showed how difficult it was for the service system to create a rehabilitation context in line with their knowledge and experience.Keywords: Psychiatric disabilities, vocational rehabilitation, empowerment, interagency collaboration, support system.

  • 3.
    Hillborg, Helene
    et al.
    Örebro University, School of Health and Medical Sciences.
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences.
    Svensson, Tommy
    Professionals' perceptions and views about vocational rehabilitation for people with psychiatric disabilities2013Manuscript (preprint) (Other academic)
  • 4.
    Hillborg, Helene
    et al.
    Örebro University, School of Health and Medical Sciences.
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences.
    Svensson, Tommy
    Nordic School of Public Health, Göteborg, Sweden.
    Professionals' perceptions of and views about vocational rehabilitation for people with psychiatric disabilities2013In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 44, no 4, p. 471-480Article in journal (Refereed)
    Abstract [en]

    Objective: One of the challenges agencies and professionals face is to enable people on sick leave to be successful in their vocational rehabilitation. The objective of this study was to explore and analyze some professionals' perceptions of and views about vocational rehabilitation among people with psychiatric disabilities.

    Participants: Eight professionals from four different agencies (social services, the employment service, the social insurance office, and a psychiatric outpatient setting) working in the area of vocational rehabilitation for people with psychiatric disabilities.

    Methods: Eight in-depth interviews were conducted. The data collected was analyzed using qualitative content analysis together with an interpretive approach.

    Results: The results suggested the respondents were in consensus regarding that which they considered to facilitate or enable successful vocational rehabilitation. Intensive support over a long period of time and a holistic view that takes into account the habits and routines of daily life outside of work as well as the social and psychological aspects of individuals during their rehabilitation processes were considered to be just as crucial to the vocational rehabilitation process as training in the workplace.

    Conclusions: These professionals dealt with a complex vocational rehabilitation system; they felt that their organizations' directives and inability to collaborate successfully with other authorities restricted their scope of action and hindered their exercise of good practice.

  • 5.
    Hillborg, Helene
    et al.
    Örebro University, School of Health and Medical Sciences.
    Svensson, Tommy
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences.
    Expectations, visions and sense of empowerment: in the face of a vocational rehabilitation process for people with psychiatric disabilities 2010In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 12, no 2, p. 109-124Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to reveal the meaning some people with psychiatric disabilities assigned to important experiences related to long periods of participation restrictions owing to unemployment and sick leave. The data comprise open-ended interviews with eight informants. A hermeneutic approach together with a comparative analysis was used to analyze the data. The results showed six types of mechanisms important for the outcome of the rehabilitation process: support, understanding, time, control, self-image and vision of the future. Our results indicate that environmental factors such as experience of support and understanding of professionals and time-efficacy seemed to have a great effect on the individuals' attitudes concerning the activities and measures they expected to carry out during their coming rehabilitation. These experiences seemed to affect their belief in their own abilities, their sense of control, and their belief in successful performance. Theories about empowerment closely related to social emotions like pride and shame are also discussed in an attempt to deepen the understanding of the studied phenomena.

  • 6.
    Hillborg, Helene
    et al.
    Örebro University, School of Health and Medical Sciences.
    Svensson, Tommy
    Dept Behav Sci & Learning, Linköping Univ, Linköping, Sweden; Nord Sch Publ Hlth, Gothenburg, Sweden.
    Danermark, Berth
    Örebro University, School of Health and Medical Sciences.
    Towards a working life?: Experiences in a rehabilitation process for people with psychiatric disabilities2010In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 17, no 2, p. 149-161Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to reveal the meaning some people with psychiatric disabilities assigned to important personal experiences in relation to an ongoing rehabilitation process. The data comprises open-ended interviews of eight participants. A hermeneutic approach together with a content analysis was used to analyse the data. The results indicated the importance of not relying on simplified prognoses early in a rehabilitation process when assessing rehabilitation measures and/or work capacity. The phenomenon of rehabilitation seemed to be very complex, diverse, and changed over time depending on different circumstances that arose during the rehabilitation process. These circumstances arose on individual, contextual as well as structural levels and all had an impact on the outcomes. The results also indicated that it seemed to be possible to achieve success, change attitudes, and create a positive image of a future related to a working life if the support was perceived as relevant and the activities undertaken were perceived as contributing to achievement of the individual's goals. Regardless of which path the informants later chose these factors were seen to support an empowerment process and active participation in their own rehabilitation.

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