Labour rehabilitation for expsychiatric patients and exprisoners

1
Labour rehabilitation for ex-psychiatric patients
and ex-prisoners

• Bogaerts Sanne
• Poels Eveline
• Vanoppen Sanne

2
Motivation

• In our country people with psychological problems
  or/and ex-prisoners have problems to find a job.
• We have chosen this action because those groups
  of people are problem-groups, and we think they
  are really occupational deprived groups.
• During our training period we have been faced
  with this target group. Labour is very important
  for these people. They want to be activated into
  the society.
• Occupational therapy can help them with the
  process.

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Why is labour so important?

• Time structure
• Identity
• Place in society
• Social contacts
• Collective aim pursue
• Labour forces to activity
• Copingstrategy
• Self-confidence and selfasteme

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• ex-psychiatric patients

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Facts

• 70 from the ex-psychiatric patients want to go
  to work.
• Not many of the ex-psychiatric patients have
  labour participation
• 10 has a paid job. .

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Labour and pyschiatry an uncomfortable relation

• Factors lain at person himself
• Lack of experience
• Lack of appropriated workplaces or labour
• No more labour rythme
• Effort with speed of work
• Concentration
• Less capacity to select and proces information
  adequately -gt they cant switch easily from one
  labourtask to another -gthigh pressure of workload
  
• Influence of medication

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• Factors lain outside person
• Restricted access to employment programmes
• Stigma about psychiatric problems
• Lack of appropriate jobs

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Echo-project

• Organisation
• The E.C.H.O project has arise from a
  cooperation between groups of supplies in
  Flanders
• What ?
• Labour- and employmentcontext in Flanders social
  employment for riskgroups
• When someone runs the risk to get excluded of the
  labour market he belongs to a riskgroup. A clear
  demarcation and description of this group is not
  given in Belgium
• people with a psychological problem can also be
  counted to the riskgroup

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• goal
• to help the participants to pick up the social
  rol of employment in the society.
• to work in a normal institution?crucial final
  goal of the project
• objectives more targeted to the proces than the
  final goal

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• The financial support of the European social fund
  (set up to simplify the employment and to
  promote the geografic and profession mobility of
  the employments)is allocated by the european
  union to the member states or regions who write
  out a project jointly.
• The E.C.H.O-project sets the example.

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• Within the social employment 4 categories can be
  distinguished according to the type of traject
• Learning companies
• employment companies
• Protected and social workshops
• Semi-formal social employment

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Proces of the e.c.ho-project

• initial interview phase
• Oriëntationcourse
• labour training
• training periods
• work accompaniment

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Important elements in labourrehabilitationprogram
s

• Work according to rehabilitation principles
• Anticipate on specific needs of participants
• Importance of assessment
• Importance of cooperation mental health care and
  world labour

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Obstacles

• Vision of the society - still remains a problem!
• The vision of most people is that psychiatric
  patients must no longer work.

15
Further evolution treatment?

• use of flexible working hours
• adaptation or change of the task description
• psycho-education of colleagues and
• support in difficult communicative situations
  such as conflicts, workplace adaptations

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• Need for study route accompaniment !
• Persons with psychotic problems quit their
• studies because their often hospitalised.
• They need help to continue their studies.
• -gtschools have to work on this
• Maybe this is an opportunity for occupational
  therapists to follow the students in their
  proces.
• Skill training
• Functional appraisal
• Group sessions
• Mental practice -gt rolgames
• Adaption in studie material
• Occupational therapist often give rehabilitation
  programs in psychiatric hospitals. They help them
  to plan their day and their future, They learn
  them dailiy and usefull activities such as
  shopping, cleaning,. They also give them
  training in concentration.
• In Belgium still al long way to go!

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• Ex-prisoners

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Project for ex-prisoners

• VDAB in prison is a Labour rehabilitation
  programme for ex-prisoners
• It starts one year before exemption from prisson
• What after prison?
• Training or
• Employment or
• Unemployed or -gt support of the society
• -gt ( Belgium minimum wage)

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• Conditions in Belgium
• They have to speak Appropriately Dutch
• They have to be motivated
• No physical, social or psychological limitations
  (Problem !!)
• Willing to work in group

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Program

• Assessment
• Orientation
• Communicative skills
• Sollicitation training

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Obstacles

• The system hasnt been automated yet.
• Ex-prisoners dont always follow the directions
  or ignore them.
• Difficulties with justice

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Role of occupational therapy with ex-prisoners

• Help them in prison to
• Plan their day and future
• Train social skills
• Search their main skills,help them to find a job
  that fits to their abilities.
• In the future?
• Follow up after prison and help them if there are
  
• problems.

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Conclusion

• The relation with occupational therapy is
• that we think it is necessary to fit in with the
  client to find a job that fits. Observation is an
  important thing. An occupational therapist looks
  at different views such as client, environment
  and their occupational behaviour. !

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• THANK YOU !!!

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References

• Van Weeghel,J., herstel en werkzaamheden
  arbeidsrehabilitatie van psychiatrische
  patiënten,SWP,Utrecht,1995
• Van Audenhove,C.,Van Rompaey,I.,De
  coster,I.,Lissens,G., op weg naar werk
  werkvoorbereiding in de geestelijke
  gezondheidszorg, Bohn Stafleu Van
  Loghum,Houten,2000
• Cuylaerts. L., B(ege)leide intrede
  arbeidsintegratie van ex-gedetineerden gids
  voor het HR-Management, Antwerpen, 2004
• Verstrepen, S., arbeidstrajectbegeleiding,
  eindwerk academiejaar ,2004-2005
• Sneppe, L., echoproject , 2005
• Geboers. J., De rechtspositie van gedetineerden
  in een beginselenwet, 1998
• Varekamp,I., e.a , how can you help employees
  with chronic diseases to stay at work? A review
  of interventions aimed at job retention and based
  on an empowerment perspective, int arch occup
  environ health, 2006, p 87- 97
• Franky van Belleghem,VDAB, Gevangenis Brugge
• Wouter Raskin,Het heft, arbeidscentrum,
  Sint-truiden