Asian Journal of Occupational Therapy
Online ISSN : 1347-3484
Print ISSN : 1347-3476
ISSN-L : 1347-3476
Factors Associated with Continued Employment Among Persons with Mental Disorders: A Retrospective Cohort Study
Kojiro KawanoMasayoshi KobayashiSaori HagaAyako TakeharaKenji EndoTakeshi Shimada
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2024 Volume 20 Issue 1 Pages 12-20


Background: This study aimed to identify factors correlating with the continued employment of people with mental disorders who were hired after the launch of the Employment Support Programme in Cooperation with the Public (ESPCP) employment service.

Methods: A survey was conducted with 60 participants who were hired within 12 months after the launch of the ESPCP to determine whether they had retained that job or had changed jobs during the 12-month period after being hired. Factors relating to continued employment were then examined using binary logistic regression.

Results: The participants were classified into two groups: the job-retention (n = 43) and job-turnover (n = 6) groups. Of the participants in the job-retention group, 79.07% used psychiatric day care after securing their jobs. Psychiatric day care was extracted as a predictive factor for continued employment in a logistic regression model, whose variables included psychiatric day care, outreach services, and agency-based counselling services (odds ratio = 1.02, 95% confidence interval = 1.00-1.04, p = 0.04). The job-turnover group included those who wanted to change jobs and those who quit owing to their condition worsening. Two of the four participants whose conditions worsened had adjusted their medication use based on their own judgment.

Conclusions: The use of psychiatric day care is associated with job retention of people with mental disorders post-ESPCP. Preventing turnover requires paying attention to job satisfaction, desire to change jobs, medication adherence, and follow-up when unable to attend the psychiatric day-care centre.

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© 2024 Japanese Association of Occupational Therapists
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