Need to continue working as a key perception for Return to Work
Mental diseases are one of the most common causes of long-term absence from work and inability to return to work (RTW) in the working populations around the world [1, 2]. Inability to RTW is a social issue that affects the employee, the family, employers, and insurance companies. It decreases performance and causes disability and early retirement [3]. About 85% of individuals with serious mental illness (SMI) are jobless and those who have work are not that interested to work so that the chance of keeping their job is too low [4]. Despite the challenges that a SMI creates for employees, those who seek treatments desire enjoying the benefits of the treatment, increase their productivity at work, and shorten their absence [5]. Studies have shown that working has therapeutic aspects as an opportunity to remain active, busy, motivated, and a part of the society. In addition, having a job increases one’s self-esteem [7, 6]. On the other hand, losing one’s job due to SMI leads to poverty and social isolation. Without the benefits of having a job and adequate salary, people with SMI tend to be poorer, depended on public support, and sustain financial loses and a lower quality of life. Losing job affects both the employee and the society [8]. There evidences that suggest work is a complicated phenomenon and a function of cultural, economic, and social conditions [9, 4]. In Sweden, Australia, Canada, and other European countries with high income level, SMI individuals are referred to day centers or clubhouses to meet their social and occupational needs and avoid isolation [10-13]. However, the poorer countries like Iran can only provide a small number of centers for providing psychological services, society-oriented programs, and home care services, and RTW is not a priority for these centers [14, 15]. A literature review showed that a major part of the available knowledge about RTW is about individuals with common mental diseases. In the cases of SMI individuals, the ways of finding a job or occupational rehabilitation have received more attention. That is, there are a few studies about RTW in SMI individuals [4, 16, 17]. To have a better understanding of the phenomenon based on SMI workers’ perception, a qualitative study is need as quantitative works are not able to picture the background, interactions, and actual conditions to make RTW possible. Therefore, the present study is an attempt to realize the factors in SMI employees’ perception for RTW and the solution to help them to return to work. The present study is an attempt to elaborate on the perception about RTW in SMI individuals visiting the psychological hospital and clinic affiliated with Hamedan University of Medical Sciences.