2023-09-28 14:46:10 +00:00
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abstract: 'Vocational recovery is frequently identified as a primary goal of
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specialized early intervention in psychosis services (EIS). However, few
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studies have investigated the multi-level impacts of psychosis and its
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social sequelae on emerging vocational identities and mechanisms by
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which EIS may contribute to longer-term career development. The goal of
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this study was to deepen our understanding of the experiences of young
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adults with early psychosis during and following discharge from EIS as
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they relate to vocational derailment, identity and career development.
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We conducted in-depth interviews with 25 former EIS recipients and five
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family members (N = 30). Interviews were analyzed using modified
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grounded theory, with an orientation to generating a rich, theory
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informed understanding young people''s experiences. Approximately half of
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the participants in our sample were not in employment, education, or
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training (NEET) and had applied for or were receiving disability
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benefits (SSI/SSDI). Among those participants who were working, the
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majority reported short-term, low-wage work. Thematic findings elucidate
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factors underlying the erosion of vocational identity, as well as ways
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in which both participant-reported vocational service characteristics
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and socioeconomic background shape different pathways to college, work
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and/or disability benefits both during and following discharge from EIS.
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Findings underscore the need for additional research on vocational
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identity among youth and young adults with early psychosis and the
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development and evaluation of interventions designed to support career
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development, address social and structural barriers to education and
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training, and foster long-term socioeconomic mobility.'
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affiliation: 'Jones, N (Corresponding Author), Univ Pittsburgh, Sch Social Work, Pittsburgh,
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PA 15260 USA.
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Jones, Nev; Pagdon, Shannon, Univ Pittsburgh, Sch Social Work, Pittsburgh, PA 15260
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USA.
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Pagdon, Shannon; Dixon, Lisa, New York State Psychiat Inst \& Hosp, New York, NY
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USA.
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Ebuenyi, Ikenna, Univ Pittsburgh, Sch Hlth \& Rehabil Sci, Pittsburgh, PA USA.
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Goldman, Howard, Univ Maryland, Sch Med, Baltimore, MD USA.
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Dixon, Lisa, Columbia Univ, Dept Psychiat, New York, NY USA.'
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author: Jones, Nev and Pagdon, Shannon and Ebuenyi, Ikenna and Goldman, Howard and
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Dixon, Lisa
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author-email: nevjones@pitt.edu
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author_list:
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- family: Jones
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given: Nev
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- family: Pagdon
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given: Shannon
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- family: Ebuenyi
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given: Ikenna
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- family: Goldman
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given: Howard
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- family: Dixon
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given: Lisa
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da: '2023-09-28'
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doi: 10.1007/s10597-023-01149-3
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earlyaccessdate: JUN 2023
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eissn: 1573-2789
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files: []
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issn: 0010-3853
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journal: COMMUNITY MENTAL HEALTH JOURNAL
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keywords: 'Vocational rehabilitation; Early psychosis; Coordinated specialty care;
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Career development; Social and structural determinants of health; Social
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stratification; Disability'
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keywords-plus: 'SECURITY DISABILITY INSURANCE; EARLY INTERVENTION; UNITED-STATES;
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YOUNG-PEOPLE; 1ST EPISODE; SCHIZOPHRENIA; EMPLOYMENT; OUTCOMES; POVERTY;
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INCOME'
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language: English
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month: 2023 JUN 6
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number-of-cited-references: '42'
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orcid-numbers: Jones, Nev/0000-0002-4177-0621
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papis_id: 4fdb90ee2edf6e1900f4f7c19a2ec36d
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ref: Jones2023recoveringvocational
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times-cited: '0'
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title: 'Recovering the Vocational Self?: Service User Accounts of Barriers to Work
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and School and the Role of Early Psychosis Services in Supporting Career Development'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:001003152600001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
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Health;
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Psychiatry'
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year: '2023'
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