abstract: 'Vocational recovery is frequently identified as a primary goal of

  specialized early intervention in psychosis services (EIS). However, few

  studies have investigated the multi-level impacts of psychosis and its

  social sequelae on emerging vocational identities and mechanisms by

  which EIS may contribute to longer-term career development. The goal of

  this study was to deepen our understanding of the experiences of young

  adults with early psychosis during and following discharge from EIS as

  they relate to vocational derailment, identity and career development.

  We conducted in-depth interviews with 25 former EIS recipients and five

  family members (N = 30). Interviews were analyzed using modified

  grounded theory, with an orientation to generating a rich, theory

  informed understanding young people''s experiences. Approximately half of

  the participants in our sample were not in employment, education, or

  training (NEET) and had applied for or were receiving disability

  benefits (SSI/SSDI). Among those participants who were working, the

  majority reported short-term, low-wage work. Thematic findings elucidate

  factors underlying the erosion of vocational identity, as well as ways

  in which both participant-reported vocational service characteristics

  and socioeconomic background shape different pathways to college, work

  and/or disability benefits both during and following discharge from EIS.

  Findings underscore the need for additional research on vocational

  identity among youth and young adults with early psychosis and the

  development and evaluation of interventions designed to support career

  development, address social and structural barriers to education and

  training, and foster long-term socioeconomic mobility.'
affiliation: 'Jones, N (Corresponding Author), Univ Pittsburgh, Sch Social Work, Pittsburgh,
  PA 15260 USA.

  Jones, Nev; Pagdon, Shannon, Univ Pittsburgh, Sch Social Work, Pittsburgh, PA 15260
  USA.

  Pagdon, Shannon; Dixon, Lisa, New York State Psychiat Inst \& Hosp, New York, NY
  USA.

  Ebuenyi, Ikenna, Univ Pittsburgh, Sch Hlth \& Rehabil Sci, Pittsburgh, PA USA.

  Goldman, Howard, Univ Maryland, Sch Med, Baltimore, MD USA.

  Dixon, Lisa, Columbia Univ, Dept Psychiat, New York, NY USA.'
author: Jones, Nev and Pagdon, Shannon and Ebuenyi, Ikenna and Goldman, Howard and
  Dixon, Lisa
author-email: nevjones@pitt.edu
author_list:
- family: Jones
  given: Nev
- family: Pagdon
  given: Shannon
- family: Ebuenyi
  given: Ikenna
- family: Goldman
  given: Howard
- family: Dixon
  given: Lisa
da: '2023-09-28'
doi: 10.1007/s10597-023-01149-3
earlyaccessdate: JUN 2023
eissn: 1573-2789
files: []
issn: 0010-3853
journal: COMMUNITY MENTAL HEALTH JOURNAL
keywords: 'Vocational rehabilitation; Early psychosis; Coordinated specialty care;

  Career development; Social and structural determinants of health; Social

  stratification; Disability'
keywords-plus: 'SECURITY DISABILITY INSURANCE; EARLY INTERVENTION; UNITED-STATES;

  YOUNG-PEOPLE; 1ST EPISODE; SCHIZOPHRENIA; EMPLOYMENT; OUTCOMES; POVERTY;

  INCOME'
language: English
month: 2023 JUN 6
number-of-cited-references: '42'
orcid-numbers: Jones, Nev/0000-0002-4177-0621
papis_id: 4fdb90ee2edf6e1900f4f7c19a2ec36d
ref: Jones2023recoveringvocational
times-cited: '0'
title: 'Recovering the Vocational Self?: Service User Accounts of Barriers to Work
  and School and the Role of Early Psychosis Services in Supporting Career Development'
type: Article; Early Access
unique-id: WOS:001003152600001
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
  Health;

  Psychiatry'
year: '2023'