Correlates of competitive versus noncompetitive employment among adults with psychotic disorders

Waghorn, Geoffrey, Saha, Sukankta and McGrath, John J. (2013) Correlates of competitive versus noncompetitive employment among adults with psychotic disorders. Psychiatric Services, In Advance 1-7. doi:10.1176/

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Author Waghorn, Geoffrey
Saha, Sukankta
McGrath, John J.
Title Correlates of competitive versus noncompetitive employment among adults with psychotic disorders
Journal name Psychiatric Services   Check publisher's open access policy
ISSN 1075-2730
Publication date 2013-12-16
Sub-type Article (original research)
DOI 10.1176/
Open Access Status Not Open Access
Volume In Advance
Start page 1
End page 7
Total pages 7
Place of publication Arlington, VA, United States
Publisher American Psychiatric Publishing
Language eng
Formatted abstract
Objective Studies of the demographic and clinical correlates of employment activity have proven useful for identifying employment assistance needs among people with severe and persistent mental illness. However, the results of prior studies remain unclear, and most reviews of prior studies have not differentiated competitive from noncompetitive employment. This study attempted to clarify the relative strength and consistency of correlates of competitive versus noncompetitive employment.

Methods Data were drawn from a population-based survey of Australian adults with psychotic disorders between March and December 2010. Demographic, clinical, and employment assistance correlates of competitive and noncompetitive employment were compared. The sample comprised 1,825 participants who agreed to face-to-face interviews.

Results A total of 408 (22.3%) participants were employed in the previous four weeks, 330 (18.1%) in competitive employment and 78 (4.3%) in noncompetitive employment. Those in competitive employment were more likely to be female and aged 18–34, to have a partner, to have received formal vocational training or education after high school, and to have no literacy difficulties. Better global functioning, shorter illness duration, less severe course of illness, and affective versus nonaffective psychosis were associated with a greater likelihood of competitive employment. Those using Australian government employment services were less likely to be in competitive employment, suggesting a service provider preference for noncompetitive employment.

Conclusions Four times as many employees were in competitive employment than in noncompetitive employment. The negative relationship between employment assistance and competitive employment highlights the urgent need to improve the effectiveness of Australian employment services for people with severe mental illnesses.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes In Advance Articles: December 16, 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 8 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 27 Feb 2014, 21:08:04 EST by Sheila Cleary on behalf of Psychiatry - Royal Brisbane and Women's Hospital