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Employed but not included: the case of consumer-workers in mental health care services
The International Journal of Human Resource Management ( IF 6.026 ) Pub Date : 2021-02-25 , DOI: 10.1080/09585192.2020.1863248
Vrinda Edan 1 , Kathryn Sellick 1 , Susan Ainsworth 2 , Susie Alvarez-Varquez 1 , Brendan Johnson 1 , Krystyn Smale 1 , Rory Randall 1 , Cath Roper 1
Affiliation  

Abstract

This article explores how employees with mental illness perceive HRM and its impact, drawing on consumer-centred perspectives. Using the case of consumer-workers employed for their lived experience of mental illness in mental health care services, we investigate the degree to which they feel included or marginalised by HR systems, processes and practices. Through a mixed method study designed along co-production principles, we found consumer-workers faced different but interrelated problems stemming from their status: a general lack of understanding of the role and its purpose; inequity in pay rates, workplace conditions, and training and development; as well as employment precarity and difficulties around disclosure, stigmatisation and discrimination. Overall, organisational support for these unique roles seemed to be lacking despite the clear business need for these positions. We make several contributions: firstly, we show how employees in a unique role that requires experience of mental illness are impacted by the interaction between HR systems, processes and practices; secondly, we illustrate why HR scholars need to engage with varied paradigms of knowledge about mental illness beyond the dominant medical/psychiatric one; and thirdly, we demonstrate a methodology that not only explores employee perspectives, but includes employees in the research design and process.



中文翻译:

就业但不包括:精神卫生保健服务中的消费者工作者案例

摘要

本文利用以消费者为中心的观点,探讨了患有精神疾病的员工如何看待 HRM 及其影响。我们以消费者工人为例,他们在精神卫生保健服务中因精神疾病的生活经历而受雇,我们调查了他们感到被人力资源系统、流程和实践包括在内或被边缘化的程度。通过按照共同生产原则设计的混合方法研究,我们发现消费者工人面临着不同但相互关联的问题,这些问题源于他们的地位:普遍缺乏对角色及其目的的理解;工资率、工作场所条件以及培训和发展方面的不平等;以及围绕披露、污名化和歧视的就业不稳定和困难。总体,尽管这些职位有明确的业务需求,但似乎缺乏对这些独特角色的组织支持。我们做出了几项贡献:首先,我们展示了担任需要精神疾病经验的独特角色的员工如何受到人力资源系统、流程和实践之间的相互作用的影响;其次,我们说明了为什么人力资源学者需要研究关于精神疾病的各种知识范式,而不是占主导地位的医学/精神病学知识范式;第三,我们展示了一种方法,它不仅探索员工的观点,而且将员工纳入研究设计和流程。其次,我们说明了为什么人力资源学者需要研究关于精神疾病的各种知识范式,而不是占主导地位的医学/精神病学知识范式;第三,我们展示了一种方法,它不仅探索员工的观点,而且将员工纳入研究设计和流程。其次,我们说明了为什么人力资源学者需要研究关于精神疾病的各种知识范式,而不是占主导地位的医学/精神病学知识范式;第三,我们展示了一种方法,它不仅探索员工的观点,而且将员工纳入研究设计和流程。

更新日期:2021-02-25
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