Abstract

This paper investigates how two ideologies of mental health rehabilitation—recovery ideology and communal approach—are realized in interactional practices associated with psychosocial rehabilitation. More spesifically, the paper discusses employee selection in the context of the Clubhouse-created Transitional Employment (TE) programme, which offers employment opportunities for rehabilitants. The paper describes how joint decisions are established during the moment-by-moment interactional processes at the Clubhouse. Drawing from the data set of 29 video-recorded rehabilitation group meetings, and Conversation Analysis as a method, the paper analyzes two questions: (1) How do the participants talk about the decision-making process associated with the TE on a “meta” level? And (2) how are the TE employees actually selected in the turn-by-turn sequential unfolding of interaction? When discussing the TE employee selection procedure on a “meta” level, the values of recovery ideology focusing on client empowerment and self-determination are prevalent. Also, the central ideals of the communal approach—openness and collaboration—are defended as decision-making guidelines. However, in the meetings where decisions on the TE employees are concretely made, there is a mismatch between the two ideological approaches to rehabilitation and the actual practices observable in the relevant interactional encounters.

Highlights

  • According to WHO [1], mental disorders affect over 300 million people worldwide, being more common than cancer or heart disease

  • We investigate how the ideals of the two broad approaches described above—(1) the recovery ideology and (2) the communal approach to mental health rehabilitation—are realized in decisionmaking processes associated with one specific programme that has been designed to pave the way for employment opportunities for persons with mental illness

  • Extracts 1–3 are drawn from a meeting in which ten members and two support workers discuss the practical procedures related to the selection of the Transitional Employment (TE) worker

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Summary

Introduction

According to WHO [1], mental disorders affect over 300 million people worldwide, being more common than cancer or heart disease. In the analysis of this paper, we examine the interplay between these two ideologies in meetings where members and support workers plan the TE process and make decisions about who will be given work. Extracts 1–3 are drawn from a meeting in which ten members and two support workers discuss the practical procedures related to the selection of the TE worker.

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