Abstract
Objectives: The care program approach in the NHS mental health service emphasizes a holistic approach to treatment, including understanding how employment and mental health relate. Mental disorders account for 47% of UK long-term sickness-absence from the workplace therefore support for clients finding or keeping employment should be integrated with NHS mental healthcare. This study examined the extent to which this philosophy is put into practice. Methods: This study examined cross-sectional survey data from 3329 clients of the NHS mental health service. All expressed an interested in getting employment support. Results: Only 56% of the clients received this support. Univariate analysis of variance showed that clients who take psychiatric medication are significantly more likely to receive the support even controlling for the recency or duration of their use of the service, P<0.001. Conclusions: Care program approach training in NHS mental health services should increase staff awareness about clients’ employment support needs.
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