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Self-Employment for People with Psychiatric Disabilities: Advantages and Strategies

Advantages of self-employment for people with psychiatric disabilities, who may have disrupted educational and employment histories, include opportunities for self-care, additional earning, and career choice. Self-employment fits within a recovery paradigm because of the value placed on individual preferences, and the role of resilience and perseverance in business ownership. This commentary elucidates the positive aspects of self-employment in the context of employment challenges experienced by individuals with psychiatric disabilities and provides recommendations based on larger trends in entrepreneurship.

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“It suits my needs”: Self-employed individuals with psychiatric disabilities and small businesses

This exploratory study identified characteristics of individuals’ work and disability histories, as well as business characteristics, that can inform policy and practice development in support of disability-owned small businesses. Self-employment is not necessarily a fit for everyone, but for individuals with psychiatric disabilities, it may be a pathway back to work. The size of the respondent businesses and the part-time nature of the work suggests that individuals with psychiatric disabilities are operating very small businesses that may serve as a wage employment alternative if they are able to grow in the future, or be sustained as a part-time adjunct to public benefits or other paid or unpaid work.

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Supporting business owners with psychiatric disabilities: An exploratory analysis of challenges and supports

Self-employed individuals with psychiatric disabilities used informal business supports more than help from institutions. Friends, family, mentors, online resources, and other business owners were most frequently a source of support and were rated most helpful. Institutional supports, for example the Small Business Development Center, were less frequently used and less likely to be considered helpful. Entrepreneurs with psychiatric disabilities may benefit from supports specific to their needs and preferences. (PsycInfo Database Record (c) 2021 APA, all rights reserved)

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Discontinuing Psychiatric Medications: A Survey of Long-Term Users

To enhance service user choice and prevent undesirable outcomes, this first U.S. survey of a large sample of longer-term users sought to increase knowledge about users’ experience of medication discontinuation. About half (54%) met their goal of completely discontinuing one or more medications; 46% reported another outcome (use was reduced, use increased, or use stayed the same). Of respondents who completely discontinued, 82% were satisfied with their decision.

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An exploratory analysis of the role of social supports in psychiatric medication discontinuation: results related to family involvement

Individuals in psychiatric treatment frequently choose to stop taking psychiatric medications, but little is known about the role of social supports in this process. Of all social support groups, only family was significantly associated with medication discontinuation. Respondents who rated family as helpful in the discontinuation process were less likely to completely discontinue than those who rated family as unhelpful or who reported no family involvement. Additionally, we observed a statistically significant but nonlinear relationship where respondents who rated their families as either “very supportive” or “very unsupportive” of the decision to discontinue were less likely to meet their original discontinuation goal than those with more neutral ratings. The results of this study suggest families have an important and complex role in medication decision-making.

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