{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T07:55:17Z","timestamp":1793346917944,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,3,26]],"date-time":"2020-03-26T00:00:00Z","timestamp":1585180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Minist\u00e8re de l'Enseignement sup\u00e9rieur, de la Recherche et de la Science du Qu\u00e9bec"},{"name":"the Faculty of education"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Most workers with a severe mental illness (SMI) experience brief job retention, usually under 6\u00a0months. Managing their clinical symptoms to maintain employment is a constant challenge. However, little is known about the personal initiatives these workers undertake to learn to manage their clinical symptoms at work. The study presented here documented, from an emic perspective, the self\u2010directed learning of work\u2010health balance strategies applied in the workplace.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was conducted with five adults with SMI employed in the competitive labour market and six support persons. Between March 2017 and May 2018, a dataset was constructed based on 21 semi\u2010structured interviews, eight observation sessions, and photographs taken of 15 objects used by the workers to manage their clinical symptoms. The analysis was guided by Mendez's retrospective and current temporal analysis of social processes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The workers experienced four different self\u2010directed learning patterns (preparation, post\u2010crisis, active self\u2010directed learning, and identity transformation) and used five types of strategies to facilitate work\u2010health balance: preparation for work, reassurance, validation, assertiveness, and work\u2013rest transitions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These workers with SMI, all of whom had job retention of 2\u00a0years or more in competitive employment, learned and applied work\u2010health balance strategies. Self\u2010directed learning was enhanced by customised pharmacological treatment, mindfulness activities, active listening by support persons and psychotherapy specific to the mental illness.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.12662","type":"journal-article","created":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T06:52:54Z","timestamp":1585291974000},"page":"341-349","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Workers with severe mental illness coping with clinical symptoms: Self\u2010directed learning of work\u2010health balance strategies"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0873-379X","authenticated-orcid":false,"given":"Dominique","family":"Therrien","sequence":"first","affiliation":[{"name":"Department of Nursing Sciences \u2013 Mental Health Universit\u00e9 du Qu\u00e9bec en Outaouais (UQO) Gatineau QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Corbi\u00e8re","sequence":"additional","affiliation":[{"name":"Department of Education and Pedagogy \u2013 Career Counseling Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al (UQAM) Montreal QC Canada"},{"name":"Centre de recherche de l'Institut universitaire en sant\u00e9 mentale de Montr\u00e9al (CRIUSMM) Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karine","family":"Collette","sequence":"additional","affiliation":[{"name":"D\u00e9partement des Lettres et communications Universit\u00e9 de Sherbrooke Sherbrooke QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,26]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Desk reference to the diagnostic criteria from DSM\u20105","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3917\/ls.133.0045"},{"key":"e_1_2_8_4_1","volume-title":"The anthropology of writing: Understanding textually\u2010mediated worlds","author":"Barton D.","year":"2010"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.108.021683"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413494485"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000001013"},{"issue":"1","key":"e_1_2_8_8_1","first-page":"95","article-title":"Le point sur la situation socioprofessionnelle des personnes atteintes de schizophr\u00e9nie et autres troubles mentaux graves","volume":"29","author":"Corbi\u00e8re M.","year":"2008","journal-title":"Revue Qu\u00e9b\u00e9coise de Psychologie"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/prj0000033"},{"key":"e_1_2_8_10_1","volume-title":"La m\u00e9thode de Naomi Feil \u00e0 l'usage des familles: La validation, pour garder le lien avec un proche \u00e2g\u00e9 d\u00e9sorient\u00e9","author":"Klerk\u2010Rubin V.","year":"2015"},{"key":"e_1_2_8_11_1","volume-title":"Les comp\u00e9tences acquises par l'autoformation: relev\u00e9 des pratiques et des tractations travailleurs\u2010employeurs en vue de leur reconnaissance","author":"D'Ortun F.","year":"2011"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780199734016.001.0001"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/13639080.2012.644901"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0149206317741194"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.encep.2014.04.004"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02195789"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.140724"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.2307\/j.ctt1f1hct2"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0308022617712199"},{"issue":"2","key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.encep.2014.04.005","article-title":"Une intervention cognitive comportementale de groupe pour les personnes suivies dans le cadre d'un programme de soutien \u00e0 l'emploi (TCC\u2010SE) [A group cognitive behavioral intervention for people registered in supported employment programs: CBT\u2010SE]","volume":"40","author":"Lecomte T.","year":"2014","journal-title":"L'Enc\u00e9phale"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.020982"},{"key":"e_1_2_8_22_1","volume-title":"Processus: Concepts et m\u00e9thode pour l'analyse temporelle en sciences sociales","author":"Mendez A.","year":"2010"},{"key":"e_1_2_8_23_1","volume-title":"Qualitative research: A guide to design and implementation","author":"Merriam S. 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