Neuropsychiatric disorders are the third leading cause of disability in Europe and represent 15, 2% of the total number of diseases, how are estimates for 2014 by World Health Organization (
Keywords: People with mental diseaseswork integrationSWOT Analyzeemployers
Neuropsychiatric disorders are the third leading cause of disability in Europe and represent 15, 2%
of the total number of diseases retrieved from Global Health Estimates Summary Tables for year 2014
(World Health Organization, 2014a).
In Europe, 27% of the adult population, 83 million people with age between 18-65 years
experienced at least one mental disorder in the past year. Located in the European Union (EU) 1 of 15
individuals/year suffer a major episode of depression, while 4 in 15 people are affected by anxiety.
Studies show that 32% of those affected had a mental disorder associated 18% two associated mental
illness, and 14% three or more psychiatric diagnoses associated. This leads through socio-professional
and functional implications related to a disabled life years (WHO, 2015).
The WHO Report for 2014, ′Preventing Suicide: A Global Imperative′ estimated that 804 000
deaths products worldwide in 2012 were by suicide, annual global suicide rate is 11.4:100,000 inhabitants
(World Health Organization, 2014b).
In rich countries 90% of suicides are due to a mental illness and 22% by alcoholism and its
implications (traffic accidents, accidents at work, etc.), (World Health Organization, 2014b).
The problem is underestimated because studies have not been performed on all psychiatric
diagnoses and taken in the study population over 65 years, which is growing numerically, due to current
demographic trends: increasing life expectancy and the retirement age (WHO, 2015). Regarding the
evolution of mental disorders in Romania, it is currently a problem for public health, because the
prevalence of mental disorders is constantly expanding. Psychiatric disorders are debilitating, chronic,
and recovery to long, requires great cost and effort. Mental illnesses have a disabling effect on the
individual and the family and community. The impact is economic, societal, legal, medical and
professional. It has doubled the number of discharges with psychiatric diagnosis (depressive syndrome)
recorded in the medical system in recent years. In terms of the incidence of mental illness, Romania ranks
second in Europe ‰ inhabitants 1403.75, after Estonia, 2057.27 ‰ inhabitants in 2011 (World Health
organization, 2014a). It is reports 300,000 new cases/year (second place in Europe). Between the years
2007-2013, Romania ranks second in Europe in incidence of mental illness (SPSM, 2015). They are thus
required psychiatric departments of general hospitals and major link in university clinics, crisis centers,
psycho-geriatric services, psychiatric services and community forensic psychiatric services.
According to article 23 of law 487/2012 of mental health in Romania and the Universal
Declaration of Human Right, any persons with mental disease have the right to live and work in
community in accord with his’ function capacity (Gavrilă-Ardelean, 2015).
In this field was makes a research project of integration into employment of persons with mental
illness at European level: ′SPSM - Santé Publique, Santé Mental′ (SPSM, 2015). In SPSM – Project, are
upgrading skills and practices of specialists in socio-professional integration of people with mental health
This is necessary to facilitate social and professional (occupational) integration of this category of
population (SPSM, 2015). The amelioration of the employability of psychiatric patients, depending on the
remaining functional capacity, in relation with the perception of employers regarding this occupational
category and it is in law (Supravegherea sănătăţii lucrătorilor, 2007, Legea protecției maternității la
locurile de muncă, 2003).
The amelioration of wellbeing, in bio-psycho-social terms, of this category of population is
possible through socio-occupational integration and the increase of social utility (Gavrilă-Ardelean, &
On international level were created protected workshops in micro type that people with mental
health self useful to be paid. People with physical disabilities can be integrated into a joint team at work
or you can make contracts subsidized by health insurance budget. An example of this is the program of
reintegration of City Hall in Toronto through cooperation with professional teams in insertion
employment of persons with mental disorders (SPSM, 2015).
The Aim Of Research
This research aims to analyze the strengths, weaknesses, opportunities and threats, (SWOT
Analyze) of the employers’ perception regarding labor integration of people with chronic mental diseases,
in Arad County.
The study was set up as preliminary research for laying the foundations of a research project of
integration into employment of persons with mental illness at European level: ′SPSM - Santé Publique,
Santé Mental′ (SPSM, 2015).
In the West of Romania, there are specific regional needs, opportunities and threats of work
integration for people with mental disease. These are in direct relation with the employers’ perception
regarding labor integration of people with chronic mental diseases, in Arad County.
The Study Group
In the research run 10 employers who received a questionnaire about work integration of people
with psychic diseases. The results were processed in a SWOT analysis. The results of the research are
relevant to facilitate the social and professional (occupational) integration of people with psychic
Methodology Of Research
There were created models of grid questionnaires to analyze the employers’ perception regarding
labor integration of people with chronic mental diseases, in Arad County (SPSM, 2015).
At the time of employment, the beneficiaries are compensated in terms of functionality through
medication, psychotherapy, social and welfare monitoring. This is done by a multidisciplinary team
composed of: psychiatrist, specialist in occupational medicine physician, psychologist and social worker
(Gavrilă-Ardelean, & Gavrilă-Ardelean, 2016).They applied grid investigation for a number of 10
Grids investigation questioned aspects of perception regarding integration into employment of
people with mental diseases. The grids were completed by a total of 10 employers, potential employers
and managers of companies and enterprises, but also by team leaders and executives zonal units of the
headquarters of the company is in another locality and several outlets have location in Arad County.
These companies work units of activity:
-Vulcanizing shops and auto mechanics;
-Metal fabrications (welders);
-CNC lathe operators (CNC operators) in manufacturing medical parts;
-School (cleaning maid);
-Waste sorting workers.
The 10 employers completed each questionnaire in the doctor's office, under the supervision of
At the same time, meetings were held in small groups, focus groups, consisting of 2 to 3
employers in the profile of activity, during which were discussed main needs, possibilities and threats in
various fields in order to labor integration and to adapt the organization for people suffering from mental
The responses to the grids and meetings are gleaned in a SWOT analysis. This is shown in Table 1.
SWOT analysis notes that currently, in Romania and in the county of Arad, strengths, positive
opportunities regarding the employability of people with compensated functional mental diseases, are:
- availability of jobs with little risk of injury;
- existence of activity profiles jobs without neuropsychological stress;
- existence of good relationship between employer and employee.
Regarding the negative side SWOT analysis identified the following weaknesses:
- lack of knowledge and support finding suitable employment;
- inability to work in certain fields;
- high taxes / employee;
- medical inability to work (occupational medicine).
Future opportunities for the socio-professional integration of people with mental diseases are
- change and adapt the legislation on mental disability and the labor code, for people with special
- equal opportunities/more chances;
- facilitating bilateral tax and lower taxes;
- institutional multidisciplinary work teams and counseling, to special needs;
- institutional electronic interface, on-demand labor market;
- adjusting the number of workshops sheltered with the number of beneficiaries;
- complex workplace adaptation to the needs of the employee;
- providing financial support and approval of preventive mental health organizational programs
financed from the state or tax breaks for business;
- training professionals specialists in mental health who work in enterprises;
- information, education and training for understanding people with special needs => reduction /
elimination of prejudice and improving communication: employer-recipient-team, facilitating
SWOT analysis has identified several external threats for the future. These are:
- prejudices/social stigma;
- lack of information/knowledge;
- dismiss/social exclusion.
The research hypothesis is confirmed. In the West of Romania, there are specific regional needs,
opportunities and threats of work integration for people with mental diseases. These are in direct relation
with the employers’ perception regarding labor integration of people with chronic mental diseases, in
Arad County. Labor market analysis in Arad County, to assess the perception of employers/entrepreneurs
on the employment of people with mental disorders compensated is an innovative concept of socioprofessional
integration of a broad category of beneficiaries (SPSM, 2015).
This study, undertaken in order to assess the perception of employers in the county of Arad, to
employment integration of people with mental illness, concludes that, in future, there are multiple
opportunities to facilitate the socio-occupational integration of this population groups. Opportunities
prevent threats. Socio-professional opportunities for integration of people with mental illness on labor
market in our county, but also to the whole country, are:
- change and adapt the legislation on mental disability and the labor code, for people with special
needs (Legea sanatatii mintale si a protectiei persoanelor cu tulburari psihice, 2002);
- equal opportunities/more chances (Mărginean, & al. 2006);
- facilitating bilateral tax (http://cnsm.org.ro/arad.php);
- lower taxes;
- institutional multidisciplinary work teams;
- institutional electronic interface, on-demand labor market;
- team work counseling, to individuals with special needs (Gavrilă-Ardelean, & Moldovan, 2014);
- adjusting the number of sheltered workshops on the number of beneficiaries;
- comprehensive adaptation of the workplace to the needs of the employee (Gavrilă-Ardelean, &
- providing financial support;
- approval of preventive mental health programs organizational financed from the state or tax
breaks for business;
- training professionals specialists in mental health organizational who work in enterprises;
- information, education and training for people with special needs understanding =>
reduction/elimination of prejudice and improving communication: employer-recipient-team
facilitating socio-professional insertion.
If these opportunities are applied in practice, we conclude that the objectives of our study:
- Improving the employability of psychiatric patients, depending on the remaining functional
capacity, reduce medical and social assisting costs;
- Improving this population groups health on psychosocial view increase social utility and sociooccupational
- will be achieved and fulfilled, reducing the social support of the population groups, reduce the
economic costs of health insurance and contributions to beneficiaries while increasing social
utility, improves wellbeing on emotional and bio- psychosocial terms.
The challenge of current therapeutic approach is integrated psychiatric patient, in terms of biopsycho-
socio-occupational. Working in multidisciplinary teams, psychiatrists, psychologists, social
workers, physiotherapists, occupational integration and professional insertion, is important to good
therapy and patient monitoring in terms of bio-psycho-socially and professionally. The team of specialists
includes: psychiatrist, family doctor, specialist in obstetrics and gynaecology (pregnant psychiatric
patients), social worker, psychologist, mental health professionals, occupational physician, for the
integration and socio-professional reintegration of the physical disorder patient.
The occupational physician is the specialist directly involved in determining suitability and
compatibility for the type of work for psychiatric patient. Occupational physician recommendations are
for adapting the workplace and the socio-professional residual functional capacity of the individual active
person. The occupational physician recommendations (change of job or profession) are for unfitness to
work for the position held by psychiatric patient. These recommendations are in accordance with labor
legislation in Romania. Clearly stipulated by law are incompatible professions for permanent or
temporary psychiatric pathology (traffic, decision and leadership functions, etc.).
In conclusion, required specialized services must be addressed primarily to information and
education (changing behaviour) in the organization, regarding people with such mental health problems,
mainly among employers and working environment.
Prioritizing mental health policies in Romania for the period 2014-2020 is to promote integrated
services to treat mental illness. Creating partnerships between the public and private sector in providing
special services is very important. Romania aims for the future till 2020, the treatment of mental
disorders, to integrate mental health services throughout the health system: public, private and nongovernment
improve the phenomenon of social stigma and promote integrated approach of person and
therapeutically act for social reintegration of persons with psychiatric disorders.
The research results are relevant to facilitate the work integration of people with psychic diseases.
The employability of people with mental diseases will be ameliorated by improving the skills of
counselling employment specialists. Based on the SWOT results, we establish the competences required
to train employment counselling specialists. This requires specific competencies to help people with
chronic mental disorders obtain and keeping a job. These competences will be established as a final result
of an international research project (SPSM). ‘The mission of this project is to professionalize and develop
the teaching career of the future specialists and graduates, as well as handling them in pedagogical,
psychological and psychosocial relation with forming of professional competences, methodological
design, evaluative, communication, identification and solving interpersonal conflicts and problem
situations occurred in the process of supporting the employment and employability of people with chronic
psychic disorders.’ (Gavrilă-Ardelean, & al. 2016, pp. 38)
The manuscript is not under consideration for publication elsewhere and if accepted, it will not be
published elsewhere in the same form, either in English or in any other language, without the consent of
Bring to the Editor’s attention any Conflict of Interest: The authors don′t have any Conflict of
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25 May 2017
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Cite this article as:
Gavrilă-Ardelean, M. (2017). SWOT Analyze of Work Integration for People with Mental Diseases. In E. Soare, & C. Langa (Eds.), Education Facing Contemporary World Issues, vol 23. European Proceedings of Social and Behavioural Sciences (pp. 1355-1362). Future Academy. https://doi.org/10.15405/epsbs.2017.05.02.166