ArticleJournal of occupational rehabilitation2020
To Disclose or Not to Disclose: A Multi-stakeholder Focus Group Study on Mental Health Issues in the Work Environment.
Article in Journal of occupational rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
68 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Factors influencing employers' support for employees with acquired brain injuries or mental illness to return to- and stay in work: A qualitative systematic review.Work (Reading, Mass.) · 2024Pooled it
- Disclosure of Mental Health Problems or Suicidality at Work: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- In What Ways Does Health Related Stigma Affect Sustainable Employment and Well-Being at Work? A Systematic Review.Journal of occupational rehabilitation · 2022Pooled it
- Towards a better understanding of work participation among employees with common mental health problems: a systematic realist review.Scandinavian journal of work, environment & health · 2022Pooled it
- Mental health first aid in the workplace: a reflexive thematic analysis of UK workers' experiences.International journal of qualitative studies on health and well-being · 2026Trial
- Effectiveness of a Stigma Awareness Intervention on Reemployment of People with Mental Health Issues/Mental Illness: A Cluster Randomised Controlled Trial.Journal of occupational rehabilitation · 2024Trial
- Navigating Discomfort: The Role of Negative Affect in Requesting Workplace Accommodations for Employees with Disabilities in the United States.Journal of occupational rehabilitation · 2026Article
- Managers' Use of Organizational Resources when Supporting Employees with Common Mental Disorders: A Swedish Qualitative Study.Journal of occupational rehabilitation · 2026Article
- Working with a Chronic Health Condition: Is Choosing Not to Disclose the Same as Hiding Information?Journal of occupational rehabilitation · 2026Article
- The role of work in the recovery journey: Meaning, transformation, and inclusion.The British journal of occupational therapy · 2026Article
- Developing a trauma-informed peer support framework for young adults (TIPS-YA): Building on lessons from the field.Psychiatric rehabilitation journal · 2026Article
- Cocreating a Responsive Organization: Disclosure and Responsivity in Veterinary Ophthalmology.Veterinary ophthalmology · 2026Article
- Tailored job coaching for people with severe mental illness living in supported housing settings: A realist approach.PloS one · 2026Article
- The Experiences of Students with Concealable Muslim Identities During Peer Interactions in Undergraduate Biology Courses.CBE life sciences education · 2025Article
- The Job Demands and Accommodation Planning Tool (JDAPT): A Nine-Month Evaluation of Use, Changes in Self-efficacy, Presenteeism, and Absenteeism in Workers with Chronic and Episodic Disabilities.Journal of occupational rehabilitation · 2025Article
- Disclosure Decisions of Workers Living with a Chronic Health Condition Causing Disability at Work: Are Decisions to Disclose to Co-workers and Supervisors Different?Journal of occupational rehabilitation · 2025Article
- Why are Disclosure Decisions so Difficult? Understanding Factors that Encourage and Discourage Workers with a Chronic Disabling Condition from Disclosing Health Information at Work.Journal of occupational rehabilitation · 2025Article
- An Examination of Generative AI Response to Suicide Inquires: Content Analysis.JMIR mental health · 2025Article
- Exploring Canadian Public Safety Communicator Mental Health Help-Seeking Behaviors.New solutions : a journal of environmental and occupational health policy : NS · 2025Article
- 'From that time onwards my role changed'. Disclosing suicidality in Australian workplaces a qualitative study.Health promotion international · 2025Article
8 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose Whether or not to disclose mental illness or mental health issues in the work environment is a highly sensitive dilemma. It can facilitate keeping or finding paid employment, but can also lead to losing employment or to not being hired, because of discrimination and stigma. Research questions were: (1) what do stakeholders see as advantages and disadvantages of disclosing mental illness or mental health issues in the work environment?; (2) what factors are of influence on a positive outcome of disclosure? Methods A focus group study was conducted with five different stakeholder groups: people with mental illness, Human Resources professionals, employers, work reintegration professionals, and mental health advocates. Sessions were audio-taped and transcribed verbatim. Thematic content analysis was performed by two researchers using AtlasTi-7.5. Results were visually represented in a diagram to form a theoretical model. Results Concerning (dis-)advantages of disclosure, six themes emerged as advantages (improved relationships, authenticity, work environment support, friendly culture) and two as disadvantages (discrimination and stigma). Of influence on the disclosure outcome were: Aspects of the disclosure process, workplace factors, financial factors, and employee factors. Stakeholders generally agreed, although distinct differences were also found and discussed in the paper. Conclusion As shown from the theoretical model, the (non-)disclosure process is complex, and the outcome is influenced by many factors, most of which cannot be influenced by the individual with mental illness. However, the theme 'Aspects of the disclosure process', including subthemes: who to disclose to, timing, preparation, message content and communication style is promising for improving work participation of people with mental illness or mental health issues, because disclosers can positively influence these aspects themselves.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.