Work and financial stability in late-onset first-episode psychosis


  • The age range for ‘youth’ varies but age 25 seems a common cut-off point. For example the Mental Health Commission of Canada considers ‘youth’ to be prenatal to 25 while McGorry1 suggests an age range of 12–25.

Ms Harriet Woodside, The Cleghorn (Early Intervention in Psychosis) Program,25 Charlton Avenue East, Suite 703, Hamilton, Ontario, Canada, L8N 1Y2. Email:


Aim: To explore employment and financial experiences of persons with late-onset first-episode (LOFE) psychosis.

Methods: The study used a grounded theory approach. The subjects were eight participants and five secondary participants from a larger study. Data in the form of interview texts were coded. Analysis focused on work and financial considerations before treatment of psychosis and during recovery.

Results: In LOFE participants, their illness disrupted an established work history. Their recovery goals focused on returning to work and were driven by financial need.

Conclusions: It is important for clinicians to consider return to work and financial issues when supporting the recovery of individuals with late-onset first-episode psychosis. Examples of interventions include counseling about financial benefits, negotiating workplace accommodations and identifying new workplace skills. The study suggests the importance of connecting with employers during early detection campaigns.