The role of work in the recovery journey: Meaning, transformation, and inclusion

Introduction: Employment plays a vital role in the recovery of individuals with serious mental illness, yet its specific contributions to well-being remain underexplored. This study examines how individuals perceive employment in their recovery, identifying key factors that support workplace inclusion and personal growth. Method: An explanatory, multiple-case study design was used. Semistructured interviews were conducted with five participants with serious mental illness, and data were analyzed thematically to identify recurring themes related to employment and recovery. Result: Employment fostered self-awareness, advocacy, and self-actualization. Participants reported that understanding their condition enabled them to advocate for workplace accommodations, while both awareness and advocacy supported self-actualization. Peer support was critical for sustaining employment and fostering a sense of belonging. These elements interacted to create an inclusive work environment that facilitated ongoing recovery. Conclusion: Employment is a dynamic and integral component of recovery. Workplace policies promoting self-awareness, advocacy, and peer support enhance job retention and well-being. Occupational therapists can play a key role in supporting individuals by facilitating workplace accommodations, strengthening self-advocacy skills, and fostering peer support networks, ensuring that employment contributes meaningfully to recovery.