Wages and Challenges for Workers in Sheltered Workshops

What is the compensation for sheltered workshops?

Do you want to work in a sheltered workshop when you get older? Can you tell me about the benefits? However, I still have a mortgage, an elderly mother to care for, and a daughter to support, so I will postpone working in a sheltered workshop.
I understand schizophrenia (the old name), but the current term sounds frightening (omitted).
I'm scared of the recent murder case in Zhongjie; it's terrifying (omitted).
I had a serious illness when I was young.
I have all the symptoms described in Shen Chuwen's psychiatry textbook, which is very well written.
I just talked with a friend for two hours about our mental health issues.
We are considered mentally disabled, and it seems impossible to get a job in that field; I finally understand that they would rather be short-staffed than hire someone with a mental disability.
The situation for those with mental health issues is pitiful and helpless.
I recently learned that Zhang ×× applies for jobs as a normal person, and even someone with depression is not accepted, let alone someone with schizophrenia.
It's so tragic, so tragic, to be labeled as normal.
I have experienced about 4-5 episodes (the first was the most severe; from ages 24 to 26, I insisted I was fine and did not continue treatment until the police took me to the hospital).
The second episode was in Taipei (Department of Health), and it was also very distressing.
After a long time, I had my third and fourth episodes in Kaohsiung.
Due to staying up late, I suddenly heard voices of both males and females, and I thought my classmates from a cram school were mocking me again—auditory hallucinations.
I couldn't tell which direction the ambulance was coming from; it was very noisy in my ears.
My experiences in the past 1-2 years have been less severe, but my memory has really declined.
I feel that my illness is not severe when I don't have thought broadcasting.
I have only had these few episodes, yet I am labeled as mentally ill.
I want to ask the doctor about the definition of schizophrenia; I don't want to be considered a mental patient because no one wants to hire us.
Can I avoid taking medication? I want to purchase health insurance because future out-of-pocket medical expenses are expensive.
Since it seems impossible to adjust, I will ask my attending physician next time.
I will also consult an online doctor (important reminder) that you should see a real person talking to you before responding; if you hear voices when no one is around, treat it as your own thoughts.
Because of this, my condition has stabilized a lot.
Currently, jobs require quick responses, and I feel pressured.
My experience in Gaohsiung has been exhausting.
Sometimes I really want to lie down and rest.

Xiang (Cheng shang yi ti 208513 ji 208516), 50~59 year old female. Ask Date: 2024/05/24

Dr. Zhang Gengjia reply Psychiatry

From your letter, it is clear that you are experiencing distress due to issues ranging from somatoform disorders to schizophrenia.

1.
Facing an uncertain future, somatoform disorders are common in modern society.
This is a chronic condition that requires long-term treatment for recovery.

2.
Somatoform disorders are chronic illnesses that have periods of exacerbation, remission, recovery, and relapse.
More than half of patients may experience a recurrence of symptoms even after they have improved.
Due to individual differences in constitution, it will be necessary to confirm whether your situation requires medical attention.

3.
Regarding pharmacological treatment, each primary medication requires 4 to 6 weeks to assess its efficacy.
It is advisable for you to note the duration and frequency of any discomfort symptoms you experience.

4.
In addition to medication and psychotherapy, repetitive transcranial magnetic stimulation (rTMS) is a non-invasive treatment that does not require anesthesia, has a high safety profile, and does not necessitate hospitalization.
It can help improve emotional issues related to somatoform disorders.
Please consider the involvement of a psychologist.
Our clinic has outpatient services available Monday through Friday, both in the morning and afternoon.
We recommend that you consider visiting the clinic for a personal evaluation of your symptoms by a physician, and you may also be referred to a vocational counselor to discuss the best decisions for you.

Reply Date: 2024/05/24

More Info

Navigating the complexities of employment, especially for individuals with mental health challenges, can be incredibly daunting. Your concerns about working in a sheltered workshop, the associated wages, and the broader implications of your mental health condition are valid and deserve careful consideration.

Understanding Sheltered Workshops and Wages
Sheltered workshops are designed to provide employment opportunities for individuals with disabilities, including mental health conditions. These environments aim to offer a supportive setting where individuals can develop skills and gain work experience. However, the wages in sheltered workshops can vary significantly based on location, the type of work performed, and the funding available to the organization. Generally, wages may be lower than minimum wage, as they are often subsidized by government programs or charitable organizations. It's essential to inquire directly with the specific sheltered workshop about their pay structure, as well as any benefits they may offer, such as job training or counseling services.

Challenges Faced by Individuals with Mental Health Conditions
Your feelings of fear and anxiety, particularly in light of recent tragic events, are understandable. The stigma surrounding mental health, especially conditions like schizophrenia, can lead to feelings of isolation and hopelessness. Many individuals with mental health conditions face significant barriers to employment, including discrimination and a lack of understanding from potential employers. This can create a cycle of frustration and despair, as you noted in your reflections on job applications and the perception of your condition.

It's crucial to recognize that while your diagnosis may influence your experiences, it does not define your worth or capabilities. Many individuals with mental health conditions lead fulfilling lives and contribute positively to society. Seeking employment in environments that understand and accommodate your needs can be a vital step toward achieving stability and self-sufficiency.

The Importance of Treatment and Support
Regarding your question about medication and treatment, it's essential to consult with your healthcare provider. While some individuals may feel stable and consider discontinuing medication, doing so without professional guidance can lead to a resurgence of symptoms. Your mental health team can help you weigh the benefits and risks of continuing treatment, as well as explore alternative therapies that may support your well-being.

Additionally, consider seeking support from mental health professionals who specialize in employment counseling for individuals with disabilities. They can provide guidance on navigating the job market, improving your employability, and managing workplace stressors.

Building a Support Network
Connecting with others who share similar experiences can be incredibly beneficial. Support groups, whether in-person or online, can provide a safe space to share your feelings, learn coping strategies, and gain insights from others who have faced similar challenges. These connections can help combat feelings of loneliness and isolation, fostering a sense of community and belonging.

Conclusion
In summary, while the journey toward employment in a sheltered workshop or any other setting may be fraught with challenges, it is essential to remain hopeful and proactive. Understanding the wage structure, seeking appropriate treatment, and building a support network can empower you to navigate this complex landscape. Remember, your mental health condition does not diminish your potential; with the right support and resources, you can find fulfilling work and contribute meaningfully to society. Don't hesitate to reach out to mental health professionals for guidance and support as you move forward.

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