scholarly journals Return to Work after Common Mental Disorders: A Qualitative Study Exploring the Expectations of the Involved Stakeholders

2020 ◽  
Vol 17 (18) ◽  
pp. 6635
Author(s):  
Jessica Scharf ◽  
Peter Angerer ◽  
Gesine Müting ◽  
Adrian Loerbroks
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Return To Work ◽  
Health Care Professionals ◽  
Common Mental Disorders ◽  
Qualitative Interviews ◽  
Occupational Physicians ◽  
Return Process

Common mental disorders (CMDs) are risk factors for long-term sickness absence and unemployment. Therefore, return-to-work (RTW) processes have been introduced to facilitate the return of employees. As the success of RTW processes is considered to be determined by the cooperativeness of the involved stakeholders, we aimed to investigate the views of those stakeholders to disclose potentially diverging expectations. Qualitative interviews were conducted (08/2018-04/2019) among five stakeholder groups: returnees with a diagnosed CMD who were eligible for a RTW process; health care professionals nominated by the returnees; supervisors, colleagues and occupational physicians (the latter three groups were not nominated by the returnees). In total, 24 returnees, 13 health care professionals, 13 occupational physicians, 9 supervisors and 9 colleagues were interviewed (68 interviews in total). Potentially diverging expectations of the stakeholders related to whether diagnoses need to be disclosed by returnees. Agreement existed in terms of the need for a trustful relationship between employees and occupational physicians to initiate a RTW process early. As the understanding of all stakeholders’ viewpoints is one of the main factors promoting a successful RTW, we explored the expectations of those involved in the RTW process. One implication of our findings is to strengthen the role of occupational physicians, who could coordinate the return process.

Across the spectrum: Strategies to improve recognition and treatment of mental disorders in primary care

2017 ◽  
Author(s):  
Victoria J. Palmer ◽  
Rob Whitley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Social Workers ◽  
Health Care Professionals ◽  
Occupational Therapists ◽  
Whole Person ◽  
Seeking Help

There is an abundance of published literature documenting the important role of primary care in the recognition, treatment and management of mental disorders. Despite this, general practitioners, nurses, social workers, occupational therapists, physiotherapists, and other primary health care professionals remain under acknowledged, and the multidisciplinary team arrangements needed for effective management elusive. Individual and community stigma attached to seeking help has not been removed. This chapter provides an overview of these existing barriers and outlines strategies for implementation to improve recognition and treatment of mental disorders across the spectrum in primary care. These strategies are focused on the delivery of whole person, resulting in integrated and person-centred care.

scholarly journals Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Karlijn M. van Beurden ◽  
Jac J. L. van der Klink ◽  
Evelien P. M. Brouwers ◽  
Margot C. W. Joosen ◽  
Jolanda J. P. Mathijssen ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Return To Work ◽  
Guideline Adherence ◽  
Self Efficacy ◽  
Common Mental Disorders ◽  
Occupational Physicians

scholarly journals Barriers and Facilitators for Return to Work from the Perspective of Workers with Common Mental Disorders with Short, Medium and Long-Term Sickness Absence: A Longitudinal Qualitative Study

2021 ◽  
Author(s):  
Margot C. W. Joosen ◽  
Marjolein Lugtenberg ◽  
Iris Arends ◽  
Hanneke J. A. W. M. van Gestel ◽  
Benedikte Schaapveld ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Qualitative Study ◽  
Return To Work ◽  
Sickness Absence ◽  
Common Mental Disorders ◽  
Coping Behavior ◽  
Work Conditions ◽  
Barriers And Facilitators ◽  
Structured Interviews

AbstractPurpose Although common mental disorders (CMDs) highly impact individuals and society, a knowledge gap exists on how sickness absence can be prevented in workers with CMDs. This study explores: (1) workers’ perceived causes of sickness absence; (2) perceived return to work (RTW) barriers and facilitators; and (3) differences between workers with short, medium and long-term sickness absence. Methods A longitudinal qualitative study was conducted involving 34 workers with CMDs. Semi-structured interviews were held at two time-points during their RTW process. The 68 interviews were audio-taped, transcribed and thematically analyzed to explore workers’ perspective on sickness absence causes, RTW barriers and facilitators, and compare data across the three sub-groups of workers. Results Workers reported various causes for their absence, including: (1) high work pressure; (2) poor work relationships; (3) unhelpful thoughts and feelings, e.g. lacking self-insight; and (4) ineffective coping behaviors. According to workers, RTW was facilitated by work adjustments, fulfilling relationships with supervisors, and adequate occupational health guidance. Workers with short-term leave more often reported favorable work conditions, and proactive coping behavior. In contrast, the long-term group reported reactive coping behavior and dissatisfaction with their work. Conclusion Supporting workers with CMDs in gaining self-awareness and regaining control, discussing the value of their work, and creating work conditions that enable workers to do valuable work, seem central for successful RTW and might prevent sickness absence. Supervisors play a key role in enabling workers to do valuable work and further research should focus on how supervisors can be supported in this task.

scholarly journals Undetected Common Mental Disorders in Long-Term Sickness Absence

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Hans Joergen Soegaard
Keyword(s):  
Mental Disorders ◽  
Sick Leave ◽  
Return To Work ◽  
Sickness Absence ◽  
Common Mental Disorders ◽  
Phase 1 ◽  
Somatoform Disorder ◽  
Phase 2 ◽  
Two Phase

Background. Undetected Common Mental Disorders (CMDs) amongst people on sick leave complicate rehabilitation and return to work because appropriate treatments are not initiated. Aims. The aim of this study is to estimate (1) the frequencies of CMD, (2) the predictors of undetected CMD, and (3) the rate of return to work among sick listed individuals without a psychiatric disorder, who are registered on long-term sickness absence (LSA). Methods. A total of 2,414 incident individuals on LSA with a response rate of 46.4%, were identified for a two-phase study. The subsample of this study involved individuals registered on LSA who were sick-listed without a psychiatric sick leave diagnosis. In this respect, Phase 1 included 831 individuals, who were screened for mental disorders. In Phase 2, following the screening of Phase 1, 227 individuals were thoroughly examined by a psychiatrist applying Present State Examination. The analyses of the study were carried out based on the 227 individuals from Phase 2 and, subsequently, weighted to be representative of the 831 individuals in Phase 1. Results. The frequencies of undetected mental disorders among all sick-listed individuals were for any psychiatric diagnosis 21%, depression 14%, anxiety 4%, and somatoform disorder 6%. Conclusions. Undetected CMD may delay the initiation of appropriate treatment and complicate the rehabilitation and return to work.

Return to Work After Long-Term Sick Leave: Stories of Employed Women With Common Mental Disorders

2018 ◽  
Vol 13 ◽  
Author(s):  
Erika Wall ◽  
John Selander
Keyword(s):  
Mental Disorders ◽  
Sick Leave ◽  
Return To Work ◽  
Common Mental Disorders ◽  
Collective Narratives ◽  
Management Perspective ◽  
Female Employees ◽  
Absence From Work ◽  
Open Question

AbstractThe aim of this study is to investigate the perceptions of female employees on long-term sickness absence due to common mental disorders (CMDs), in relation to what they perceive would best help them to return to work. Data were collected through a survey answered by employees at a municipality in Sweden on long-term sick leave. Results of the current study are based on a part of that material, namely from 56 women with CMDs who responded to the final open question. The analysis involves two steps. Initially, we explored themes that form the accounts in the findings. Secondly, based on the themes, collective narratives, storylines were identified. Three different storylines were found to be prominent in the findings. The storylines describe how the participants collectively expressed themselves in relation to the possibilities for return to work, and the following storylines were derived:It feels like too much, Things are moving too fast,andI have to get out of here!. The findings are related to perceived demands, control and support. From a disability management perspective, we have learned the importance of restoring the balance between demands, control and support — not only to prevent absence from work, but also to facilitate return to work after a period of long-term sickness.

Common mental disorders in young refugees in Sweden: the role of education and duration of residency

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Mittendorfer Rutz ◽  
M Helgesson ◽  
M Norredam ◽  
M Sijbrandij ◽  
C Jamil de Montgomery ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Anxiety Disorders ◽  
Posttraumatic Stress ◽  
Lower Risk ◽  
Common Mental Disorders ◽  
Stress Disorders ◽  
Refugee Youth ◽  
Risk Estimates

Abstract Background Studies investigating risks of common mental disorders (CMDs) in refugee youth are sparse. The current study examined health care use due to CMDs in unaccompanied and accompanied refugee youth and Swedish-born, and the role of education and residency duration. Methods This register-based, longitudinal cohort study included 743,671 individuals (whereof 33,501 refugees) between 19-25 years, residing in Sweden in 2009. Refugees were classified as unaccompanied/accompanied. Risk estimates of CMDs, measured as health care and antidepressant treatment, between 2010-2016 were calculated as adjusted hazard ratios (aHR) with 95% confidence intervals (CI). Highest attained education in 2009, and residency duration were examined as potential modifiers. Results Compared to Swedish-born youth, refugees had a lower risk of treated major depressive and anxiety disorders (aHR): 0.73 (95% CI 0.68-0.78) and 0.74 (95% CI 0.70-0.79) respectively), but a higher risk for posttraumatic stress disorders (PTSD). Compared to Swedish-born, unaccompanied had an 8-fold elevated risk for PTSD (aHR: 8.40, 95% CI 6.16-11.47) and accompanied refugees had a nearly 3-fold risk of PTSD (aHR: 2.78, 95% CI 2.29-3.37). Rates of PTSD decreased with years spent in Sweden. The risk of CMDs decreased with increasing education. Conclusions Young refugees had a lower risk of treated depressive and anxiety disorders, but a higher risk for PTSD. In refugees, the rates of anxiety disorders increased slightly over time, whereas the rates of PTSD decreased. Last, low education was an important predictor for CMDs. Key messages Our study highlights the need to specifically focus on stress-related mental disorders in studies on refugees as risk estimates might differ. Moreover, providing scalable low-intensity interventions to address CMDs including posttraumatic stress are an important first step in order to prevent prolonged suffering and persistence of PTSD in refugee youth.

scholarly journals Professional Bereavement Photography in the Setting of Perinatal Loss: A Qualitative Analysis

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985494 ◽  
Author(s):  
Faustine D. Ramirez ◽  
Jori F. Bogetz ◽  
Megan Kufeld ◽  
Lynn M. Yee
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Perinatal Loss ◽  
Grieving Process ◽  
Bereaved Parents ◽  
Semistructured Interviews ◽  
Bereavement Photography ◽  
Positive Memories

Perinatal loss, including fetal and infant death, is a devastating experience for parents, resulting in long-term adverse physical and psychosocial outcomes. However, little is known about what services might best support grieving parents. We aimed to understand the role of professional bereavement photography in assisting the grieving process of parents who have lost a fetus or infant, by examining the perspectives of bereaved parents, professional photographers, and health care professionals. Twenty semistructured interviews were conducted, and interview transcripts were analyzed using modified grounded theory. Twenty-three individuals participated, including 6 bereaved parents, 8 photographers, and 9 health care professionals. Analyses generated 5 major themes describing ways in which the photographs were valuable to parents: validation of the experience, permission to share, creation of a permanent and tangible legacy, creation of positive memories, and moving forward after the loss. Hospitals should consider incorporation of professional bereavement photography services into palliative care and bereavement programs.

Integrating Mental Health care and Vocational Rehabilitation to Improve Return to work rates for People on Sick Leave Because of Common Mental Disorders

2017 ◽  
Vol 41 (S1) ◽  
pp. s787-s787
Author(s):  
A. Hoff
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Disorders ◽  
Sick Leave ◽  
Mental Health Care ◽  
Return To Work ◽  
Vocational Rehabilitation ◽  
Common Mental Disorders ◽  
Intervention Group ◽  
Treatment As Usual

IntroductionSick leave due to common mental disorders (CMD) has major negative influence on society because of the lost productivity, social benefits, and treatment costs, and OECD estimates that the cost is equivalent to 3.4% of the Danish gross domestic product.ObjectivesThe Objective is to examine, whether integrating mental health care with vocational rehabilitation, conveys shorter return to work (RTW) time, compared to treatment as usual, after sick leave due to a CMD such as depression, anxiety, and stress-related disorders.AimsThe aims of the intervention of are to provide the shortest possible RTW time. Primary outcome is RTW time, and secondary outcomes are (a) time from RTW until recurrent sick leave and (b) symptom level a six months.MethodsPatients are included in one of two randomized controlled studies (anxiety or depression in one RCT, and stress-related disorders in another RCT), after referral from the municipality vocational rehabilitation (VR) center, after sick leave for at least four weeks. Patients, in both trials, are randomized into one of three groups, in a ratio of 1:1:1: (a) control group, where they receive treatment as usual in primary care and municipally located VR, (b) intervention group: mental health care (MHC) in the research project, and municipally located VR (not integrated), and (c) intervention group: MHC in the research project, integrated with a special project VR.ResultsWe are currently including, and as of December 2016, more than 300 are included. The total sample will be 1536 patients.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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