How do Workers with Common Mental Disorders Experience a Multidisciplinary Return-to-Work Intervention? A Qualitative Study

Malene Friis Andersen, Karina Nielsen, Sven Brinkmann

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Purpose Long-term sick leave due to common mental disorders (CMD) is an increasing problem in many countries. Recent reviews indicate that return to work (RTW) interventions have limited effect on reducing sickness absence among this group of sick-listed. The aims of this study were to investigate how sick-listed persons with CMD experienced participating in an RTW intervention
and how workability assessments and RTW activities influenced their RTW-process, and to examine the working mechanisms of the intervention. The gained
knowledge can help improve future RTW intervention design and implementation. Methods In-depth interviews were conducted with 17 participants on sick leave due to CMD who participated in an RTW intervention. Interviews were conducted at three time points with each participant.
Principles of interpretative phenomenological analyses guided the analysis. Results The workability assessment consultations and RTW activities such as psychoeducative group sessions and individual sessions with psychologist
could result in both motivation and frustration depending on the extent to which the RTW professionals practiced what we have termed an individual approach to the sicklisted person. Conclusions The individual approach seems necessary for the realization of the positive potential in the RTW intervention. However, the fact that RTW professionals are both the facilitators and the controllers of the
sick-listed persons’ RTW process is an inherent paradox in the intervention, which can impede the necessary establishment of a high-quality relationship between the sicklisted persons and RTW professionals.
Original languageEnglish
Pages (from-to)709-724
Number of pages16
JournalJournal of Occupational Rehabilitation
Volume24
Issue number4
Early online date15 Feb 2014
DOIs
Publication statusPublished - Dec 2014

Keywords

  • Sick leave
  • Mental disorders
  • Intervention
  • Rehabilitation
  • Return to work
  • Qualitative research

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