Psychotherapeutic and work-oriented interventions: employment outcomes among young adults with work disability due to a mental disorder

We examined the extent to which psychotherapeutic and work-oriented interventions were included in a medical treatment and rehabilitation plan and whether they predicted future employment among young adults with work disability due to a mental disorder. Data were obtained from the treatment and reha...

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Bibliographic Details
Published in:International journal of mental health systems 2016-10, Vol.10 (1), p.68-68, Article 68
Main Authors: Mattila-Holappa, Pauliina, Joensuu, Matti, Ahola, Kirsi, Koskinen, Aki, Tuisku, Katinka, Ervasti, Jenni, Virtanen, Marianna
Format: Article
Language:English
Subjects:
Analysis
Employment
Health aspects
Mental disorders
Mental illness
Psychotherapy
Rehabilitation
Young adults
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Summary:We examined the extent to which psychotherapeutic and work-oriented interventions were included in a medical treatment and rehabilitation plan and whether they predicted future employment among young adults with work disability due to a mental disorder. Data were obtained from the treatment and rehabilitation plans of 1163 young adults aged 18‒34 years, who in 2008 were granted fixed-term work disability compensation due to a mental disorder and were followed for 5 years. Forty-six percent had no proposal for psychotherapy or a work-oriented intervention in their treatment and rehabilitation plan, 22 % had a plan for only a psychotherapeutic intervention, 23 % had a plan for only a work-oriented intervention, and 10 % had both types of interventions planned. Having a planned psychotherapeutic intervention (HR = 1.35, 95 % CI 1.07-1.69) and of the work-oriented interventions, planned rehabilitative courses and training (HR = 1.34, 95 % CI 1.03-1.70) predicted quicker entry into competitive employment. Having a plan for both a psychotherapeutic and work-oriented intervention was associated with being employed at the end of the follow-up (OR = 1.77, 95 % CI 1.07-2.95). Young adults with a long-term psychiatric work disability episode rarely have a recorded plan for rehabilitation in their treatment and rehabilitation plan although psychotherapeutic interventions and a combination of a psychotherapeutic and work-oriented intervention might help them gain employment.
ISSN:1752-4458
1752-4458
DOI:10.1186/s13033-016-0101-7