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

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http://hdl.handle.net/10138/168827

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Mattila-Holappa , P , Joensuu , M , Ahola , K , Koskinen , A , Tuisku , K , Ervasti , J & Virtanen , M 2016 , ' Psychotherapeutic and work-oriented interventions : employment outcomes among young adults with work disability due to a mental disorder ' International journal of mental health systems , vol. 10 , 68 . DOI: 10.1186/s13033-016-0101-7

Title: Psychotherapeutic and work-oriented interventions : employment outcomes among young adults with work disability due to a mental disorder
Author: Mattila-Holappa, Pauliina; Joensuu, Matti; Ahola, Kirsi; Koskinen, Aki; Tuisku, Katinka; Ervasti, Jenni; Virtanen, Marianna
Contributor: University of Helsinki, Department of Psychiatry
Date: 2016-10-12
Language: eng
Number of pages: 10
Belongs to series: International journal of mental health systems
ISSN: 1752-4458
URI: http://hdl.handle.net/10138/168827
Abstract: Background: 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. Methods: 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. Results: 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). Conclusions: 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.
Subject: Mental disorder
Occupational
Prospective
Psychotherapy
Work
Vocational
Intervention
Young adults
SUPPORTED EMPLOYMENT
RETURN
PEOPLE
SCHIZOPHRENIA
PENSION
COHORT
HEALTH
3124 Neurology and psychiatry
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