Mental health and labour market participation among young adults

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Title: Mental health and labour market participation among young adults
Author: Mattila-Holappa, Pauliina
Publisher: Kela
Date: 2018
Language: Englanti
Belongs to series: Studies in social security and health 152
ISBN: 978-952-284-044-8 (print)
978-952-284-045-5 (pdf)
ISSN: 1238-5050 (ISSN-L)
1238-5050 (print)
2323-7724 (pdf)
Abstract: Mental disorders are the leading cause of work disability among young adults. This study examined the background of young adults who were granted temporary work disability pension due to mental disorders in Finland, their clinical profile, the interventions targeted at them, and employment outcomes over five years. The data comprised people aged 18–34 (n = 1,163) who were granted a fixed-term work disability pension in 2008 due to a mental disorder (ICD-10 codes F10–69, F80–99) by an occupational pension institute. The data included patients’ pension applications and attached medical certifications, which were linked to employment data from the Finnish Centre for Pensions. The most common diagnoses were depressive mood disorders (39%), schizophrenia, schizotypal and delusional disorders (34%), and mania or bipolar disorder (14%). Half of the young adults were attached to the labour market or education prior to the granted pension. Three clinical profiles were identified: ‘Childhood (including adolescence) adversity’, associated with depressive disorders; ‘Comorbidity’, associated with bipolar disorder; and ‘Undefined’, associated with psychotic disorders. Half of the non-student young adults had received work-oriented interventions or had them in their treatment and rehabilitation plan. Forty per cent had received psychotherapy or had a plan for it. A total of 22% of the sample were employed at the end of the 5.6-year follow-up, whereas 48% had been employed at some time during this period. Having planned psychotherapeutic intervention or rehabilitative courses and training at baseline was associated with quicker entry into the labour market. Having both planned psychotherapeutic and work-oriented interventions was associated with being employed at the end of the follow-up. Both psychotherapy and work-oriented interventions are likely to be beneficial for the future employment of young adults on disability pension.
Description: 112 pp.
Subject: adolescents
young adults
mental health
mental disorders
work ability
labor market
access to employment
incapacity for work
rehabilitation subsidy
disability pensions
psychotic disorders
manic-depressive illness
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