Mental health and labour market participation among young adults

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dc.contributor.author Mattila-Holappa, Pauliina
dc.coverage.spatial Helsinki fi
dc.date.accessioned 2018-10-01T11:50:55Z
dc.date.available 2018-10-01T11:50:55Z
dc.date.issued 2018
dc.identifier.isbn 978-952-284-044-8 (print)
dc.identifier.isbn 978-952-284-045-5 (pdf)
dc.identifier.issn 1238-5050 (ISSN-L)
dc.identifier.issn 1238-5050 (print)
dc.identifier.issn 2323-7724 (pdf)
dc.identifier.uri http://hdl.handle.net/10138/246119
dc.identifier.uri URN:NBN:fi-fe2018082934286
dc.description 112 pp. fi
dc.description.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. fi
dc.language.iso Englanti fi
dc.publisher Kela fi
dc.relation.ispartofseries Studies in social security and health 152 fi
dc.subject adolescents fi
dc.subject young adults fi
dc.subject mental health fi
dc.subject mental disorders fi
dc.subject work ability fi
dc.subject labor market fi
dc.subject access to employment fi
dc.subject incapacity for work fi
dc.subject rehabilitation subsidy fi
dc.subject disability pensions fi
dc.subject depression fi
dc.subject schizophrenia fi
dc.subject psychotic disorders fi
dc.subject mania fi
dc.subject manic-depressive illness fi
dc.subject psychotherapy fi
dc.subject rehabilitation fi
dc.title Mental health and labour market participation among young adults fi
dc.type Sosiaali- ja terveysturvan tutkimuksia fi
dc.description.hinta 32.00 euro fi

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