Psychotherapeutic Consultation Services in the Workplace: A Longitudinal Analysis of Treatments and Sick Leave Using Health Insurance Data

BackgroundPsychotherapeutic consultation services in the workplace (PSIW) have been developed to provide collaborative mental health care for employees. The aim of this study was to analyze participant characteristics, the role of PSIW in treatment courses, and the development of sick leave before a...

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Main Authors: Melanie Gantner, Marc Nicolas Jarzcok, Jürgen Schneider, Stefan Brandner, Harald Gündel, Jörn von Wietersheim
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.838823/full
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author Melanie Gantner
Marc Nicolas Jarzcok
Jürgen Schneider
Stefan Brandner
Harald Gündel
Jörn von Wietersheim
author_facet Melanie Gantner
Marc Nicolas Jarzcok
Jürgen Schneider
Stefan Brandner
Harald Gündel
Jörn von Wietersheim
author_sort Melanie Gantner
collection DOAJ
description BackgroundPsychotherapeutic consultation services in the workplace (PSIW) have been developed to provide collaborative mental health care for employees. The aim of this study was to analyze participant characteristics, the role of PSIW in treatment courses, and the development of sick leave before and after PSIW start.MethodsRoutine data from PSIW and health insurance of 155 participants were analyzed descriptively and by means of a multilevel negative binomial regression.ResultsEighty-four percent of users were male, and 72% were diagnosed with a mental disorder. The number of PSIW consultations varied from 1 to 13 (mean = 4). For 34% of participants, PSIW sessions were sufficient, 33% received a recommendation for outpatient psychotherapy, and 20% for inpatient mental health treatment. While recommendations for inpatient treatment displayed a high adherence rate (74%), recommendations for outpatient treatment were followed by 37%. Compared with the period of a half-year before PSIW, sick-leave days were reduced from the period of the second half-year after PSIW start and in the subsequent observed half-year periods. Trajectories of sick leave by subgroups showed differences.ConclusionsPSIW is a flexible care offer, and results indicate a possible effect of PSIW on sick leave. In future studies, control group designs and inclusion of further variables are needed.
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spelling doaj.art-b630ab1aa6d145e59eb1892826dff23d2022-12-22T03:14:13ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-03-011310.3389/fpsyt.2022.838823838823Psychotherapeutic Consultation Services in the Workplace: A Longitudinal Analysis of Treatments and Sick Leave Using Health Insurance DataMelanie Gantner0Marc Nicolas Jarzcok1Jürgen Schneider2Stefan Brandner3Harald Gündel4Jörn von Wietersheim5Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Ulm, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Ulm, GermanyWieland BKK, Ulm, GermanyWieland BKK, Ulm, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Ulm, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre, Ulm, GermanyBackgroundPsychotherapeutic consultation services in the workplace (PSIW) have been developed to provide collaborative mental health care for employees. The aim of this study was to analyze participant characteristics, the role of PSIW in treatment courses, and the development of sick leave before and after PSIW start.MethodsRoutine data from PSIW and health insurance of 155 participants were analyzed descriptively and by means of a multilevel negative binomial regression.ResultsEighty-four percent of users were male, and 72% were diagnosed with a mental disorder. The number of PSIW consultations varied from 1 to 13 (mean = 4). For 34% of participants, PSIW sessions were sufficient, 33% received a recommendation for outpatient psychotherapy, and 20% for inpatient mental health treatment. While recommendations for inpatient treatment displayed a high adherence rate (74%), recommendations for outpatient treatment were followed by 37%. Compared with the period of a half-year before PSIW, sick-leave days were reduced from the period of the second half-year after PSIW start and in the subsequent observed half-year periods. Trajectories of sick leave by subgroups showed differences.ConclusionsPSIW is a flexible care offer, and results indicate a possible effect of PSIW on sick leave. In future studies, control group designs and inclusion of further variables are needed.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.838823/fullcollaborative care in the workplacesick leavehealth services researchworkplace interventionoccupational health serviceworkplace mental health
spellingShingle Melanie Gantner
Marc Nicolas Jarzcok
Jürgen Schneider
Stefan Brandner
Harald Gündel
Jörn von Wietersheim
Psychotherapeutic Consultation Services in the Workplace: A Longitudinal Analysis of Treatments and Sick Leave Using Health Insurance Data
Frontiers in Psychiatry
collaborative care in the workplace
sick leave
health services research
workplace intervention
occupational health service
workplace mental health
title Psychotherapeutic Consultation Services in the Workplace: A Longitudinal Analysis of Treatments and Sick Leave Using Health Insurance Data
title_full Psychotherapeutic Consultation Services in the Workplace: A Longitudinal Analysis of Treatments and Sick Leave Using Health Insurance Data
title_fullStr Psychotherapeutic Consultation Services in the Workplace: A Longitudinal Analysis of Treatments and Sick Leave Using Health Insurance Data
title_full_unstemmed Psychotherapeutic Consultation Services in the Workplace: A Longitudinal Analysis of Treatments and Sick Leave Using Health Insurance Data
title_short Psychotherapeutic Consultation Services in the Workplace: A Longitudinal Analysis of Treatments and Sick Leave Using Health Insurance Data
title_sort psychotherapeutic consultation services in the workplace a longitudinal analysis of treatments and sick leave using health insurance data
topic collaborative care in the workplace
sick leave
health services research
workplace intervention
occupational health service
workplace mental health
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.838823/full
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