Supporting return to work after psychiatric hospitalization—A cluster randomized study (RETURN-study)
Abstract Background If people with episodic mental-health conditions lose their job due to an episode of their mental illness, they often experience personal negative consequences. Therefore, reintegration after sick leave is critical to avoid unfavorable courses of disease, longer inability to work...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822023574/type/journal_article |
| _version_ | 1827995082874159104 |
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| author | Johannes Hamann Anne Lang Lina Riedl Daniela Blank Monika Kohl Adele Brucks David Goretzko Markus Bühner Tamara Waldmann Reinhold Kilian Peter Falkai Alkomiet Hasan Martin E. Keck Michael Landgrebe Stephan Heres Peter Brieger |
| author_facet | Johannes Hamann Anne Lang Lina Riedl Daniela Blank Monika Kohl Adele Brucks David Goretzko Markus Bühner Tamara Waldmann Reinhold Kilian Peter Falkai Alkomiet Hasan Martin E. Keck Michael Landgrebe Stephan Heres Peter Brieger |
| author_sort | Johannes Hamann |
| collection | DOAJ |
| description | Abstract
Background
If people with episodic mental-health conditions lose their job due to an episode of their mental illness, they often experience personal negative consequences. Therefore, reintegration after sick leave is critical to avoid unfavorable courses of disease, longer inability to work, long payment of sickness benefits, and unemployment. Existing return-to-work (RTW) programs have mainly focused on “common mental disorders” and often used very elaborate and costly interventions without yielding convincing effects. It was the aim of the RETURN study to evaluate an easy-to-implement RTW intervention specifically addressing persons with mental illnesses being so severe that they require inpatient treatment.
Methods
The RETURN study was a multi-center, cluster-randomized controlled trial in acute psychiatric wards addressing inpatients suffering from a psychiatric disorder. In intervention wards, case managers (RTW experts) were introduced who supported patients in their RTW process, while in control wards treatment, as usual, was continued.
Results
A total of 268 patients were recruited for the trial. Patients in the intervention group had more often returned to their workplace at 6 and 12 months, which was also mirrored in more days at work. These group differences were statistically significant at 6 months. However, for the main outcome (days at work at 12 months), differences were no longer statistically significant (p = 0.14). Intervention patients returned to their workplace earlier than patients in the control group (p = 0.040).
Conclusions
The RETURN intervention has shown the potential of case-management interventions when addressing RTW. Further analyses, especially the qualitative ones, may help to better understand limitations and potential areas for improvement.
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| first_indexed | 2024-04-10T04:50:00Z |
| format | Article |
| id | doaj.art-fd3963f1c0ac46e2920131ec8fb93234 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-10T04:50:00Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-fd3963f1c0ac46e2920131ec8fb932342023-03-09T12:33:49ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-01-016610.1192/j.eurpsy.2022.2357Supporting return to work after psychiatric hospitalization—A cluster randomized study (RETURN-study)Johannes Hamann0https://orcid.org/0000-0002-3861-6017Anne Lang1https://orcid.org/0000-0002-4441-8279Lina Riedl2https://orcid.org/0000-0002-0658-5332Daniela Blank3Monika Kohl4Adele Brucks5David Goretzko6Markus Bühner7https://orcid.org/0000-0002-0597-8708Tamara Waldmann8https://orcid.org/0000-0002-8084-2827Reinhold Kilian9https://orcid.org/0000-0002-4401-5787Peter Falkai10Alkomiet Hasan11Martin E. Keck12https://orcid.org/0000-0001-5111-9333Michael Landgrebe13Stephan Heres14Peter Brieger15Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, Germany Bezirksklinikum Mainkofen, Deggendorf, GermanyKbo-Isar-Amper-Klinikum, Haar, GermanyDepartment of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, GermanyKbo-Isar-Amper-Klinikum, Haar, GermanyDepartment of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, GermanyDepartment of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, GermanyPsychological Methods and Assessment, Ludwig-Maximilians-Universität München, München, GermanyPsychological Methods and Assessment, Ludwig-Maximilians-Universität München, München, GermanyKlinik für Psychiatrie II am BKH Günzburg, Sektion Gesundheitsökonomie und Versorgungsforschung, Günzburg, GermanyKlinik für Psychiatrie II am BKH Günzburg, Sektion Gesundheitsökonomie und Versorgungsforschung, Günzburg, GermanyDepartment of Psychiatry and Psychotherapy, Klinikum der Ludwig-Maximilians-Universität München, München, GermanyMedical Faculty, Department of Psychiatry, Psychotherapy and Psychosomatics, Bezirkskrankenhaus Augsburg, University of Augsburg, Augsburg, GermanyDepartment of Psychiatry, Psychotherapy and Psychosomatics, Klinik Seewis, Seewis, SwitzerlandDepartment of Psychiatry and Psychotherapy, kbo Lech-Mangfall-Hospital, Agatharied, GermanyKbo-Isar-Amper-Klinikum, Haar, GermanyKbo-Isar-Amper-Klinikum, Haar, GermanyAbstract Background If people with episodic mental-health conditions lose their job due to an episode of their mental illness, they often experience personal negative consequences. Therefore, reintegration after sick leave is critical to avoid unfavorable courses of disease, longer inability to work, long payment of sickness benefits, and unemployment. Existing return-to-work (RTW) programs have mainly focused on “common mental disorders” and often used very elaborate and costly interventions without yielding convincing effects. It was the aim of the RETURN study to evaluate an easy-to-implement RTW intervention specifically addressing persons with mental illnesses being so severe that they require inpatient treatment. Methods The RETURN study was a multi-center, cluster-randomized controlled trial in acute psychiatric wards addressing inpatients suffering from a psychiatric disorder. In intervention wards, case managers (RTW experts) were introduced who supported patients in their RTW process, while in control wards treatment, as usual, was continued. Results A total of 268 patients were recruited for the trial. Patients in the intervention group had more often returned to their workplace at 6 and 12 months, which was also mirrored in more days at work. These group differences were statistically significant at 6 months. However, for the main outcome (days at work at 12 months), differences were no longer statistically significant (p = 0.14). Intervention patients returned to their workplace earlier than patients in the control group (p = 0.040). Conclusions The RETURN intervention has shown the potential of case-management interventions when addressing RTW. Further analyses, especially the qualitative ones, may help to better understand limitations and potential areas for improvement. https://www.cambridge.org/core/product/identifier/S0924933822023574/type/journal_articleMental healthrehabilitationreturn to work |
| spellingShingle | Johannes Hamann Anne Lang Lina Riedl Daniela Blank Monika Kohl Adele Brucks David Goretzko Markus Bühner Tamara Waldmann Reinhold Kilian Peter Falkai Alkomiet Hasan Martin E. Keck Michael Landgrebe Stephan Heres Peter Brieger Supporting return to work after psychiatric hospitalization—A cluster randomized study (RETURN-study) European Psychiatry Mental health rehabilitation return to work |
| title | Supporting return to work after psychiatric hospitalization—A cluster randomized study (RETURN-study) |
| title_full | Supporting return to work after psychiatric hospitalization—A cluster randomized study (RETURN-study) |
| title_fullStr | Supporting return to work after psychiatric hospitalization—A cluster randomized study (RETURN-study) |
| title_full_unstemmed | Supporting return to work after psychiatric hospitalization—A cluster randomized study (RETURN-study) |
| title_short | Supporting return to work after psychiatric hospitalization—A cluster randomized study (RETURN-study) |
| title_sort | supporting return to work after psychiatric hospitalization a cluster randomized study return study |
| topic | Mental health rehabilitation return to work |
| url | https://www.cambridge.org/core/product/identifier/S0924933822023574/type/journal_article |
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