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Related Experiment Videos

Disability management, return to work and treatment.

Elliot Goldner1, Dan Bilsker, Merv Gilbert

  • 1Division of Mental Health Policy and Services,University of British Columbia, Canada.

Healthcarepapers
|April 15, 2005
PubMed
Summary

Supported employment benefits those with severe mental illness, but job retention varies. Research increasingly focuses on occupational recovery for all mental health conditions, aiming for better work function.

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Area of Science:

  • Psychiatry and Occupational Health
  • Vocational Rehabilitation and Mental Disorders

Background:

  • Supported employment initiatives offer greater benefits for individuals with severe mental illness compared to other vocational services.
  • Variable job tenure and limited government implementation remain challenges for supported employment programs.
  • Evidence-based treatment significantly restores job function in less severe mental illnesses like depression, often concurrent with symptom reduction, yet residual impairment persists.

Purpose of the Study:

  • To review current research trends and identify promising directions in occupational recovery for individuals with disabling mental disorders.
  • To explore the effectiveness of various interventions and policies aimed at improving work function and return to work.

Main Methods:

  • Literature review of major research trends in mental illness and occupational recovery.

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  • Identification of promising research directions, including treatment effectiveness, co-morbidity management, population factors, policy analysis, and innovative interventions.

    • Main Results:

    • Supported employment is more effective for severe mental illness, but faces challenges in job tenure and implementation.
    • Standard treatments restore significant work function in less severe mental illnesses, though residual impairment is common.
    • There is a growing focus on occupational recovery across the spectrum of mental illness, with interest in integrated disability management models.

    Conclusions:

    • Further research is needed to optimize supported employment and explore innovative mental healthcare models for occupational recovery.
    • Understanding population factors, policy impacts, and co-morbidity management is crucial for enhancing return-to-work outcomes.
    • Integrated disability management and organizational interventions show potential for fostering occupational recovery in employees with mental disorders.