Related Experiment Videos
Employment advice in primary care: a realistic evaluation
Gail Pittam1, Melanie Boyce, Jenny Secker
1Solutions for Public Health, Oxford, UK. gail.pittam@sph.nhs.uk
Health & Social Care in the Community
|May 27, 2010
Summary
Specialist employment advisers in GP surgeries help individuals with mental health issues. Retaining employment was more successful than gaining new work, suggesting separate care pathways may be more effective.
Area of Science:
- Occupational Health
- Mental Health Services Research
- Health Services Management
Background:
- Workforce mental distress and ill-health are prevalent in UK organizations.
- General practitioners are the primary contact for common mental health issues like anxiety and depression.
- Integrating employment advisers into GP surgeries offers early intervention and combined vocational/psychological support.
Purpose of the Study:
- To evaluate the effectiveness of employment advisers working within GP surgeries.
- To determine what interventions work, for whom, and in which contexts.
- To compare outcomes for clients seeking to regain work versus retain employment.
Main Methods:
- A realistic evaluation framework was employed.
- Interviews were conducted with 22 clients, five primary healthcare staff, and four employment advisers.
- The study focused on a project by the Richmond Fellowship in Eastern England.
Main Results:
- Retain clients found careers guidance and employer negotiation strategies most helpful for maintaining employment.
- Regain clients benefited most from interview skills, CV writing, and assertiveness training.
- Employment outcomes were significantly higher for Retain clients compared to Regain clients.
Conclusions:
- Specialist employment support in primary care can aid individuals with mental health problems.
- Separate care pathways for retaining and regaining employment may enhance service effectiveness.
- Interventions should be tailored to client needs for optimal vocational and psychological support.
Related Concept Videos
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
01:15Nursing Evaluation
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Section...
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:21Interdisciplinary Care: The Health Care Team-I
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...