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An individualized approach is key for return-to-work (RTW) interventions for common mental disorders (CMD). Professionals must balance support and control to foster trust and improve outcomes for sick-listed individuals.

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Area of Science:

  • Occupational Health
  • Psychiatry
  • Rehabilitation Medicine

Background:

  • Long-term sick leave due to common mental disorders (CMD) presents a growing societal challenge.
  • Current return-to-work (RTW) interventions show limited efficacy in reducing sickness absence for this population.

Purpose of the Study:

  • To explore the experiences of individuals with CMD undergoing RTW interventions.
  • To understand how workability assessments and RTW activities impact the RTW process.
  • To identify the mechanisms underlying intervention effectiveness.

Main Methods:

  • Qualitative study involving in-depth interviews with 17 participants on sick leave due to CMD.
  • Interviews conducted at three distinct time points.
  • Interpretative phenomenological analysis framework applied for data interpretation.

Main Results:

  • Workability assessments and RTW activities (e.g., psychoeducation, therapy) elicited both motivation and frustration.
  • Participant response was contingent on the RTW professionals' adoption of an "individual approach".

Conclusions:

  • An individualized approach is crucial for maximizing the benefits of RTW interventions for CMD.
  • A core paradox exists where RTW professionals act as both facilitators and controllers, potentially hindering therapeutic relationships.