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Rodolfo Buselli1, Paolo Del Guerra2, Fabrizio Caldi3

  • 1Azienda Ospedaliero Universitaria Pisana. r.buselli@gmail.com.

La Medicina Del Lavoro
|July 7, 2020
PubMed
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Managing employees with mental disabilities through medical surveillance significantly reduced disease severity and improved functioning, enabling nearly all to retain their jobs. This highlights the effectiveness of integrated care in occupational mental health.

Area of Science:

  • Occupational Health
  • Psychiatry
  • Healthcare Management

Background:

  • Managing workers with mental disabilities is a significant concern in occupational health.
  • This study focuses on the experience within an Italian university hospital setting.
  • It outlines preventive measures and therapeutic programs implemented for employees with mental disabilities.

Purpose of the Study:

  • To report on the management of employees with mental disabilities in a university hospital.
  • To describe adopted preventive measures and executed therapeutic programs.
  • To evaluate the efficacy of a medical surveillance program for psychiatric disorders in the workplace.

Main Methods:

  • A cohort of 100 workers with psychiatric disorders underwent a medical surveillance program for at least 6 months.

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  • The protocol included psychiatric and psychotherapeutic visits, occupational physician consultations, and medico-legal evaluations.
  • Clinical Global Impression (CGI) and Global Assessment of Functioning (GAF) scales were used for baseline and follow-up assessments.

    • Main Results:

    • The workforce comprised primarily nurses (44%) and nursing assistants (24%), with mood and anxiety disorders being most prevalent.
    • Participation in the surveillance program led to a statistically significant reduction in disease severity.
    • Overall functioning improved, and job retention was achieved in almost all cases.

    Conclusions:

    • Integrated skills are valuable for multidisciplinary diagnosis and monitoring of workers with mental disabilities.
    • Periodic health surveillance effectively supports the management of occupational mental health.
    • The study demonstrates a successful model for workplace mental health management.