A conceptual framework for return to work for clients with major depressive disorder

Area of Science:

• Occupational therapy
• Mental health
• Vocational rehabilitation

Background:

• Return to work (RTW) for individuals with major depressive disorder (MDD) is often prolonged and complex, risking isolation and negative mental health impacts.
• A lack of comprehensive models hinders understanding of factors influencing RTW for MDD clients.
• This study addresses the need for an occupation-based framework for RTW in MDD.

Approach:

• Developed a conceptual framework using literature synthesis and qualitative data from eight MDD participants.
• Linked study findings to constructs within Kielhofner's Model of Human Occupation (MOHO).
• Employed thematic synthesis and deductive analysis based on MOHO subsystems.

Key Points:

• The conceptual framework integrates MOHO constructs: Person and Occupational Setting.
• Occupational Identity and Competence are central components for successful RTW.
• Analysis focused on the waiting period and experience of RTW for MDD clients.

Conclusions:

• Successful RTW for MDD clients depends on individual factors and the occupational setting.
• An occupation-based conceptual framework, grounded in MOHO, can enhance occupational therapists' role in RTW.
• This framework provides guidance for managing the RTW process for individuals with MDD.