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Supporting return to work after psychiatric hospitalization-A cluster randomized study (RETURN-study).

Johannes Hamann1,2, Anne Lang3, Lina Riedl1

  • 1Department of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, Germany.

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Summary
This summary is machine-generated.

The RETURN study found that case managers helped patients with severe mental illness return to work sooner after sick leave. While not all outcomes were significant at 12 months, the intervention showed promise for return-to-work programs.

Keywords:
Mental healthrehabilitationreturn to work

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Area of Science:

  • Psychiatry
  • Occupational Health
  • Rehabilitation Medicine

Background:

  • Job loss due to mental illness episodes leads to negative personal consequences and prolonged inability to work.
  • Existing return-to-work (RTW) programs often target common mental disorders with costly interventions lacking proven efficacy.
  • There is a need for accessible RTW interventions for individuals with severe mental illnesses requiring inpatient treatment.

Purpose of the Study:

  • To evaluate an easily implementable RTW intervention for inpatients with severe mental illnesses.
  • To assess the effectiveness of case manager support in facilitating return to work.

Main Methods:

  • A multi-center, cluster-randomized controlled trial involving 268 inpatients in acute psychiatric wards.
  • Intervention group: received support from case managers (RTW experts).
  • Control group: received treatment as usual.

Main Results:

  • Patients in the intervention group returned to work more often at 6 and 12 months, with significantly more days at work at 6 months.
  • Intervention patients demonstrated earlier return to workplace compared to the control group (p=0.040).
  • The main outcome (days at work at 12 months) did not reach statistical significance (p=0.14).

Conclusions:

  • The RETURN intervention highlights the potential of case management for facilitating return to work in patients with severe mental illness.
  • Further qualitative analyses are recommended to understand intervention limitations and areas for improvement.
  • The study suggests that targeted case management can aid in reintegration after sick leave for this population.