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Return to Work or Not: The Paths to Psychiatric Disability and Back.

Päivi Rissanen1, Sami Pirkola2,3, Turkka Näppilä4

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This summary is machine-generated.

Many individuals on temporary psychiatric disability pensions (DP) remain disabled or return to unemployment. Returning to work is aided by steady careers, education, and rehabilitation, especially for young adults needing educational support.

Keywords:
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Area of Science:

  • Public Health
  • Psychiatry
  • Social Sciences

Background:

  • Mental health-related work disability is rising in Europe.
  • Efforts to promote work ability have had limited success.
  • Understanding occupational trajectories after psychiatric disability is crucial.

Purpose of the Study:

  • To examine occupational status changes before and after psychiatric disability pensions (DP).
  • To identify factors influencing return to work or continued disability.
  • To explore socioeconomic and health-related disparities among pensioners.

Main Methods:

  • Analysis of 18,373 individuals granted first-time psychiatric DP in Finland (2010-2012).
  • Sequence analysis to cluster occupational status before and after temporary or permanent DP.
  • Multinomial regression to compare factors across nine identified groups.

Main Results:

  • Three typical groups of temporary pensioners were identified: steady work, unemployment, and mixed states.
  • 74% of temporary DP recipients remained disabled, 17% returned to work, and 8% to unemployment.
  • Factors promoting return to work included steady careers, higher education, psychotherapy, and rehabilitation. Young adults with severe illness and less education faced higher long-term disability risk.

Conclusions:

  • Disadvantage cycles linked to unemployment, poor health, low education, and failed rehabilitation exist for temporary DP recipients.
  • Young adults with severe mental disorders require integrated rehabilitation and educational support.
  • Targeted interventions are needed to improve work ability and reduce long-term disability in this population.