RTW-PIA - Intensified Return to Work (RTW) aftercare in psychiatric outpatient clinics of psychiatric hospitals

Conditions

F20-F29 F30-F39 F40-F48 F50-F59 F60-F69

F Starke, Johannes Zimmermann, Harry T. Inge, Anna Sikora, Ava Schulz et al. (7 authors)

European Journal of Public Health2025-10-01

Socio-demographic, health, treatment, and labour market characteristics of sick-listed employees diagnosed with and treated for a mental disorder in Germany

F Starke, Inge Houkes, Alexandra Sikora, Uta Wegewitz, Angelique de Rijk

Disability and Rehabilitation2025-02-06

10.1080/09638288.2024.2447376

Evaluating a multimodal, clinical and work-directed intervention (RTW-PIA) to support sustainable return to work among employees with mental disorders: study protocol of a multicentre, randomised controlled trial.

Starke F, Sikora A, Stegmann R, Knebel L, Buntrock C, de Rijk A, Houkes I, Szycik GR, Unger HP, Schumacher JO, Stark H, Hauth I, Holzapfel C, Borgolte A, Schneller C, Unterschemmann SL, Paetow W, Jung AL, Berking M, Zimmermann J, Wegewitz U.

2023-05-303 citations

10.1186/s12888-023-04753-5

Interventions

Group 1: Besides receiving standard care, study participants of the intervention group will be offered a new form of care which combines the following three sequential modules that are initiated and i

Eligibility

Sex/Gender

All

Age

18 Years to 60 Years

Inclusion criteria

Inclusion criteria: (1) aged between 18 and 60 years, (2) employment with at least 15 hours per week on the primary labour market, (3) at least 6 weeks of current incapacity for work, (4) inpatient, day-care or outpatient treatment within a care hospital´s psychiatric institutional outpatient department due to a currently diagnosed mental disorder (ICD-10; World Health Organization, 2004) from F20 to F69, (5) fulfilment of the other entrance criteria into the psychiatric outpatient clinics of psychiatric hospitals, formulated in section 118 of Book V of the German Social Security Code (SBG V) (with respect to the clinic´s criteria regarding type, severity and duration of illness)

Exclusion criteria

Exclusion criteria: (1) single or main diagnosis of organic psychiatric disorders (F00-F09) and substance abuse (F10-19) (2) acute severe somatic disease (3) present pregnancy (4) conscious decision against returning to job market (5) already planned, approved and prepared rehabilitation

Design outcomes

Primary

Measure	Time frame
Sustainable Return to Work, defined as a "twelve-month stay at work period without longer sick leave periods of > 6 weeks within the last 12 months after first returning to work" (self-developed, in accordance with TiC-P instrument (Treatment Inventory of Costs in Patients with psychiatric disorders))	—

Secondary

Measure	Time frame
- Occurrence of a relapse based on sympton severity (BSI-18=Brief Symptom Inventory) - Work ability (Work-Ability-Scale) - Functionality (NFAS=Norwegian Function Assessment Scale) -RTW Self-Efficacy (RTW-SE=Return To Work-Self Efficacy Scale) - Health-related quality of life (AQoL-6D=Assessment of Quality of Life - 6D scale) - Job satisfaction (COPSOQ=Copenhagen Psychosocial Questionnaire) - Utilisation of medical services (TiC-P=Treatment Inventory of Costs in Patients with psychiatric disorders) At 5 different timepoints, study participants will be asked to respond to a six month interval-online survey.	—

Measure

Time frame

- Occurrence of a relapse based on sympton severity (BSI-18=Brief Symptom Inventory) - Work ability (Work-Ability-Scale) - Functionality (NFAS=Norwegian Function Assessment Scale) -RTW Self-Efficacy (RTW-SE=Return To Work-Self Efficacy Scale) - Health-related quality of life (AQoL-6D=Assessment of Quality of Life - 6D scale) - Job satisfaction (COPSOQ=Copenhagen Psychosocial Questionnaire) - Utilisation of medical services (TiC-P=Treatment Inventory of Costs in Patients with psychiatric disorders) At 5 different timepoints, study participants will be asked to respond to a six month interval-online survey.

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Countries

Germany

Outcome results

None listed