Employees with a range of patterns of sickness absence, and a complex mix of mental health and physical health problems, with high proportions suffering from symptoms of depression and anxiety, and musculoskeletal symptoms. Mental and Behavioural Disorders
Conditions
Interventions
Collaborative case management: The intervention will involve core aspects of published ?collaborative care? models, including a 60 minute client-centred assessment, collaborative goal setting, and cho
Sponsors
The University of Manchester (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Employees experiencing or entering long-term sick leave defined as between 4 weeks and 12 months 2. Employees who work for companies who have their Occupational Health services provided by OH Assist or Leicestershire Fit4Work 3. Those who report a minimum level of baseline distress, (defined as a score of 11+ on the CORE-OM measure of general health and well-being: Clinical Outcomes in Routine Evaluation Outcome Measure)
Exclusion criteria
Exclusion criteria: Employees will be excluded if: 1. They are aged less than 18 years old 2. They refuse consent 3. Score less than 11 on the COREOM 4. Are currently attending any psychotherapy either through NHS counselling services or private services 5. They suffer from a severe and enduring mental disorder or if they are at risk of suicide and require immediate care from a crisis management team
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total recruitment, including rates over time and response rates | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clinical Outcomes in Routine Evaluation outcome measure (CORE-OM).The CORE-OM is a 34 item measure of psychological distress and comprises four dimensions: subjective well-being, symptoms, functioning, and risk 2. SF12 (version 2) is a brief version of the well-known SF36. The scale uses 12 questions to measure functional health and well-being over the past 4 weeks 3. PHQ 9. This is a nine item scale recording core symptoms of depression 4. Work and Social Adjustment Scale (WSAS) is a short, 5 item measure of impairment in functioning across 5 domains (work, home management, social leisure, private leisure, relationships) 5. Self-reported actual and effective working hours quantified by the World Health Organization Health and Work Performance Questionnaire 6. Client health and social care utilisation will be based on a version of the Client Services Receipt Inventory 7. EQ5D measure of health related quality of life will be included for cost effectiveness calculations. The 5 item scale covers mobility, self-care, usual activities, pain, anxiety and depression, each with three levels of severity and provides a utility value based on a population tariff 8. Client Satisfaction Questionnaire (CSQ8) is an eight item self-administered questionnaire collected at the end of service delivery and scored using a four point Likert scale 9. Bayliss measure of multimorbidity will be used to assess the impact of physical symptoms and associated long-term conditions. The measure assesses the presence and impact of 22 common problems | — |
Countries
United Kingdom
Outcome results
None listed