Psychological Wellbeing and Work: Improving service provision and outcomes

Stolk, Christian Van; Hofman, Joanna; Hafner, Marco; Janta, Barbara

doi:10.7249/rr407

Cited by 10 publications

(9 citation statements)

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“…A number of policy documents (WHO, 2011 ; van Stolk et al 2014 ) have summarized some of the limited randomized controlled trial (RCT) evidence of the effects on mental health of interventions for people who have lost their jobs, most notably studies of the JOBS programmes in the USA (Caplan et al 1989 ; Vinokur et al 1995 b ) and the Työhön job search programme in Finland (Vuori et al 2002 ). Two reviews assessed the evidence on ‘job search’ interventions and included data from randomized and non-randomized studies (Audhoe et al 2010 ; Liu et al 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Interventions to reduce the impact of unemployment and economic hardship on mental health in the general population: a systematic review

et al. 2016

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BackgroundJob loss, debt and financial difficulties are associated with increased risk of mental illness and suicide in the general population. Interventions targeting people in debt or unemployed might help reduce these effects.MethodWe searched MEDLINE, Embase, The Cochrane Library, Web of Science, and PsycINFO (January 2016) for randomized controlled trials (RCTs) of interventions to reduce the effects of unemployment and debt on mental health in general population samples. We assessed papers for inclusion, extracted data and assessed risk of bias.ResultsEleven RCTs (n = 5303 participants) met the inclusion criteria. All recruited participants were unemployed. Five RCTs assessed ‘job-club’ interventions, two cognitive behaviour therapy (CBT) and a single RCT assessed each of emotional competency training, expressive writing, guided imagery and debt advice. All studies were at high risk of bias. ‘Job club’ interventions led to improvements in levels of depression up to 2 years post-intervention; effects were strongest among those at increased risk of depression (improvements of up to 0.2–0.3 s.d. in depression scores). There was mixed evidence for effectiveness of group CBT on symptoms of depression. An RCT of debt advice found no effect but had poor uptake. Single trials of three other interventions showed no evidence of benefit.Conclusions‘Job-club’ interventions may be effective in reducing depressive symptoms in unemployed people, particularly those at high risk of depression. Evidence for CBT-type interventions is mixed; further trials are needed. However the studies are old and at high risk of bias. Future intervention studies should follow CONSORT guidelines and address issues of poor uptake.

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Section: Introductionmentioning

confidence: 99%

Interventions to reduce the impact of unemployment and economic hardship on mental health in the general population: a systematic review

et al. 2016

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“…Of these, 6 studies reported cost per QALY gained, (5 favourable to SE/IPS), 8 NMBs (all positive), 4 ROI (3 positive), and 13 cost per employment outcome (9 favourable, 3 inconclusive, 1 negative). In total, 18 studies included impacts on health outcomes and/or service utilisation, as well employment [ 17 – 22 , 24 – 26 , 30 – 36 , 38 , 39 ]. Table 2 shows 16 of these 23 studies had a short timeframe (maximum 2 years) [ 17 – 21 , 24 , 25 , 27 – 33 , 36 , 38 ], but there is growing evidence on longer-term economic impacts [ 22 , 23 , 26 , 34 , 35 , 37 , 39 , 40 ].…”

Section: Individual Placement and Supportmentioning

confidence: 99%

Economic analyses of supported employment programmes for people with mental health conditions: A systematic review

et al. 2022

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BackgroundEmployment is intrinsic to recovery from mental health conditions, helping people live independently. Systematic reviews indicate supported employment (SE) focused on competitive employment, including individual placement and support (IPS), is effective in helping people with mental health conditions into work. Evidence is limited on cost-effectiveness. We comprehensively reviewed evidence on the economic case for SE/IPS programmes. MethodsWe searched PubMed/MEDLINE, EMBASE, PsycINFO, CINAHL, IBSS, Business Source Complete and EconLit for economic and return on investment analyses of SE/IPS programmes for mental health conditions. Traditional vocational rehabilitation, sheltered work, and return to work initiatives after sickness absence of less than one year were excluded. Studies were independently screened by two reviewers. We assessed quality using the Consolidate Health Economic Evaluation Reporting Standards(CHEERS) checklist. The protocol was pre-registered with PROSPERO-CRD42020184359. ResultsFrom 40,015 references, 28 studies examined the economic case for IPS, four IPS augmented by another intervention, and 24 other forms of SE. Studies were very heterogenous, quality was variable. Of 41 studies with quality scores over 50% ten reported cost per Quality Adjusted Life Year gained, (eight favourable to SE/IPS), 14

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“…Almost one in five people of working age has mental health problems (Department for Work andPensions, Department of Health andSocial Care, 2017a, 2017b). About 40 % of claims for sick leave benefits are related to mental or behavioral disorders (Stolk et al, 2014).…”

Section: Problem Statementmentioning

confidence: 99%

“…Those whose primary disability is «depression, bad nerves» are also at the low level of the employment spectrum (39.3 %).  timely access to coordinated treatment and employment support for more people with common mental health problems (Stolk et al, 2014).…”

Section: Research Questionsmentioning

confidence: 99%

Employment Of Persons With Mental Disorders In The Uk – Legal Aspects

Pazyna¹

2022

European Proceedings of Social and Behavioural Sciences

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This article analyzes the UK employment system of persons with mental disorders in terms of its complexity, integration and effectiveness. It indicates the significant financial damage to the economy and labor market caused by mental illnesses. The article identifies the main organizational and legal instruments of the United Kingdom used to implement the relevant state policy, including the provisions of the UN Convention on the Rights of Persons with Disabilities of 2006 and the Equality Act of 2010. It also emphasizes the importance of applying the Employment Statutory Code of Practice in order to solve and prevent problems in this area. The given research studies the problems of employment programs effectiveness for people with mental disorders in the UK. It considers the main provisions of the study «Psychological Wellbeing and Work: Improving Service Provision and Outcomes» and current measures taken by the UK Government to deal with certain problems. This includes the national strategies «Five Year Forward View for Mental Health for the NHS in England»; «Work, health and disability green paper: improving lives»; «Improving Lives: The Future of Work, Health and Disability white paper» and the Work and Health Programme. At the same time, despite the serious efforts made by the UK Government, the employment rates of people with mental disorders and the rest of the population differ significantly. The article notes the advisability of the UK experience results application, both positive and negative, in the Russian Federation mental health sphere.

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Psychological Wellbeing and Work: Improving service provision and outcomes

Cited by 10 publications

References 0 publications

Interventions to reduce the impact of unemployment and economic hardship on mental health in the general population: a systematic review

Interventions to reduce the impact of unemployment and economic hardship on mental health in the general population: a systematic review

Economic analyses of supported employment programmes for people with mental health conditions: A systematic review

Employment Of Persons With Mental Disorders In The Uk – Legal Aspects

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