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International Journal of Mental Health Systems
Published in: International Journal of Mental Health Systems 1/2016

Open Access 01-12-2016 | Research

Psychotherapeutic and work-oriented interventions: employment outcomes among young adults with work disability due to a mental disorder

Authors: Pauliina Mattila-Holappa, Matti Joensuu, Kirsi Ahola, Aki Koskinen, Katinka Tuisku, Jenni Ervasti, Marianna Virtanen

Published in: International Journal of Mental Health Systems | Issue 1/2016

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Abstract

Background

We examined the extent to which psychotherapeutic and work-oriented interventions were included in a medical treatment and rehabilitation plan and whether they predicted future employment among young adults with work disability due to a mental disorder.

Methods

Data were obtained from the treatment and rehabilitation plans of 1163 young adults aged 18‒34 years, who in 2008 were granted fixed-term work disability compensation due to a mental disorder and were followed for 5 years.

Results

Forty-six percent had no proposal for psychotherapy or a work-oriented intervention in their treatment and rehabilitation plan, 22 % had a plan for only a psychotherapeutic intervention, 23 % had a plan for only a work-oriented intervention, and 10 % had both types of interventions planned. Having a planned psychotherapeutic intervention (HR = 1.35, 95 % CI 1.07–1.69) and of the work-oriented interventions, planned rehabilitative courses and training (HR = 1.34, 95 % CI 1.03–1.70) predicted quicker entry into competitive employment. Having a plan for both a psychotherapeutic and work-oriented intervention was associated with being employed at the end of the follow-up (OR = 1.77, 95 % CI 1.07–2.95).

Conclusions

Young adults with a long-term psychiatric work disability episode rarely have a recorded plan for rehabilitation in their treatment and rehabilitation plan although psychotherapeutic interventions and a combination of a psychotherapeutic and work-oriented intervention might help them gain employment.
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Metadata
Title
Psychotherapeutic and work-oriented interventions: employment outcomes among young adults with work disability due to a mental disorder
Authors
Pauliina Mattila-Holappa
Matti Joensuu
Kirsi Ahola
Aki Koskinen
Katinka Tuisku
Jenni Ervasti
Marianna Virtanen
Publication date
01-12-2016
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2016
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/s13033-016-0101-7

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