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Critical factors for the return-to-work process among people with affective disorders : Voices from two vocational approaches

Porter, Susann LU ; Lexén, Annika LU ; Johanson, Suzanne LU and Bejerholm, Ulrika LU (2018) In Work 60(2). p.221-234
Abstract

Background: Depression is among the major causes of disability with a negative impact on both daily life and work performance. Whilst depression is the primary cause of sick-leave and unemployment in today's workplace there is a lack of knowledge of the needs of individuals with depression regarding their return-to-work (RTW) process. Objective: To explore which factors are of critical importance for people suffering from depression and who also are unemployed in their RTW-process and to explore the impact of two vocational approaches on the service users' experiences. The study included participants in two vocational rehabilitation approaches; Individual Enabling and Support (IES) and Traditional Vocational Rehabilitation (TVR).... (More)

Background: Depression is among the major causes of disability with a negative impact on both daily life and work performance. Whilst depression is the primary cause of sick-leave and unemployment in today's workplace there is a lack of knowledge of the needs of individuals with depression regarding their return-to-work (RTW) process. Objective: To explore which factors are of critical importance for people suffering from depression and who also are unemployed in their RTW-process and to explore the impact of two vocational approaches on the service users' experiences. The study included participants in two vocational rehabilitation approaches; Individual Enabling and Support (IES) and Traditional Vocational Rehabilitation (TVR). Method: Qualitative methods were applied to explore critical factors in the RTW-process. Individuals with affective disorders including depression and bipolar disorder were included. Results Three themes emerged as critical factors; Experiencing hope and power, professionals' positive attitudes, beliefs and behaviours, and employing a holistic perspective and integrating health and vocational service. Conclusion This study has demonstrated critical factors for the return-to-work process as experienced by persons with depression. To experience hope and power, to meet professionals that believe "you can work", who use a person-centred and holistic service approach, are such factors necessary for gaining a real job. In particular, professionals in TVR need to embrace this understanding since their services were not experienced as including these elements.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
bipolar disorder, Depression, supported employment, vocational rehabilitation
in
Work
volume
60
issue
2
pages
14 pages
publisher
IOS Press
external identifiers
  • pmid:29843300
  • scopus:85049528825
ISSN
1051-9815
DOI
10.3233/WOR-182737
language
English
LU publication?
yes
id
45338463-6616-4528-9d18-87e985fa76cf
date added to LUP
2018-07-26 10:07:08
date last changed
2021-10-06 05:44:27
@article{45338463-6616-4528-9d18-87e985fa76cf,
  abstract     = {<p>Background: Depression is among the major causes of disability with a negative impact on both daily life and work performance. Whilst depression is the primary cause of sick-leave and unemployment in today's workplace there is a lack of knowledge of the needs of individuals with depression regarding their return-to-work (RTW) process. Objective: To explore which factors are of critical importance for people suffering from depression and who also are unemployed in their RTW-process and to explore the impact of two vocational approaches on the service users' experiences. The study included participants in two vocational rehabilitation approaches; Individual Enabling and Support (IES) and Traditional Vocational Rehabilitation (TVR). Method: Qualitative methods were applied to explore critical factors in the RTW-process. Individuals with affective disorders including depression and bipolar disorder were included. Results Three themes emerged as critical factors; Experiencing hope and power, professionals' positive attitudes, beliefs and behaviours, and employing a holistic perspective and integrating health and vocational service. Conclusion This study has demonstrated critical factors for the return-to-work process as experienced by persons with depression. To experience hope and power, to meet professionals that believe "you can work", who use a person-centred and holistic service approach, are such factors necessary for gaining a real job. In particular, professionals in TVR need to embrace this understanding since their services were not experienced as including these elements.</p>},
  author       = {Porter, Susann and Lexén, Annika and Johanson, Suzanne and Bejerholm, Ulrika},
  issn         = {1051-9815},
  language     = {eng},
  month        = {01},
  number       = {2},
  pages        = {221--234},
  publisher    = {IOS Press},
  series       = {Work},
  title        = {Critical factors for the return-to-work process among people with affective disorders : Voices from two vocational approaches},
  url          = {http://dx.doi.org/10.3233/WOR-182737},
  doi          = {10.3233/WOR-182737},
  volume       = {60},
  year         = {2018},
}