Coordination of return-to-work for employees on sick leave due to common mental disorders: facilitators and barriers

Holmlund, Lisa; Hellman, Therese; Engblom, Monika; Kwak, Lydia; Sandman, Lars; Törnkvist, Lena; Brämberg, Elisabeth Björk

doi:10.1080/09638288.2020.1855263

Cited by 32 publications

(34 citation statements)

References 32 publications

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“…This confirms previous research into RECO, 32 and is not surprising because they are employed in healthcare settings. In line with previous studies, 29 , 30 , 32 the RECO was regarded as important for facilitating communication and coordinating various stakeholders, both inside and outside of healthcare. However, the RECO was perceived as providing less advice and coordination with regard to “the labor market and the workplace system” and “the sickness insurance system”, and very little advice in “the personal system”.…”

Section: Discussionsupporting

confidence: 69%

“…They show that people with common mental disorders or spinal cord injury have found that RECOs provide stability in the RTW process, by for example, enhancing communication and collaboration and bridging the gaps between the person on SA, the employer and other stakeholders. 29–32 RECO have also been found to balance relationships, transfer knowledge, 30 , 32 and change attitudes about fatigue syndrome among employers and colleagues at the workplace. 30 The RECO have also been described as the main professional persons on SA were in contact with during their rehabilitation, and that they provided daily structure, practical and mental support, as well as encouragement.…”

Section: Introductionmentioning

confidence: 99%

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How People with Multimorbidity and Psychosocial Difficulties Experience Support by Rehabilitation Coordinators During Sickness Absence

Svärd¹,

Friberg²,

Azad³

2021

JMDH

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Purpose People with multimorbidity face a range of barriers in healthcare, and there is little knowledge about their challenges with regard to return-to-work (RTW). Rehabilitation coordinators, a new function in Swedish healthcare, support people in the RTW process. The present study had two aims: to explore what problems and barriers people with multimorbidity experience during their rehabilitation and RTW process and to explore in which domains the coordinators’ support is perceived to be of importance. Methods Interviews were conducted with 12 persons with multimorbidity who had contact with a rehabilitation coordinator during their sickness absence. Thematic analysis was guided by the case-management ecological model; this analysis was revised and adapted to the Swedish context. Results The participants experienced problems in all domains of the model, namely: “the healthcare system”, “the labor market and the workplace system”, “the sickness insurance system”, and “the personal system”. Rehabilitation programs that did not accommodate combinations of diseases, social complexities and needs were felt to lead to worse symptoms, thus hindering rather than promoting RTW. An overall finding regarding support by coordinators is that interventions, regardless of domain, were felt to be valuable for people with multimorbidity. The coordinator was perceived to give most support by providing advice about and coordination with healthcare and employers. Sometimes the coordinator gave advice and coordination regarding the Social Insurance Agency, very occasionally the Public Employment Services. The coordinator gave least advice and coordination about social difficulties that hindered rehabilitation and RTW processes. Conclusion People with multimorbidity perceive rehabilitation coordinator interventions as important in all domains investigated. Lack of advice and coordination, or rehabilitation programs that were not modified to the complexities of individual’s circumstances, were associated with prolonged sickness absence, worse health, or social risk factors not being recognized.

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

How People with Multimorbidity and Psychosocial Difficulties Experience Support by Rehabilitation Coordinators During Sickness Absence

Svärd¹,

Friberg²,

Azad³

2021

JMDH

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“…This was also reported in a study of person-centered activities of daily living intervention after stroke, where knowledge sharing between the client and the therapist was found to be a cornerstone of the rehabilitation process [ 25 ]. This was also the case in RTW-processes for people with common mental disorders [ 26 ].…”

Section: Discussionmentioning

confidence: 85%

The delivery of the ReWork-Stroke program: A process evaluation

Johansson

Nilsson

Falkdal

et al. 2021

WOR

Self Cite

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BACKGROUND: The ReWork-Stroke program was developed to meet the need for a person-centered rehabilitation program addressing return to work after stroke and was provided by occupational therapists (OTs). OBJECTIVE: To gain knowledge on the implementation process of the ReWork-Stroke program, the mechanisms of impact, and the contextual factors that might have affected the process. METHODS: A case study design was used. Data were collected by interviews with two ReWork-Stroke providers and their logbooks of 13 clients. Content analysis was applied. RESULTS: The ReWork-Stroke program varied in duration (12–48 weeks) and was largely implemented according to plan regarding components and how they were provided. It was mostly delivered at the workplace. Mechanisms of impact were building alliances with clients, providing intervention at the workplace, informing about stroke, assigning co-workers as tutors for clients, and collaboration between stakeholders. CONCLUSIONS: The ReWork-Stroke program can be implemented according to plan and is a flexible person-centered program in which stakeholders, coordinated by an OT, plan and take actions, mostly at the workplace, for the client’s return to work. A key factor was recognizing the current work ability after stroke. Further program development includes a more structured evaluation and technical solutions for supporting stakeholders.

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“…Although previous findings support the importance of burnout rehabilitation in return to work [19,28], burnout symptom improvement may be necessary but insufficient for a qualitative return to work [32]. Following work resumption, the overall quality of return to work that one experiences could also depend on work-related factors [7,32,33], as many causes for burnout emergence are found to be situated in the workplace to begin with (Job Demands-Resources model [6,22]). Specifically, as the demands-resources balance affects the required energy investment at work, one must avoid the energy-depleting combination of high demands and low resources.…”

Section: Work-related Factors and Return To Workmentioning

confidence: 94%

Successful return to work after burnout: an evaluation of job, person- and private-related burnout determinants as determinants of return-to-work quality after sick leave for burnout

Rooman

Sterkens

Schelfhout

et al. 2021

Disability and Rehabilitation

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Purpose: Burnout literature has primarily studied determinants and rehabilitation. Remarkably, ways to enable qualitative return to work after burnout are considered considerably less and were studied here. Specifically, building on the Job Demands-Resources model and Effort-Recovery model, this study investigated determinants of the quality of return to work. Material and Methods: Hierarchical regression analyses were conducted to evaluate the quality of reintegration among 786 workers who were surveyed about their return to work after a burnout episode. Results: Restarting work at a new employer and especially getting supervisor support appeared beneficial, whereas remaining burnout symptoms, stressors in one's private environment andmostlyneuroticism hampered the quality of return to work. Conclusion: Given the high prevalence and important costs burnout entails, primary prevention alone proves insufficient. Current study findings inform on how to optimize the quality of reintegration in the workplace after a burnout episode, demonstrating that supportive managers and inclusive workplaces (i.e., open to hire applicants with a burnout history) are important levers for qualitative return to work, next to ensuring workers are not (so much) impaired by their burnout rest symptoms. ä IMPLICATIONS FOR REHABILITATIONReintegration trajectories after burnout should not only be evaluated by sick leave duration but also by the clients' subjective experience of quality of return to work. Rehabilitation professionals should ensure clients prepare return to work early so they return timely and are not (so much) impaired by their burnout rest symptoms. Rehabilitation professionals should propose reorientation towards a new employer in case of irreversible work ability problems at the current workplace. The clients' current work situation should allow for sufficient supervisor social support. Also stressors in private life (like divorce) and personality characteristics (like neuroticism) should be considered as they may hamper quality of return to work.

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Coordination of return-to-work for employees on sick leave due to common mental disorders: facilitators and barriers

Cited by 32 publications

References 32 publications

How People with Multimorbidity and Psychosocial Difficulties Experience Support by Rehabilitation Coordinators During Sickness Absence

How People with Multimorbidity and Psychosocial Difficulties Experience Support by Rehabilitation Coordinators During Sickness Absence

The delivery of the ReWork-Stroke program: A process evaluation

Successful return to work after burnout: an evaluation of job, person- and private-related burnout determinants as determinants of return-to-work quality after sick leave for burnout

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