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Sick-leave rates due to common mental disorders have been increasing dramatically in Sweden in recent years. Despite the fact that primary care centers are key actors for the rehabilitation of patients with stress related mental disorders, they lack of prerequisites for working with workplace-oriented measures. The aim of this project is to develop a model for return to work (RTW) for these patients that takes into account each patient's specific situation; includes the workplace, and is well adapted to the Swedish primary care setting.

In 2017, general practitioners and other staff in Västra Götaland primary care were offered training in tailored and workplace-oriented therapies for patients with stress related mental disorders. The implementation of these therapies in primary care is considered here as an intervention. Alongside studying if the intervention has an effect on the patients' RTW over time, we aim to investigate the mechanisms explaining the effects and the individual and organizational level circumstances necessary for these mechanisms to be triggered.

There are several previous intervention studies available in this area, but few have been conducted in the primary care setting. The relationship between a poor work environment and the risk for sick-leave due to mental illness is well known, and it is therefore of utmost importance to enable for the primary care to include workplace-oriented measures in the rehabilitation process.

The project has a quasi-experimental and longitudinal design. The intervention will be conducted on 10 different health care centers which will be matched with a comparison group. To follow the intervention, we will conduct interviews with the treatment staff. RTW for 400 patients will be analyzed by using registry data, at 3, 6 and 12 months after sick-listing.

PRIMA is a part of The New Ways programme

Lisa Björk
Project members:
Monica Bertilsson, Kristina Holmgren och Anders Pousette, Sahlgrenska akademin, Göteborgs universitet samt Kristina Glise, Karin Pokorny, Anja Beno samt Marie Hammer från Institutet för stressmedicin (Västra Götalandsregionen).


Page Manager: Anders Östebo|Last update: 6/19/2017

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