Integrated Mental Health Care and Vocational Rehabilitation Intervention to Individuals on Sick Leave Due to Anxiety, Depression, Personality Disorders, Stress and Functional Disorders
Overview
- Phase
- N/A
- Intervention
- IBBIS II
- Conditions
- Common Mental Disorders
- Sponsor
- Amager Hospital
- Enrollment
- 900
- Locations
- 1
- Primary Endpoint
- Return to work
- Status
- Completed
- Last Updated
- 2 months ago
Overview
Brief Summary
The purpose of this study is to investigate the efficacy of an integrated mental health care and vocational rehabilitation intervention for people on sick leave because of depression, stress, anxiety, personality- and functional disorders in Denmark
Detailed Description
Background: Mental illness has an estimated financial burden on the Danish economy of 3.4 % of Gross National Product every year due to lost productivity, social benefits and healthcare costs and approximately 50 % of people receiving long-term sickness benefits have a common mental illness. Furthermore, a significant treatment gap exists where less than 30% were treated for their mental illness. Objective: The primary objective of the randomized trial is to examine whether people on sick leave with a diagnosis of anxiety, depression, stress, personality disorders or functional disorders, return to work faster and have a higher job retention if they receive an integrated and optimized vocational rehabilitation and mental health care intervention, compared to people who receive the standard mental health care and vocational rehabilitation service. Method: The trial is designed as an randomized, two-group parallel, assessor-blinded, multisite trial. A total of 800 participants with a common mental illness will randomly be assigned into two groups 1) IBBIS II, consisting of an integrated mental health care and vocational rehabilitation; or 2) Service as usual, at two sites in Denmark. The primary outcome is difference between the two groups in time to return to work at 12 months. Results/discussion: This study will contribute with new knowledge on vocational recovery and integrated vocational and health care interventions in a Scandinavian context.
Investigators
Lene Falgaard Eplov
Head of Research, Associate professor
Amager Hospital
Eligibility Criteria
Inclusion Criteria
- •\- Inclusion criteria
- •Anxiety, depression, stress, personality disorder or functional disorder diagnosed at a structured diagnostic interview based on the Mini International Neuropsychiatric Interview conducted by the IBBIS team
- •Sickness benefit recipient at baseline; on sick leave from job or unemployed for a minimum of four weeks
- •Resident in Copenhagen or Aarhus municipalities
- •Speak sufficient Danish to participate in interviews and complete questionnaires without an interpreter
- •Aged 18 or older
- •Has given informed written consent
Exclusion Criteria
- •High degree of suicidal ideation
- •Abuse of alcohol or other drugs to the degree that participation in therapy is not possible
- •A need for mental health treatment in secondary sector care
- •Unstable somatic condition that is too severe for participation in the project
- •The participant will not refrain from participating in other psychotherapeutic treatment outside the IBBIS project if the participant will be allocated to the experimental group
Arms & Interventions
IBBIS II
Integrated Mental Health Care and Vocational Rehabilitation
Intervention: IBBIS II
Service As Usual
Standard vocational rehabilitation and treatment
Intervention: Service as Usual
Outcomes
Primary Outcomes
Return to work
Time Frame: 12 months
Difference between the two groups in time to return to work from baseline until 12 months after baseline measured whit register based data. Time to return to work is defined as a minimum of four weeks of continuous work without receiving sickness benefit.
Secondary Outcomes
- Work at one point during follow-up(12 months)
- Return to work(6 months)
- Supported work at one point during follow-up(12 months)
- Weeks of work(12 months)
- Time to new sick leave(12 months)
- Income(12 months)
- Use of psychiatric services(12 months)
- Use of private health care(12 months)
- Use of somatic services(12 months)