A case management occupational health model to facilitate earlier return to work of NHS staff with common mental health disorders: a feasibility study

TY - JOUR

T1 - A case management occupational health model to facilitate earlier return to work of NHS staff with common mental health disorders

T2 - a feasibility study

AU - Parsons, Vaughan

AU - Juszczyk, Dorota

AU - Gilworth, Gill

AU - Ntani, Georgia

AU - McCrone, Paul

AU - Hatch, Stephani

AU - Shannon, Robert

AU - Henderson, Max

AU - Coggon, David

AU - Molokhia, Mariam

AU - Smedley, Julia

AU - Griffiths, Amanda

AU - Walker-Bone, Karen

AU - Madan, Ira

N1 - Funding Information: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 12. See the NIHR Journals Library website for further project information. Publisher Copyright: © Queen’s Printer and Controller of HMSO 2021. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/2/1

Y1 - 2021/2/1

N2 - Background: The NHS is the biggest employer in the UK. Depression and anxiety are common reasons for sickness absence among staff. Evidence suggests that an intervention based on a case management model using a biopsychosocial approach could be cost-effective and lead to earlier return to work for staff with common mental health disorders. Objective: The objective was to assess the feasibility and acceptability of conducting a trial of the clinical effectiveness and cost-effectiveness of an early occupational health referral and case management intervention to facilitate the return to work of NHS staff on sick leave with any common mental health disorder (e.g. depression or anxiety). Design: A multicentre mixed-methods feasibility study with embedded process evaluation and economic analyses. The study comprised an updated systematic review, survey of care as usual, and development of an intervention in consultation with key stakeholders. Although this was not a randomised controlled trial, the study design comprised two arms where participants received either the intervention or care as usual. Participants: Participants were NHS staff on sick leave for 7 or more consecutive days but less than 90 consecutive days, with a common mental health disorder. Intervention: The intervention involved early referral to occupational health combined with standardised work-focused case management.

AB - Background: The NHS is the biggest employer in the UK. Depression and anxiety are common reasons for sickness absence among staff. Evidence suggests that an intervention based on a case management model using a biopsychosocial approach could be cost-effective and lead to earlier return to work for staff with common mental health disorders. Objective: The objective was to assess the feasibility and acceptability of conducting a trial of the clinical effectiveness and cost-effectiveness of an early occupational health referral and case management intervention to facilitate the return to work of NHS staff on sick leave with any common mental health disorder (e.g. depression or anxiety). Design: A multicentre mixed-methods feasibility study with embedded process evaluation and economic analyses. The study comprised an updated systematic review, survey of care as usual, and development of an intervention in consultation with key stakeholders. Although this was not a randomised controlled trial, the study design comprised two arms where participants received either the intervention or care as usual. Participants: Participants were NHS staff on sick leave for 7 or more consecutive days but less than 90 consecutive days, with a common mental health disorder. Intervention: The intervention involved early referral to occupational health combined with standardised work-focused case management.

KW - CASE MANAGEMENT

KW - MENTAL HEALTH

KW - OCCUPATIONAL HEALTH

KW - RETURN TO WORK

UR - http://www.scopus.com/inward/record.url?scp=85102226453&partnerID=8YFLogxK

U2 - 10.3310/hta25120

DO - 10.3310/hta25120

M3 - Article

C2 - 33641712

AN - SCOPUS:85102226453

SN - 1366-5278

VL - 25

SP - VII-92

JO - Health technology assessment (Winchester, England)

JF - Health technology assessment (Winchester, England)

IS - 12

ER -