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Cost-effectiveness of an activating intervention by social workers for patients with minor mental disorders on sick leave: a randomized controlled trial.
Eur J Public Health. 2007 Apr; 17(2):214-20.EJ

Abstract

BACKGROUND

Sickness absence often occurs in patients with emotional distress or minor mental disorders. In several European countries, these patients are over-represented among those receiving illness benefits, and interventions are needed. The aim of this study was to evaluate the cost-effectiveness of an intervention conducted by social workers, designed to reduce sick leave duration in patients absent from work owing to emotional distress or minor mental disorders.

METHODS

In this Randomized Controlled Trial, patients were recruited by GPs. The intervention group (N = 98) received an activating, structured treatment by social workers, the control group (N = 96) received routine GP care. Sick leave duration, clinical symptoms, and medical consumption (consumption of medical staffs' time as well as consumption of drugs) were measured at baseline and 3, 6, and 18 months later.

RESULTS

Neither for sick leave duration nor for clinical improvement over time were significant differences found between the groups. Also the associated costs were not significantly lower in the intervention group.

CONCLUSIONS

Compared with usual GP care, the activating social work intervention was not superior in reducing sick leave duration, improving clinical symptoms, and decreasing medical consumption. It was also not cost-effective compared with GP routine care in the treatment of minor mental disorders. Therefore, further implementation of the intervention is not justified. Potentially, programmes aimed at reducing sick leave duration in patients with minor mental disorders carried out closer to the workplace (e.g. by occupational physicians) are more successful than programmes in primary care.

Authors+Show Affiliations

Netherlands Institute for Health Services Research (NIVEL) Utrecht, the Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16837516

Citation

Brouwers, Evelien P M., et al. "Cost-effectiveness of an Activating Intervention By Social Workers for Patients With Minor Mental Disorders On Sick Leave: a Randomized Controlled Trial." European Journal of Public Health, vol. 17, no. 2, 2007, pp. 214-20.
Brouwers EP, de Bruijne MC, Terluin B, et al. Cost-effectiveness of an activating intervention by social workers for patients with minor mental disorders on sick leave: a randomized controlled trial. Eur J Public Health. 2007;17(2):214-20.
Brouwers, E. P., de Bruijne, M. C., Terluin, B., Tiemens, B. G., & Verhaak, P. F. (2007). Cost-effectiveness of an activating intervention by social workers for patients with minor mental disorders on sick leave: a randomized controlled trial. European Journal of Public Health, 17(2), 214-20.
Brouwers EP, et al. Cost-effectiveness of an Activating Intervention By Social Workers for Patients With Minor Mental Disorders On Sick Leave: a Randomized Controlled Trial. Eur J Public Health. 2007;17(2):214-20. PubMed PMID: 16837516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cost-effectiveness of an activating intervention by social workers for patients with minor mental disorders on sick leave: a randomized controlled trial. AU - Brouwers,Evelien P M, AU - de Bruijne,Martine C, AU - Terluin,Berend, AU - Tiemens,Bea G, AU - Verhaak,Peter F M, Y1 - 2006/07/12/ PY - 2006/7/14/pubmed PY - 2007/9/19/medline PY - 2006/7/14/entrez SP - 214 EP - 20 JF - European journal of public health JO - Eur J Public Health VL - 17 IS - 2 N2 - BACKGROUND: Sickness absence often occurs in patients with emotional distress or minor mental disorders. In several European countries, these patients are over-represented among those receiving illness benefits, and interventions are needed. The aim of this study was to evaluate the cost-effectiveness of an intervention conducted by social workers, designed to reduce sick leave duration in patients absent from work owing to emotional distress or minor mental disorders. METHODS: In this Randomized Controlled Trial, patients were recruited by GPs. The intervention group (N = 98) received an activating, structured treatment by social workers, the control group (N = 96) received routine GP care. Sick leave duration, clinical symptoms, and medical consumption (consumption of medical staffs' time as well as consumption of drugs) were measured at baseline and 3, 6, and 18 months later. RESULTS: Neither for sick leave duration nor for clinical improvement over time were significant differences found between the groups. Also the associated costs were not significantly lower in the intervention group. CONCLUSIONS: Compared with usual GP care, the activating social work intervention was not superior in reducing sick leave duration, improving clinical symptoms, and decreasing medical consumption. It was also not cost-effective compared with GP routine care in the treatment of minor mental disorders. Therefore, further implementation of the intervention is not justified. Potentially, programmes aimed at reducing sick leave duration in patients with minor mental disorders carried out closer to the workplace (e.g. by occupational physicians) are more successful than programmes in primary care. SN - 1101-1262 UR - https://www.unboundmedicine.com/medline/citation/16837516/Cost_effectiveness_of_an_activating_intervention_by_social_workers_for_patients_with_minor_mental_disorders_on_sick_leave:_a_randomized_controlled_trial_ DB - PRIME DP - Unbound Medicine ER -