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Improving Access to Mental Health Care by Delivering Psychotherapeutic Care in the Workplace: A Cross-Sectional Exploratory Trial

Author

Listed:
  • Eva Rothermund
  • Reinhold Kilian
  • Edit Rottler
  • Dorothea Mayer
  • Michael Hölzer
  • Monika A Rieger
  • Harald Gündel

Abstract

Objective: Common mental disorders like mood and anxiety disorders and somatoform disorders have high costs, yet under-treatment is still frequent. Many people with common mental disorders are employed, so the workplace is potentially a suitable context in which to provide early treatment. Our study investigates whether a change of setting (workplace versus standard care) improves access to treatment for common mental disorders. Methods: Conditional latent profile analysis was applied to identify user profiles for work ability (WAI), clinical symptoms like depression (patient health questionnaire depression, PHQ-9), health-related quality of life (QoL, SF-12), and work-related stress (Maslach Burnout Inventory, irritation scale). Patients were recruited consecutively, via psychotherapeutic consultation in the workplace (n = 174) or psychotherapeutic consultation in outpatient care (n = 193). Results: We identified four user profiles in our model: ‘severe’ (n = 99), ‘moderate I—low QoL’ (n = 88), ‘moderate II—low work ability’ (n = 83), and ‘at risk’ (n = 97). The ‘at risk’ profile encompassed individuals with reduced work ability (36.0, 34.73 to 37.37), only mild clinical symptoms (PHQ-9 5.7, 4.92 to 6.53), no signs of work-related stress and good quality of life. A higher proportion of the ‘at risk’ group than of the ‘severe’ group sought help via the psychotherapeutic consultation in the workplace (OR 0.287, P

Suggested Citation

  • Eva Rothermund & Reinhold Kilian & Edit Rottler & Dorothea Mayer & Michael Hölzer & Monika A Rieger & Harald Gündel, 2017. "Improving Access to Mental Health Care by Delivering Psychotherapeutic Care in the Workplace: A Cross-Sectional Exploratory Trial," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-16, January.
    • Handle: RePEc:plo:pone00:0169559
    DOI: 10.1371/journal.pone.0169559
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    References listed on IDEAS

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    1. Marianna Virtanen & Stephen A Stansfeld & Rebecca Fuhrer & Jane E Ferrie & Mika Kivimäki, 2012. "Overtime Work as a Predictor of Major Depressive Episode: A 5-Year Follow-Up of the Whitehall II Study," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-5, January.
    2. Stansfeld, S.A. & Shipley, M.J. & Head, J. & Fuhrer, R., 2012. "Repeated job strain and the risk of depression: Longitudinal analyses from the whitehall ii study," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 2360-2366.
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