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Do individual and work-related factors differentiate work participation trajectories before and after vocational rehabilitation?

Author

Listed:
  • Taina Leinonen
  • Svetlana Solovieva
  • Kirsti Husgafvel-Pursiainen
  • Mikko Laaksonen
  • Eira Viikari-Juntura

Abstract

Background: Understanding diverse labor market trajectories around vocational rehabilitation provides important insight into potential effectiveness of rehabilitation efforts. We examined factors associated with work participation trajectories before and after vocational rehabilitation. Methods: Using nationwide Finnish register data of 7180 vocational rehabilitees, we constructed latent trajectory groups of work participation two years before and two years after their rehabilitation episode starting in 2008–2010. We plotted changes in labor market statuses in these groups and examined other associated factors using multinomial logistic regression. Results: We identified four trajectories based on work participation levels before and after vocational rehabilitation. The “High–Resumed” group (35.6%) typically returned to full duties. The “High–to–Negligible” group (20.7%) typically transitioned to full disability retirement or unemployment. Among the “Medium–Resumed” (25.5%) and “Longstanding Negligible” (18.3%) groups, work disability and unemployment were common before rehabilitation, but afterwards those assigned to the former group often returned to full or partial duties. Overall, older age, male gender, living in areas with lower employment rates, having lower education, being employed in the private sector, and having mental diagnoses were associated with the other three trajectories than the most favorable “High-Resumed” trajectory. Furthermore, certain industrial sectors, job exposures, and less common diagnoses further separated specific trajectories. Conclusions: Work participation trajectories around vocational rehabilitation are diverse, only partly dependent on initial levels of work participation, and determined by various individual and work-related factors. Future nationwide studies should assess the effectiveness of vocational rehabilitation taking into consideration both individual and work-related factors.

Suggested Citation

  • Taina Leinonen & Svetlana Solovieva & Kirsti Husgafvel-Pursiainen & Mikko Laaksonen & Eira Viikari-Juntura, 2019. "Do individual and work-related factors differentiate work participation trajectories before and after vocational rehabilitation?," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-19, February.
    • Handle: RePEc:plo:pone00:0212498
    DOI: 10.1371/journal.pone.0212498
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    References listed on IDEAS

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    1. David Card & Jochen Kluve & Andrea Weber, 2018. "What Works? A Meta Analysis of Recent Active Labor Market Program Evaluations," Journal of the European Economic Association, European Economic Association, vol. 16(3), pages 894-931.
    2. Svetlana Solovieva & Irmeli Pehkonen & Johanna Kausto & Helena Miranda & Rahman Shiri & Timo Kauppinen & Markku Heliövaara & Alex Burdorf & Kirsti Husgafvel-Pursiainen & Eira Viikari-Juntura, 2012. "Development and Validation of a Job Exposure Matrix for Physical Risk Factors in Low Back Pain," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-7, November.
    3. David Dean & John V. Pepper & Robert Schmidt & Steven Stern, 2017. "The Effects of Vocational Rehabilitation Services for People with Mental Illness," Journal of Human Resources, University of Wisconsin Press, vol. 52(3), pages 826-858.
    4. Svetlana Solovieva & Tiina Pensola & Johanna Kausto & Rahman Shiri & Markku Heliövaara & Alex Burdorf & Kirsti Husgafvel-Pursiainen & Eira Viikari-Juntura, 2014. "Evaluation of the Validity of Job Exposure Matrix for Psychosocial Factors at Work," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-9, September.
    5. David R. Mann & Todd Honeycutt & Michelle Stegman Bailey & John O’Neill, "undated". "Using Administrative Data to Explore the Employment and Benefit Receipt Outcomes of Vocational Rehabilitation Applicants Years after Program Exit," Mathematica Policy Research Reports d17c80e86e144284b2308c527, Mathematica Policy Research.
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    1. Christian Hetzel & Sarah Leinberger & Rainer Kaluscha & Angela Kranzmann & Nadine Schmidt & Anke Mitschele, 2023. "Return to work after medical rehabilitation in Germany: influence of individual factors and regional labour market based on administrative data," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 57(1), pages 1-14, December.

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