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Longitudinal outcomes of a work inclusion program in mental health departments in the city of Milan

Author

Listed:
  • Simone Vanzetto
  • Andrea Quarenghi
  • Alberto Varinelli
  • Chiara Dragoni
  • Dario Conti
  • Maria Boscacci
  • Giuseppe CarrÃ
  • Mauro Percudani
  • Carla Morganti
  • Orsola Gambini
  • Valentina Barbieri
  • Paolo Brambilla
  • Matteo Lazzaretti
  • Paola Rubelli
  • Claudio Mencacci
  • Antonio Fusi
  • Caterina Viganò
  • Bernardo Dell’Osso

Abstract

Background: Work functioning impairment is a key diagnostic and prognostic criterion in patients with psychiatric disorders and work inclusion is a major goal of their therapeutic pathway. Since 2009, the Regional Innovative Program (PIR) TR106, promoted by ASST Fatebenefratelli-Sacco of Milan in collaboration with other Departments of Mental Health and Addictions (DSMDs) in the town of Milan (Italy), has been developing the employment inclusion of psychiatric patients. Aims: The objective of this study is to evaluate its outcomes over 8 years of observation. Method: We reported the results of a retrospective epidemiologic analysis on 2,142 interventions on 1,066 patients recruited, investigating PIR TR106 outcomes per year focusing on different subgroups. We focused on ‘positive’, ‘negative’, and ‘other’ outcomes. Results: We preliminary calculated job maintenance interventions (5%, 107) and excluded these interventions from the overall. We observed 29 job firing (1.4%) and 15 job resignations (0.7%) as negative results (equal to 2.2% of the total) and 388 job hiring (16.6%), 647 traineeships (31.8%), and 413 work formation (20.3%) as positive outcomes (equal to 68.75%). In other outcomes (29.1%) we found 305 dismissals from PIR TR 106 (15%) and transitory outcomes (14.1%). Job hiring increased from 8.9% in 2012 to 23.8 % in 2019 ( p  

Suggested Citation

  • Simone Vanzetto & Andrea Quarenghi & Alberto Varinelli & Chiara Dragoni & Dario Conti & Maria Boscacci & Giuseppe Carrà & Mauro Percudani & Carla Morganti & Orsola Gambini & Valentina Barbieri & Paolo, 2024. "Longitudinal outcomes of a work inclusion program in mental health departments in the city of Milan," International Journal of Social Psychiatry, , vol. 70(3), pages 507-517, May.
    • Handle: RePEc:sae:socpsy:v:70:y:2024:i:3:p:507-517
    DOI: 10.1177/00207640231217177
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    References listed on IDEAS

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    1. Tonje Fyhn & Simon Øverland & Silje E Reme, 2021. "Predictors of employment in people with moderate to severe mental illness participating in a randomized controlled trial of Individual Placement and Support (IPS)," International Journal of Social Psychiatry, , vol. 67(2), pages 150-157, March.
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