Return to work outcomes for workers with mental health conditions: A retrospective cohort study

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• 作者：Khic-Houy Prang^a ; ^b ; ^{khic-houy.prang@monash.edu" class="auth_mail" title="E-mail the corresponding author} ; Megan Bohensky^c ; Peter Smith^d ; ^e ; ^f ; Alex Collie^a ; ^d
• 关键词：Mental health ; Return to work ; Workers&rsquo ; compensation
• 刊名：Injury
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：47
• 期：1
• 页码：257-265
• 全文大小：511 K

文摘

The aims of this study were to describe predictors of sustained return to work (RTW) among a cohort of workers with compensated work-related mental health conditions (MHCs); and to examine predictors of subsequent absences due to the same condition.

Methods

This study was a retrospective analysis of compensation claims data in Victoria, Australia. We selected workers with an accepted wage replacement claim due to a work-related MHC from 1 January 2002 to 31 December 2009, with two years of follow-up data.

Results

We identified 8358 workers meeting our inclusion criteria. The median age of workers was 44 years (Interquartile range (IQR): 36–51) and 56% were female. In a multivariable Cox regression analysis, older age, being from a small organisation, working in some specific industry segments, consulting a psychiatrist or psychologist, using medications, and having a previous claim were all associated with a delayed RTW. Workers experiencing work pressure, assault/workplace violence or other mental stress factors, working in the public administration and safety industry and having a medical incapacity certification between 3–4 days and 5–7 days had a higher rate of multiple RTW attempts.

Conclusion

This study identified a number of risk factors associated with a delayed RTW and multiple attempts at RTW. Predictors may help identify high-risk groups and facilitate the RTW process of workers with MHCs.