Journal
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Volume 51, Issue 3, Pages 305-312Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JOM.0b013e3181990d32
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- Dutch Ministry of Internal Affairs and Kingdom Relations
- Health Insurance for the Dutch Police (DGVP)
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Objective: To evaluate the effectiveness of guideline-based care (GBC) of workers with mental health problems, which promotes counseling by the occupational physician (OP) facilitating return to wont (RTW). Methods: In a randomized controlled trial, with police workers on sick leave due to mental health problems (n = 240), trained OPs delivered GBC in the intervention group. Time to RTW and recurrences during 1-year follow-up, analyzed, using Cox proportional hazards models, were compared with usual care (UC) with easy access to a psychologist. Results: GBC by OPs did not result in earlier RTW than UC. Subgroup analysis showed a small effect in favor of GBC for workers with administrative functions and/or minor stress-related symptoms. Conclusions: GBC did not differ in RTW compared with UC, but may be beneficial for the majority of workers with minor stress-related disorders. (J Occup Environ Med. 2009,51:305-312)
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