Evaluation of the acceptability of a first-line occupational therapy intervention program for the recovery and return to work of individuals with a common mental disorder (P1LIERR-TMC)
Common mental disorders
The duration of the program is adapted to the patient's needs and can range from 1 to 12 months and consists of approximately 10 visits. The occupational therapy program consists of three components based on the best current recommendations for the management of workers with CMD, namely 1) a consultation/prevention component, 2) a recovery and RTW coordination services component, and 3) a support in recovery and work rehabilitation component. Component 1 - Consultation/prevention - Assessment of the impact of CMD on the patient’s daily life and work capacities. - Identification of factors contributing to the patient’s functional disabilities. - Support clinical decision-making process of family physicians and SNPs regarding sick leave and RTW - Recommendations to the patient and the employer to adapt work tasks or modify characteristics of the work environment. Component 2 - Coordination of recovery and RTW services - Coordination of services required to promote the patient’s recovery and RTW (RTW coordinator’s role). - Assessment of the patient’s needs and resources (e.g. insurance coverage) - Referral to the right professionals. - Communication, with the patient’s consent, with other professionals, the insurer, and the employer to foster concerted actions between stakeholders. RTW. Component 3 - Support in recovery and work rehabilitation If the patient does not have access to work rehabilitation services outside of the U-FMG. Offer interventions as described in the Therapeutic RTW program, including one or multiple of these phases: - Diagnosis of work disability: Using comprehensive assessment tools to assess the person’s current situation (e.g., Work Disability Diagnosis Interview (WoDDI)). - Preparation to work phase: improvement of quality of life and work prerequisite. - RTW phase: progressive development of work capacities and work adaptations in the real work environment. - Maintenance at work phase: assist the person in transferring knowledge in the
1. Consulting a family physician or a SNP for a CMD 2. Referred to the occupational therapist for a new episode of sick leave or wish to prevent a sick leave 3. Able to speak, read, and understand French or English In this study, CMDs include depressive disorders, anxiety disorders, obsessive-compulsive disorder, and trauma- or stress-related disorders, including adjustment disorders.
1. Have a diagnosis of a severe mental disorder limiting work integration or participation 2. Require or receive services from a specialized mental health care team