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J Occup Environ Med. 2009 Mar;51(3):305-12. doi: 10.1097/JOM.0b013e3181990d32.

Guideline-based care of common mental disorders by occupational physicians (CO-OP study): a randomized controlled trial.

Author information

1
Departments of Public and Occupational Health, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands.

Abstract

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 work (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.

PMID:
19225417
DOI:
10.1097/JOM.0b013e3181990d32
[Indexed for MEDLINE]

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