Enabling the return-to-work process among people with affective disorders: a multiple-case study

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Enabling the return-to-work process among people with affective disorders : a multiple-case study. / Johanson, Suzanne; Markström, Urban; Bejerholm, Ulrika.

I: Scandinavian Journal of Occupational Therapy, Vol. 26, Nr. 3, 2019, s. 205-218.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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TY - JOUR

T1 - Enabling the return-to-work process among people with affective disorders

T2 - Scandinavian Journal of Occupational Therapy

AU - Johanson, Suzanne

AU - Markström, Urban

AU - Bejerholm, Ulrika

PY - 2019

Y1 - 2019

N2 - Background: The Individual Enabling and Support (IES) model is an adapted, supported employment program developed to meet motivational, cognitive and time-use needs of people with affective disorders. Vocational programs for this target group have been developed but more knowledge is needed about the important characteristics and perceived usefulness of the programs. The aim of this study was to illustrate the IES model and process from multiple perspectives. Methods: Five participants were included in this multiple-case study. The material comprised interviews with participants, intervention documents, memos and interviews with employment specialists. Within and cross-case analyzes and an analytical generalization were performed. Results: The cases illustrated different IES processes, and the theme; Enabling engagement in return to work (RTW) was formulated. Continuous support from the employment specialist and a focus on personal resources and motivation were essential to overcome low self-confidence regarding RTW. Motivational, cognitive and time-use strategies gave an opportunity to learn new behavior and coping strategies for job seeking, getting employed and working. Conclusion: Providing a combination of these strategies integrated with supported employment could promote self-efficacy and engagement in the RTW process among people on sick leave due to an affective disorder.

AB - Background: The Individual Enabling and Support (IES) model is an adapted, supported employment program developed to meet motivational, cognitive and time-use needs of people with affective disorders. Vocational programs for this target group have been developed but more knowledge is needed about the important characteristics and perceived usefulness of the programs. The aim of this study was to illustrate the IES model and process from multiple perspectives. Methods: Five participants were included in this multiple-case study. The material comprised interviews with participants, intervention documents, memos and interviews with employment specialists. Within and cross-case analyzes and an analytical generalization were performed. Results: The cases illustrated different IES processes, and the theme; Enabling engagement in return to work (RTW) was formulated. Continuous support from the employment specialist and a focus on personal resources and motivation were essential to overcome low self-confidence regarding RTW. Motivational, cognitive and time-use strategies gave an opportunity to learn new behavior and coping strategies for job seeking, getting employed and working. Conclusion: Providing a combination of these strategies integrated with supported employment could promote self-efficacy and engagement in the RTW process among people on sick leave due to an affective disorder.

KW - affective disorders

KW - case study

KW - Return to work

KW - sick leave

KW - supported employment

U2 - 10.1080/11038128.2017.1396356

DO - 10.1080/11038128.2017.1396356

M3 - Article

VL - 26

SP - 205

EP - 218

JO - Scandinavian Journal of Occupational Therapy

JF - Scandinavian Journal of Occupational Therapy

SN - 1651-2014

IS - 3

ER -