Integrated Mental Health Care and Vocational Rehabilitation to Individuals on Sick Leave Due to Stress Disorders (IBBIS)

Amager Hospital

Status: Completed

Conditions: Psychological Stress; Burnout; Adjustment Disorder

Treatments: Behavioral: Integrated mental health care and vocational rehabilitation; Behavioral: IBBIS mental health care and standard vocational rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT02885519

IBBIS Stress

Details and patient eligibility

About

The purpose of this study is to investigate the efficacy of 1) a stepped mental health care (MHC) intervention and 2) an integrated mental health care and vocational rehabilitation (VR) intervention for people on sick leave because of burnout, adjustment disorder and psychological stress in Denmark

Full description

Background:

Stress disorders have negative effects on workability and have negative effects on both the individual and society. Psychological stress and burnout is not recognized as psychiatric diagnoses, and thus, the estimated prevalence in healthy and sick-listed people is somewhat insecure in Denmark. Together with other common mental disorders, burnout, adjustment disorder and psychological stress are causes of up 40 % of the sick leave claims in Denmark. There is no clear evidence that mental health care alone will provide sufficient support for vocational recovery for this target group. Integrated vocational and health care services have shown good effects on return to work in other Scandinavian countries.

Objective:

The purpose of the Danish IBBIS study is to investigate the efficacy of 1) a stepped mental health care intervention and 2) an integrated mental health care and vocational rehabilitation intervention for people on sick leave because of burnout, adjustment disorder and psychological stress in Denmark.

Method:

This three-arm, randomized, controlled trial is set up to investigate the effectiveness of the stepped mental health care model and the integrated mental health care and vocational rehabilitation intervention for people on sick leave because of burnout, adjustment disorder and psychological stress in Denmark. 603 patients are recruited from Danish job centers in four municipalities. The primary outcome is return to work at 12 months.

Results/discussion:

This study will contribute with new knowledge on vocational recovery and integrated vocational and health care interventions in a Scandinavian context.

Enrollment: 631 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Burnout OR adjustment disorder OR psychological stress according to 4DSQ
• On sick leave from work or unemployment and have received sick leave benefit for minimum four weeks OR have started a sick leave benefit case which is estimated to last for minimum eight weeks
• Citizen in one of the following municipalities: Copenhagen City, Gladsaxe Municipality, Lyngby-Taarbæk Municipality or Gentofte Municipality
• Danish-speaking
• Given informed consent

Exclusion criteria

• Pregnant
• High degree of suicidal ideation
• Dementia
• Alcohol or substance misuse that hinders the person participating in treatment
• Wish to start or continue psychological therapy
• Need for psychiatric treatment in the secondary psychiatric care system
• Medically unstable to a degree that the patient cannot adhere to treatment
• Participant in the research project Collabri
• Attending stress courses in the stress clinics of Copenhagen City
• Assessed by Jobcentre case managers to be dangerous

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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631 participants in 3 patient groups

Control

No Intervention group

Description:

Standard treatment and standard vocational rehabilitation

IBBIS MHC

Experimental group

Description:

IBBIS mental health care and standard vocational rehabilitation

Treatment:

Behavioral: IBBIS mental health care and standard vocational rehabilitation

IBBIS integrated MCH and VR

Experimental group

Description:

Integrated mental health care and vocational rehabilitation

Treatment:

Behavioral: Integrated mental health care and vocational rehabilitation