“Psychosomatic consultation in the workplace” – a new model of care at the interface of company-supported mental health care and consultation-liaison psychosomatics: design of a mixed methods implementation study

BMC Public Health

Harald Guendel⁵  Monika A Rieger³  Marc Krueger²  Daniel Mauss¹  Dorothea Mayer⁶  Michael Hoelzer⁴  Reinhold Kilian⁷  Eva Rothermund⁵ 

[1] Occupational Health Department, Allianz AG, Koeniginstr. 28, 80802, Munich, Germany;CASSIDIAN, Betriebsmedizinischer Dienst, Landshuterstr. 26, 85716, Unterschleissheim, Germany;Institute for Occupational and Social Medicine, and Health Services Research, Universitaetsklinikum Tuebingen, Wilhelmstraße 27, 72074, Tuebingen, Germany;Division of Psychosomatic Medicine of the ZfP Suedwuerttemberg, Sonnenbergklinik, Christian-Belser-Straße 79, 70597, Stuttgart, Germany;Department of Psychosomatic Medicine, University Clinic of Ulm, Ulm University, Am Hochstraess 8, 89081, Ulm, Germany;Daimler AG Werksaerztlicher Dienst Health and Safety Sindelfingen, 71059, Sindelfingen, Germany;Manager AG, Versorgungsforschung, University of Ulm, BKH GuLudwig-Heilmeyer-Straße 2, 89312, Guenzburg, Germany

关键词: Explorative study;    Qualitative design;    Burnout syndrome;    Somatisation;    Anxiety;    Depression;    Company supported mental health care;   

Others  :  1163098
DOI  :  10.1186/1471-2458-12-780

 received in 2012-08-08, accepted in 2012-09-06,  发布年份 2012

【 摘 要 】

Background

Mental health issues are gaining in importance in society and the economic system. At the same time, the accessibility and stigmatisation of the mental health care system in Germany can obstruct help-seeking behavior and delay early psychotherapeutic interventions. Therefore, new models of care are being established at the interface of company-supported health promotion and conventional health insurance sponsored outpatient care for people developing mental illnesses. Two large industrial companies, in cooperation with two psychosomatic clinics, have recently established a model of “psychosomatic consultation in the workplace“. This new model of care offers the opportunity for a first psychotherapeutic door to door consultation with occupational medicine within the industrial workplace. The main empirical goals of this study are:

1) Describing the differences between patients who use this new diagnostic and therapeutic offer within the industrial workplace vs. patients who visit a conventional regional outpatient clinic, especially in regard to symptom duration and severity, work ability, and demographic characteristics, and

2) A first evaluation of how patients may benefit more from this new model of care compared to those first seen by standard outpatient care.

In the qualitative part of the study, occupational physicians, psychosomatic therapists, involved personnel and select employees of the involved companies will be asked to comment on their experiences with this new approach.

Methods/Design

The implementation study will take place in Ulm and in Stuttgart, with each site looking at one regional conventional psychosomatic outpatient clinic and one psychosomatic consultation offer within the workplace. 70 consecutive patients in each setting will be recruited (overall n = 280). For the cross-sectional study and pre-post comparison we will use established and validated survey instruments (PHQ, SF-12, WAI, MBI, IS) as well as standardized questions about health care use. For data analysis, we will use uni- and multivariate analytical methods. Qualitative data analysis (expert interviews) will be carried out using Mayring’s content analysis method.

Discussion

The results of this study have the potential to provide evidence-based knowledge about an innovative model of psychotherapeutic outpatient care and to further promote tailored solutions for early psychotherapeutic interventions within the worksite.

Trial Registration

DRKS00003184

【 授权许可】

   
2012 Rothermund et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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