“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

Study Protocol

Marc Krueger¹  Dorothea Mayer²  Eva Rothermund³  Harald Guendel³  Michael Hoelzer⁴  Monika A Rieger⁵  Reinhold Kilian⁶  Daniel Mauss⁷ 

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

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

DOI  :  10.1186/1471-2458-12-780

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

来源: Springer

【 摘 要 】

BackgroundMental 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, and2) 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/DesignThe 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.DiscussionThe 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 RegistrationDRKS00003184

【 授权许可】

CC BY   
© Rothermund et al.; licensee BioMed Central Ltd. 2012