Within the collaborative care model, the intervention will contain the following elements: contracting, adherence-enhancing techniques, manual-guided self-help, Problem Solving Treatment (PST), a workplace intervention, active monitoring and, depending on patient preference, prescription of antidepressants according to a treatment algorithm.
A transmural collaborative care model, including Problem Solving Treatment (PST), a workplace intervention, antidepressant medication and manual guided self-help will be compared with care as usual (CAU).
I also know that, as a physician myself, I should report her to protect other patients, so that she may get increased supervision at her workplace and treatment if needed.
This was unclear to participants and they made incorrect assumptions that it was through their workplace or treatment providers.
In the Netherlands, the standard care for sick-listed employees with depressive symptoms in the workplace is treatment by an occupational physician.
Our time-to-event analysis was adjusted for demographic, workplace and treatment factors, but not injury severity, although we attempted to include a sample with very similar, less-severe injuries.
Because all the participants were employed, they mostly selected doctors located near their workplace for treatment, and shopped for a new doctor when they moved to a new job.
Reviews confirm that an optimal rehabilitation requires close cooperation with insurers and employers: Thus, it is possible to influence working conditions and facilitate return to work (e.g. with adapted workplace design, treatment by a work physician, and implementation of prevention programs) [ 20, 21, 28, 34, 35, 44].
Furthermore, decentralisation of patient supervision (including directly observed therapy), e.g. through community-based [ 43, 66] or workplace-based treatment [ 43], can reduce transport costs as well as income loss for patients.
