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Should psychological sick leaves be cut short?

February 28, 2012
by Nick Zubko, Associate Editor
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When an employee takes a leave of absense due to a mental health issue, how soon should they return to work? It's an important question, but according to a new study, it's also one that is rarely addressed in treatment. 

In fact, new research from the American Psychological Association (APA) suggests that employees may have a better chance of getting back to work when that goal is specifically defined as a part of their therapy. The study followed 168 employees in the Netherlands who were on sick leave due to psychological problems such as anxiety, adjustment disorder and minor depression.

“Integrating return-to-work strategies into therapy leads to less time out of work with little to no compromise in people's psychological well-being over the course of one year,"  said the study's lead author, Suzanne Lagerveld, of the Netherlands Organization for Applied Scientific Research.

Almost half of the employees received standard, evidence-based cognitive behavioral therapy (CBT), while the rest received CBT that focused on returning to their job. In the latter group, work issues were addressed early and the workplace was even used as a "mechanism" in treatment. Clients also drafted detailed, gradual plans for returning to work, focusing on how they would engage in specific tasks. 

Those in the work-focused group returned to full-time status an average of 65 days earlier than those in standard therapy, and returned part-time 12 days earlier. 

“Being out of work has a direct effect on people's well-being," said Lagerveld. “They might lose part of their income and consequently tend to develop even more psychological symptoms. We've demonstrated that employees on sick leave with mental disorders can benefit from interventions that enable them to return to work."

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Comments

Mental health issue is a serious concern. So I think it is better to give an employee a right number of days of leave. In connection to this, a recent survey found 30 percent of respondents had been faking that they are sick. Faking sick to work is something one isn't supposed to do, but a good number of people do. Read more for yourself here.

Nick Zubko

Associate Editor

Nick Zubko

@BH_Zubko

www.behavioral.net

Nick Zubko is associate editor of Behavioral Healthcare.