title: Multidisciplinary vocational rehabilitation focusing on work training and case management for unemployed sick-listed people.
abstract: Twenty-four unemployed sick-listed people were referred during 1996 and 1997 to a multidisciplinary vocational rehabilitation programme with additional work training and case management. Twelve months after the programme, 54.2% in the study group had lowered their benefit levels compared with those at the start while 26.1% in the control group - who underwent a conventional rehabilitation programme - had lowered their benefit levels (p = 0.050, Chi-squared test). There were no significant differences regarding fewer sick days three and 12 months after the programme between the study group and the control group. Regarding self-assessed quality of life, there were no significant differences within or between the groups. We conclude that this multidisciplinary vocational rehabilitation programme with work training and case-management affected the outcome positively regarding lowered level of benefits 12 months after termination of programme compared with level at start. Studies of the long-term effect of the programme should, however, be performed with more subjects in both study group and control group.
authors.affiliation: Department of Public Health, Karolinska Institute, Stockholm, Sweden.
authors.forename: S U
authors.initials: SU
authors.lastname: Marnetoft
authors.forename: J
authors.initials: J
authors.lastname: Selander
mesh_terms: D000328:Adult; D019090:Case Management; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D018868:Insurance, Disability / Q000191:economics; D008297:Male; D017146:Models, Organizational; D010348:Patient Care Team; D011788:Quality of Life; D012050:Rehabilitation, Vocational / Q000191:economics / Q000379:methods*; D018582:Sick Leave / Q000191:economics / Q000706:statistics & numerical data; D018709:Statistics, Nonparametric; D013548:Sweden