[Do people with mental disorders who, due to complete reduction in earning capacity, receive a temporary pension want to return into active employment?].
In Germany the number of invalidity pensions due to mental disorders is increasing. More than one third of these insurants do not take part in rehabilitation measures before their early retirement. Only 6 % return into their employment relationship.


OBJECTIVE
1. People with mental disorders still have severe health problems after their two-year temporary leave/retirement. 2. About one third of these insurants are generally interested in being reintegrated into their jobs. 3. Their motivation for reintegration depends on their age and their individual health status.


METHODS
Data of all insurants (of DRV Braunschweig-Hannover) under 50 who drew a short-term benefit due to complete reduction in earning capacity in 2004 (n = 352) were collected with the help of an anonymous questionnaire (response rate = 54 %). This questionnaire compiled data on their general health status, their functional capacity and work ability, their motivation for returning to work as well as psychosocial aspects. At the same time, socio-demographic characteristics from the regional pension insurance database were analyzed.


RESULTS
Compared to patients treated in hospitals, those insurants who had been on a two-year temporary leave were psychologically strongly distressed. There was also a gender effect: Women in particular showed significant limitations in daily activities/routines, a higher level of anxiety and somatization. Less than 30 % of the pensioners were motivated for vocational rehabilitation in order to return to their jobs. The motivation was not dependant on the psychological load and the age but most probably on the somatization tendencies and the daily activities.


CONCLUSIONS
It seems that classic vocational rehabilitation for insurants who already receive a disability pension does not lead to a higher rate of reintegration into work. The relatively large number of insurants who want to return to their jobs implies the necessity of a special rehabilitation programme with concepts for reintegration: an individual case-management should help to continually counsel the patients and, by means of work-trial phases, prepare them for their return into their career.
Kobelt
Axel
A
Deutsche Rentenversicherung Braunschweig-Hannover, Arztlicher Dienst. axel.kobelt@drv-bsh.de
Grosch
Eberhard
E
Hesse
Bettina
B
Gebauer
Erika
E
Gutenbrunner
Christoph
C
D000203:Activities of Daily Living; D000328:Adult; D035881:Compensation and Redress; D004651:Employment / Q000191:economics* / Q000523:psychology*; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000191:economics* / Q000523:psychology*; D008875:Middle Aged; D009042:Motivation; D010415:Pensions; D011569:Psychiatric Status Rating Scales; D012179:Retirement / Q000191:economics / Q000523:psychology; D011795:Surveys and Questionnaires