title: [A randomised clinical trial on the effectiveness of a re-integration training after short-term inpatient psychotherapy].
abstract: BACKGROUND
  Standardised evaluation studies performed in the Netherlands in a large number of inpatient and day-treatment hospitals providing psychotherapy have shown significant symptomatic improvements in patients between the date of entry to the studies and follow-up after one year. However, the work situation of ex-patients hardly changed and a large number of patients were still receiving psychotherapy.
  
  
  OBJECTIVE
  To examine the effectiveness of a specifically designed course of re-integration training.
  
  
  METHODS
  A group of 128 patients were assigned randomly either to a re-integration training course aimed at improved functioning at work and improved relationships, or to booster sessions. Outcome measures were symptom level, work status, absence from work, and further psychotherapy. results After two years the number of patients in paid employment remained the same (76%) in the re-integration training course and increased from 67 to 87% in the booster sessions. Attendance was significantly higher in the booster sessions than in the re-integration training. There were no differences in the other outcome measures.
  
  
  CONCLUSIONS
  We conclude that re-integration training was no more effective than the booster sessions. Our hypothesis is that continuity of care (therapists plus programme) explains the favourable result of the booster sessions.
authors.affiliation: m.thunn@xs4all.nl
authors.forename: M M
authors.initials: MM
authors.lastname: Thunnissen
authors.forename: H J
authors.initials: HJ
authors.lastname: Duivenvoorden
authors.forename: J
authors.initials: J
authors.lastname: van Busschbach
authors.forename: L
authors.initials: L
authors.lastname: Hakkaart-van Roijen
authors.forename: W
authors.initials: W
authors.lastname: van Tilburg
authors.forename: R
authors.initials: R
authors.lastname: Verheul
authors.forename: W
authors.initials: W
authors.lastname: Trijsburg
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D009426:Netherlands; D010353:Patient Education as Topic / Q000379:methods*; D010554:Personality Disorders / Q000523:psychology* / Q000534:rehabilitation*; D011613:Psychotherapy / Q000379:methods*; D011614:Psychotherapy, Brief / Q000379:methods; D012050:Rehabilitation, Vocational / Q000379:methods*; D012720:Severity of Illness Index; D016896:Treatment Outcome