title: Psychotherapeutic and work-oriented interventions: employment outcomes among young adults with work disability due to a mental disorder.
abstract: BACKGROUND
  We examined the extent to which psychotherapeutic and work-oriented interventions were included in a medical treatment and rehabilitation plan and whether they predicted future employment among young adults with work disability due to a mental disorder.
  
  
  METHODS
  Data were obtained from the treatment and rehabilitation plans of 1163 young adults aged 18‒34 years, who in 2008 were granted fixed-term work disability compensation due to a mental disorder and were followed for 5 years.
  
  
  RESULTS
  Forty-six percent had no proposal for psychotherapy or a work-oriented intervention in their treatment and rehabilitation plan, 22 % had a plan for only a psychotherapeutic intervention, 23 % had a plan for only a work-oriented intervention, and 10 % had both types of interventions planned. Having a planned psychotherapeutic intervention (HR = 1.35, 95 % CI 1.07-1.69) and of the work-oriented interventions, planned rehabilitative courses and training (HR = 1.34, 95 % CI 1.03-1.70) predicted quicker entry into competitive employment. Having a plan for both a psychotherapeutic and work-oriented intervention was associated with being employed at the end of the follow-up (OR = 1.77, 95 % CI 1.07-2.95).
  
  
  CONCLUSIONS
  Young adults with a long-term psychiatric work disability episode rarely have a recorded plan for rehabilitation in their treatment and rehabilitation plan although psychotherapeutic interventions and a combination of a psychotherapeutic and work-oriented intervention might help them gain employment.
authors.affiliation: Finnish Institute of Occupational Health, Töölöntullinkatu 8, 00250 Helsinki, Finland.
authors.forename: Pauliina
authors.initials: P
authors.lastname: Mattila-Holappa
authors.affiliation: Finnish Institute of Occupational Health, Töölöntullinkatu 8, 00250 Helsinki, Finland.
authors.forename: Matti
authors.initials: M
authors.lastname: Joensuu
authors.affiliation: Finnish Institute of Occupational Health, Töölöntullinkatu 8, 00250 Helsinki, Finland.
authors.forename: Kirsi
authors.initials: K
authors.lastname: Ahola
authors.affiliation: Finnish Institute of Occupational Health, Töölöntullinkatu 8, 00250 Helsinki, Finland.
authors.forename: Aki
authors.initials: A
authors.lastname: Koskinen
authors.affiliation: Outpatient Clinic for Assessment of Ability to Work, Department of Psychiatry, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
authors.forename: Katinka
authors.initials: K
authors.lastname: Tuisku
authors.affiliation: Finnish Institute of Occupational Health, Töölöntullinkatu 8, 00250 Helsinki, Finland.
authors.forename: Jenni
authors.initials: J
authors.lastname: Ervasti
authors.affiliation: Finnish Institute of Occupational Health, Töölöntullinkatu 8, 00250 Helsinki, Finland.
authors.forename: Marianna
authors.initials: M
authors.lastname: Virtanen
keywords: Intervention; Mental disorder; Occupational; Prospective; Psychotherapy; Vocational; Work; Young adults