Prevention of Common Mental Disorders in Employees. Perspectives on Collaboration from Three Health Care Professions.

Eva Rothermund,Elisabeth Balint,Stephan Zipfel,Harald Gündel,Marc Jarczok,Rahna Lange,Martina Michaelis,Florian Junne,Monika Rieger

doi:10.3390/ijerph15020278

Abstract

Collaboration among occupational health physicians, primary care physicians and psychotherapists in the prevention and treatment of common mental disorders in employees has been scarcely researched. To identify potential for improvement, these professions were surveyed in Baden-Württemberg (Germany). Four hundred and fifty occupational health physicians, 1000 primary care physicians and 700 resident medical and psychological psychotherapists received a standardized questionnaire about their experiences, attitudes and wishes regarding activities for primary, secondary and tertiary prevention of common mental disorders in employees. The response rate of the questionnaire was 30% (n = 133) among occupational health physicians, 14% (n = 136) among primary care physicians and 27% (n = 186) among psychotherapists. Forty percent of primary care physicians and 33% of psychotherapists had never had contact with an occupational health physician. Psychotherapists indicated more frequent contact with primary care physicians than vice versa (73% and 49%, respectively). Better cooperation and profession-specific training on mental disorders and better knowledge about work-related stress were endorsed. For potentially involved stakeholders, the importance of interdisciplinary collaboration for better prevention and care of employees with common mental disorders is very high. Nevertheless, there is only little collaboration in practice. To establish quality-assured cooperation structures in practice, participants need applicable frameworks on an organizational and legal level.

Highlights

Common mental disorders like depression, anxiety, somatoform and adjustment disorders are highly prevalent globally [1]
Concentrating on primary care physicians and attuning them to anxiety may even be detrimental, as it reduced the labor force participation rates reported in a study from Yelin et al in 1996 [36]. Clear concepts, such as comprehensive guidelines, are lacking [19] in the German health care system. This is why we investigated the collaboration between occupational health physicians, primary care physicians and outpatient psychotherapists in cases of common mental disorders in this study
In the primary care physician group, the response rate was higher among respondents practicing in smaller than in larger cities, but with low effect size (p(chi2) = 0.009, phi = 0.08)

Summary

Introduction

Common mental disorders like depression, anxiety, somatoform and adjustment disorders are highly prevalent globally [1]. Public Health 2018, 15, 278; doi:10.3390/ijerph15020278 www.mdpi.com/journal/ijerph

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Conclusion