Occupational Psychiatry Research Articles

Proposal for a special interest group in occupational psychiatry

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Proposal for a special interest group in occupational psychiatry

An abstract is not available for this content. As you have access to this content, full HTML content is provided on this page. A PDF of this content is also available in through the ‘Save PDF’ action button.

Proposal for a special interest group in occupational psychiatry

Proposal for a special interest group in occupational psychiatry

For: does workplace counselling work?

There has been a rapid increase in compensation claims for work-related stress in recent years (Dyer, 2002). A Court of Appeal ruling last year (Sutherland v. Hatton, 2002) made it clear that employees who feel under stress at work should inform their employers and give them a chance to do something about it. Any employer who offers a confidential counselling service with access to treatment may have some protection from prosecution. In the face of a possible explosion in the provision of such services we need to ask – do they actually work? In 2001 the British Association for Counselling and Psychotherapy commissioned and published a report, Counselling in the Workplace: The Facts (McLeod, 2001), which described itself as ‘the most comprehensive possible review of all English language studies of counselling in the workplace’. The results appeared clear and unequivocal. After counselling, work-related symptoms returned to normal in more than half of all clients and sickness absence was reduced by over 25%. The report has received much publicity in the general medical press (Mayor, 2001). But just how reliable is the evidence? We asked Professor John McLeod, the author of the report, and Dr Max Henderson, Clinical Research Fellow in Occupational Psychiatry, to debate the issue: ‘Does workplace counselling work?’ The arguments will inform other debates into interventions that seem intrinsically to be a ‘good thing’ but that have not yet been subjected to rigorous investigation.

Occupational Psychiatry Services in a Military Setting

Occupational psychiatry services have become increasingly important since the passage of the Americans with Disabilities Act and the recent growth of workers' compensation mental health claims. Delivery of such services within the military is complicated by interagency financial relationships, recent implementation of a comprehensive managed care program, and military regulations governing medical services. In this article, we describe the provision of occupational psychiatry services in a large military medical system and present the results of a feasibility study of establishing a regular clinic to improve them. The results of the study highlighted the importance of having occupational psychiatry services available within the medical center, although it did not establish the necessity of a specific clinic to provide these services. Case material is presented that illustrates our approach and the range of services encompassed.

Psychiatrist Assesses Mentally Ill Employees for ‘Fitness for Duty’

Psychiatrist Assesses Mentally Ill Employees for ‘Fitness for Duty’

Core readings in psychiatry: an annotated guide to the literature

Contributors. Foreword. Introduction. Basic Sciences: Biological, Psychological, and Social. Neuroscience. Genetic. Psychoanalysis. Models of psychoanalysis. Psychology: cognition and emotion. Family. Group dynamics. Social and cultural factors: their role in mental illness. Psychiatric epidemiology. History of psychiatry. Psychopathology. Nosology, phenomenology, and diagnosis. Schizophrenia. Affective disorders. Unusual psychoses and culture-specific disorders. Anxiety disorders, phobias, and obsessive-compulsive disorder. Personality disorders. Neuropsychiatric syndromes. HIV and AIDS. Mental retardation. Chronically mentally ill patients. Sleep, sleep disorders, and dreaming. Sexual disorders. Eating disorders. Substance-related disorders. Posttraumatic stress disorder. Bereavement and grief. Psychosomatic. Suicide. Violence. Child and adolescent psychopathology. Assessment. Psychiatric interviewing. Diagnostic psychological testing. The clinical neuropsychological examination. Neurology for psychiatrists. Novel approaches to diagnostic assessment in neuropsychiatry. Treatment. Psychopharmacology. Electroconvulsive therapy and psychosurgery. Psychoanalytic psychotherapy. Psychoeducation. Cognitive psychotherapy. Brief psychotherapy. Crisis intervention and emergency psychiatry. Group psychotherapy. Family and marital therapy. Milieu therapy: inpatient and partial hospitalization -- special problems and populations. Consultation-liaison psychiatry. Behavior. Interpersonal psychotherapy. Sex therapy. Geriatric. Modalities in child and adolescent psychiatry. Normality and development. Infant and child development. Adolescent and young adult development. Adult development. Gender issues in human development across the life cycle. Socially disadvantaged and cross-cultural populations. Special topics. Community psychiatry. Administration in psychiatry. Ethics. Forensic psychiatry. Economics issues in psychiatry. Military psychiatry. Occupational psychiatry. Psychiatric research. Psychiatric education and supervision. Books for families about serious mental illness. Index.

Erratum to: Residency Education, Work-Related Issues, and Organizational and Occupational Psychiatry

Erratum to: Residency Education, Work-Related Issues, and Organizational and Occupational Psychiatry

Challenges Facing the Psychiatrist Entering Organizational and Occupational Psychiatry

Challenges Facing the Psychiatrist Entering Organizational and Occupational Psychiatry

Residency Education, Work-Related Issues, and Organizational and Occupational Psychiatry.

Residency Education, Work-Related Issues, and Organizational and Occupational Psychiatry.

An overview of organizational and occupational psychiatry.

Although many clinicians agree in principle that work is central to personal identity and mental health, issues related to patients' experiences in the workplace have not been a central focus in clinical practice in psychiatry. However, the link between work and mental health continues to be confirmed by research, and interest in occupational and organizational psychiatry, which focuses on the psychopathology that the individual brings to the workplace and that results from the individual's experiences in the workplace, has increased in the past decade. The three main areas of practice in the field--direct clinical services, consultation, and applied research--include evaluating work-related psychiatric disability, providing case management for employees who receive psychiatric treatment, evaluating a candidate for an executive position, and conducting epidemiological research about stress-related disorders. A patient's occupational or work history can provide valuable information for routine psychiatric diagnosis and treatment planning.

Correspondence: Occupational Psychiatry in Australia

Correspondence: Occupational Psychiatry in Australia

Workplace mental health consultation: A primer of organizational and occupational psychiatry

Though there are only a few hundred psychiatrists who identify themselves as specialists in organizational and occupational issues, the need for psychiatric skills in the workplace has increased dramatically in recent years. Crucial issues include distressed employees, the effects of organizational structure and change, job stress, psychiatric disability, substance abuse, and violence in the workplace. It is important for general psychiatrists to become more conversant in work and workplace-related mental health issues. Use of an occupational history with all patients, and knowledge of organizational structures and function, are just two ways to become more aware of these matters. With business and government increasingly attentive to mental health benefits and systems, appropriate psychiatric focus on organizational and occupational concerns becomes ever more important.

Occupational therapy in the management of longstanding mental illness

This article discusses the role of the occupational therapist in the management of long-standing mental illness in terms of assessment and treatment methods used and how intervention is planned and structured. It also explores briefly some of the values and philosophies upon which occupational therapy (OT) and psychiatry are based and possible implications for working relationships.

Delpech and the origins of occupational psychiatry.

Auguste-Louis Delpech (1818-80) has been remembered principally as the author of the first detailed description of the serious consequences of exposure to carbon disulphide. A close reading of his work suggests that his reputation has been seriously undervalued. The subsequent development of occupational psychiatry, with its emphasis on the distinction between the organic and the functional, may be traced through publications on carbon disulphide. It is argued that a contemporary approach to occupational psychiatry is long overdue.

A model of consultation in occupational psychiatry.

The model of consultation in occupational psychiatry presented in this paper may contribute significantly to an improved dialogue between psychiatry and the world of work. Such a dialogue will ultimately benefit both employees and employers through earlier recognition and treatment of psychiatric disorders.

Projecting inpatient admissions to state facilities in the 1990s.

Hospital and Community Psychiatry July 1989 Vol. 40 No. 7 747 report is a comprehensive and confidential document that may become available to counts, unions, or other parties with appropriate authorization. The report should be well structuned and should list all relevant data and observations. It should lend itself to interpretation by independent medical professionals. The following elements should be included in an occupational psychiatry consultation report: . The reasons and questions that prompted the referral, followed by a summary of the conclusions the consultant has drawn from review of the patientemployee’s records. . The problems reported by the patient-employee, along with a descniption of the person’s life-style and current complaints and of any treatments that are currently being received. . A summary of significant data gathered from occupational, mcdico-surgical-psychiatnic, and familialsocial-economic histories. . Findings of the clinical interview and mental status examination. . An opinion that includes diagnoses and prognoses, as well as occupational and therapeutic necommendations. This formulation should be based on a multidimensional and dynamic view of the patient-employee. . Specific suggestions for placement and, if needed, for additional measures or investigations.

Employee Assistance Programs and the Role of the Psychiatrist: Report of the Committee on Occupational Psychiatry

Employee Assistance Programs and the Role of the Psychiatrist: Report of the Committee on Occupational Psychiatry

A Psychiatrist's Experience with Occupational Therapy in a Short-Term General Hospital Unit

Occupational therapy and psychiatry are natural allies. They come at the patient from different points of view, but with similar aims. Each must learn enough of the other's discipline to ask the right questions. Mutual staff support promotes effective patient care. In psychiatry co-therapy can provide such support. It is possible to enhance reciprocal respect through clear, frank, frequent feedback. Where collegial relationships are inherently unequal, special attention must be paid to finding appropriate forms and ways to anticipate and resolve conflict.

The Council on Psychiatric Services

Am J Psychiatry 1 40:3, March 1983 383 The committee is developing a national survey of APA members on sexual abuse of patients. The committee has collected information on the gender composition of the ethics committees of the district branches and the number of sexual abuse complaints received by each district branch. The committee plans to conduct a literature review of the subject and to develop a national survey instrument, which will be submitted for review to the Council on Research. APA officers and staff will be key persons in project planning, data analysis, and educational programs resulting from the study. The Council approved the request of the committee to seek outside funding for a hospitality suite and reception for women psychiatrists during the 1983 annual meeting and for a mailing to 4,000 women members of APA for recruitment into the Women’s Caucus. The Task Force on Psychiatry and Industry, Alan McLean, M.D., chairperson, has completed a literature search of the field. The task force plans to identify current programs of psychiatric care in the industrial setting and to develop a roster of psychiatrists active in occupational psychiatry. The Task Force on Terrorism and Its Victims, David Soskis, M.D., chairperson, did not meet during the fall committee meetings, as it has completed its specific task of preparing an overview of the current knowledge about the victims of terrorism with the December 1982 publication of Terrorism: Interdisciplinary Perspectives by the American Psychiatric Press, Inc. The appendix to the anthology, titled “Ethical Dimensions of Psychiatric Intervention in Terrorist and Hostage Situations,” was published separately in the November 1982 issue of the American JournalofPsychiatry. The task force will continue for the next 3 years as a corresponding task force to handle any queries that arise out of these two publications. The Task Force on Victimization, Frank Ochberg, M.D., chairperson, reported on national and international interest in victimization issues: President Reagan’s task force defining shortand long-term effects of victimization and mental health service needs of victims; the American Psychological Association’s task force on similar issues; the World Federation for Mental Health’s scientific committee that is assessing victimization needs and programs internationally; and the National Organization for Victims’ Assistance collaboration with self-help groups and psychiatric consultants. The task force will advertise in Psychiatric News for member interest in clinical services to victims and in providing consultation to these self-help groups. As a follow-up, additional information will be collected on how psychiatrists became interested in victimization, their level of expertise, and their availability for service. The Council approved the task force request to seek outside funding for an interdisciplinary national conference on clinical issues in victimization, to be held in 1983-1984.