Longitudinal outcomes of a work inclusion program in mental health departments in the city of Milan

Simone Vanzetto, Andrea Quarenghi, Alberto Varinelli, Chiara Dragoni, Dario Conti, Maria Boscacci, Giuseppe CarrÃ, Mauro Percudani, Carla Morganti, Orsola Gambini, Valentina Barbieri, Paolo Brambilla, Matteo Lazzaretti, Paola Rubelli, Claudio Mencacci, Antonio Fusi, Caterina Viganò and Bernardo Dell’Osso

International Journal of Social Psychiatry, 2024, vol. 70, issue 3, 507-517

Abstract: Background: Work functioning impairment is a key diagnostic and prognostic criterion in patients with psychiatric disorders and work inclusion is a major goal of their therapeutic pathway. Since 2009, the Regional Innovative Program (PIR) TR106, promoted by ASST Fatebenefratelli-Sacco of Milan in collaboration with other Departments of Mental Health and Addictions (DSMDs) in the town of Milan (Italy), has been developing the employment inclusion of psychiatric patients. Aims: The objective of this study is to evaluate its outcomes over 8 years of observation. Method: We reported the results of a retrospective epidemiologic analysis on 2,142 interventions on 1,066 patients recruited, investigating PIR TR106 outcomes per year focusing on different subgroups. We focused on ‘positive’, ‘negative’, and ‘other’ outcomes. Results: We preliminary calculated job maintenance interventions (5%, 107) and excluded these interventions from the overall. We observed 29 job firing (1.4%) and 15 job resignations (0.7%) as negative results (equal to 2.2% of the total) and 388 job hiring (16.6%), 647 traineeships (31.8%), and 413 work formation (20.3%) as positive outcomes (equal to 68.75%). In other outcomes (29.1%) we found 305 dismissals from PIR TR 106 (15%) and transitory outcomes (14.1%). Job hiring increased from 8.9% in 2012 to 23.8 % in 2019 ( p  

Keywords: Work inclusion; mental illness; supported employment; vocational rehabilitation; psychiatric disabilities (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:70:y:2024:i:3:p:507-517

DOI: 10.1177/00207640231217177

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