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

Eva Rothermund, Martina Michaelis, Marc N. Jarczok, Elisabeth M. Balint, Rahna Lange, Stephan Zipfel, Harald Gündel, Monika A. Rieger and Florian Junne
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Eva Rothermund: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, 89081 Ulm, Germany
Martina Michaelis: Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tübingen, 72074 Tübingen, Germany
Marc N. Jarczok: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, 89081 Ulm, Germany
Elisabeth M. Balint: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, 89081 Ulm, Germany
Rahna Lange: Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tübingen, 72074 Tübingen, Germany
Stephan Zipfel: Department of Internal Medicine VI, Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, 72076 Tübingen, Germany
Harald Gündel: Department of Psychosomatic Medicine and Psychotherapy, University Hospital Ulm, 89081 Ulm, Germany
Monika A. Rieger: Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tübingen, 72074 Tübingen, Germany
Florian Junne: Department of Internal Medicine VI, Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, 72076 Tübingen, Germany

IJERPH, 2018, vol. 15, issue 2, 1-13

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.

Keywords: occupational health physician; primary care physician; psychotherapist; depression; anxiety; health services research; outpatient care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (5)

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