Conceptual Framework of a Psychotherapeutic Consultation in the Workplace: A Qualitative Study

Eva Rothermund, Tim Pößnecker (), Andreas Antes, Reinhold Kilian, Franziska Kessemeier, Jörn von Wietersheim, Dorothea Mayer, Monika A. Rieger, Harald Gündel, Michael Hölzer, Elisabeth M. Balint and Kathrin Mörtl
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Eva Rothermund: Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081 Ulm, Germany
Tim Pößnecker: Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081 Ulm, Germany
Andreas Antes: Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081 Ulm, Germany
Reinhold Kilian: Department of Psychiatry II, Ulm University Medical Center at BKH Günzburg, Lindenallee 2, 89312 Günzburg, Germany
Franziska Kessemeier: Leadership Personality Center Ulm (LPCU), Ulm University, Kornhausgasse 9, 89073 Ulm, Germany
Jörn von Wietersheim: Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081 Ulm, Germany
Dorothea Mayer: Health and Safety Sindelfingen, Daimler AG, Bela-Barenyi-Straße, 71059 Sindelfingen, Germany
Monika A. Rieger: Institute for Occupational and Social Medicine and Health Services Research, University Clinic Tübingen, Wilhelmstraße 27, 72074 Tübingen, Germany
Harald Gündel: Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081 Ulm, Germany
Michael Hölzer: Leadership Personality Center Ulm (LPCU), Ulm University, Kornhausgasse 9, 89073 Ulm, Germany
Elisabeth M. Balint: Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081 Ulm, Germany
Kathrin Mörtl: Faculty of Psychotherapy Science, Sigmund Freud University, Freudplatz 1, 1020 Vienna, Austria

IJERPH, 2022, vol. 19, issue 22, 1-30

Abstract: (1) Background: A new health care offer called ‘psychotherapeutic consultation in the workplace’ is an early and effective intervention for employees with common mental disorders. Although cost-effective, it lacks a broader roll-out. This might be attributable to undefined context, mechanisms of change, and a lack of communication; therefore, this study explores how the new model works and where problems occur. (2) Methods: Semi-structured interviews on motivation, expectations and experiences with 20 involved experts. Experts were members of the company health promotion team, service users, and cooperating mental health specialists. Analysis was conducted with ATLAS.ti. (3) Results: The conceptual framework comprises three main topics: (a) structured implementation concept; (b) persons involved, shaping the concept’s processes; (c) and meaning and function of the offer within the given context. Concerning (c) we found three potential areas of conflict: (1) intra-corporate conflicts, (2) conflicts between company and employee, (3) and conflicts between the company health promotion and the health care system. Category (c) comprises the offer’s core characteristics which were described as low-threshold and preventive. Furthermore, the offer was perceived as convenient in handling, confidential, and having immediate impact on a person’s well-being. (4) Conclusions: Here we define structures, address the needs of the involved persons, and communicate foreseeable areas of conflict influences whether the implementation of the intervention succeeds.

Keywords: company health promotion; complex intervention; depression; early intervention; grounded theory methodology; health services research; mental health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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