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

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 co...

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Published in:International journal of social psychiatry 2024-05, Vol.70 (3), p.507-517
Main Authors: Vanzetto, Simone, Quarenghi, Andrea, Varinelli, Alberto, Dragoni, Chiara, Conti, Dario, Boscacci, Maria, Carrà, Giuseppe, Percudani, Mauro, Morganti, Carla, Gambini, Orsola, Barbieri, Valentina, Brambilla, Paolo, Lazzaretti, Matteo, Rubelli, Paola, Mencacci, Claudio, Fusi, Antonio, Viganò, Caterina, Dell’Osso, Bernardo
Format: Article
Language:English
Subjects:
Addictions
Adult
Dismissal
Employment
Female
Hiring
Humans
Intervention
Italy
Job performance
Longitudinal Studies
Male
Mental disorders
Mental Disorders - therapy
Mental health
Mental Health Services - organization & administration
Middle Aged
Personality disorders
Personnel Selection - methods
Psychosis
Regional variations
Resignations
Retrospective Studies
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Summary: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 
ISSN:0020-7640
1741-2854
DOI:10.1177/00207640231217177