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Randomized Controlled Trial
. 2009 Mar;51(3):305-12.
doi: 10.1097/JOM.0b013e3181990d32.

Guideline-based care of common mental disorders by occupational physicians (CO-OP study): a randomized controlled trial

D S Rebergen  1 , D J Bruinvels, P D Bezemer, A J van der Beek, W van Mechelen
Affiliations
Randomized Controlled Trial

Guideline-based care of common mental disorders by occupational physicians (CO-OP study): a randomized controlled trial

D S Rebergen et al. J Occup Environ Med. 2009 Mar.

Abstract

Objective: To evaluate the effectiveness of guideline-based care (GBC) of workers with mental health problems, which promotes counseling by the occupational physician (OP) facilitating return to work (RTW).

Methods: In a randomized controlled trial with police workers on sick leave due to mental health problems (n = 240), trained OPs delivered GBC in the intervention group. Time to RTW and recurrences during 1-year follow-up, analyzed using Cox proportional hazards models, were compared with usual care (UC) with easy access to a psychologist.

Results: GBC by OPs did not result in earlier RTW than UC. Subgroup analysis showed a small effect in favor of GBC for workers with administrative functions and/or "minor" stress-related symptoms.

Conclusions: GBC did not differ in RTW compared with UC, but may be beneficial for the majority of workers with minor stress-related disorders.

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