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Workers’ self-appraisal of health, age and work status were strong prognostic factors for the future work participation of sick-listed unemployed and temporary agency workers with psychological problems.
These data suggest that mental health clinicians who use high levels of sick and/or family care leave are not necessarily unproductive workers.
Knowledge of prognostic factors for work participation could help identify sick-listed workers with a high-risk for work disability and provide input for sickness absence counseling.
ERI and low reward at work were prospectively associated with medically certified absence for mental health problems.
Open accessJournal ArticleDOI
Jussi Vahtera, Mika Kivimäki 
11 Citations
Obviously, some sick leave represents voluntary absenteeism not related to physical or mental illness, and some employees work while ill and record no absences.
Results of this study will contribute to treatment options in occupational health practice for employees on sick leave due to mental health problems.
We conclude that the sick-listed unemployed workers with mental health problems have to deal with multiple problems, of which medical problems are only a part.
The lack of communication and agreement by Dutch GPs and OPs in medical diagnosis and management of employees long-term sick listed due to mental health problems are indicators of sub—optimal medical treatment and return-to-work strategies.
The intervention was most effective for individuals without a psychiatric sick-leave diagnosis sick-listed from full-time work.

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