44 results match your criteria: "Centre for Work and Mental Health[Affiliation]"

Having a job is an important component of recovery from mental illness and a source of economic, social, and health benefits. Most people experiencing severe mental illness (SMI) want to work but are excluded from employment opportunities. Employment specialists (ESs) working in individual placement and support (IPS) teams help persons struggling with SMI obtain competitive employment.

View Article and Find Full Text PDF

Aims And Method: To explore the duration of support, reach, effectiveness and equity in access to and outcome of individual placement and support (IPS) in routine clinical practice. A retrospective analysis of routine cross-sectional administrative data was performed for people using the IPS service ( = 539).

Results: A total of 46.

View Article and Find Full Text PDF

Background: Psychiatric comorbidity is frequent among persons with attention-deficit/hyperactivity disorder (ADHD). Whether pharmacological treatment of ADHD influences the incidence of psychiatric comorbidity is uncertain.

Objective: To investigate associations and causal relations between pharmacological treatment of ADHD and incidence of subsequent comorbid psychiatric diagnoses.

View Article and Find Full Text PDF
Article Synopsis
  • - GPs in Norway earn two-thirds of their income through a fee-for-service model, which encourages brief consultations and high service provision but may complicate decision-making as they act as gatekeepers for various treatments.
  • - A study with 33 GPs revealed that while they understand the profitability of different fees and adopt strategies to increase income, the pressure of time constraints can lead them to accommodate patient requests, even if they are unreasonable.
  • - Participants recognized the dual nature of fees as both incentives and compensation, noting that complexities in fee structures can create challenges in accurately interpreting and applying them in practice.
View Article and Find Full Text PDF

Background: General practitioners (GPs) have an important gatekeeping role in the Norwegian sickness insurance system. This role includes limiting access to paid sick leave when this is not justified according to sick leave criteria. 85% of GPs in Norway operate within a fee-for-service system that incentivises short consultations and high service provision.

View Article and Find Full Text PDF

Introduction: Associations between psychiatric disorders and mortality have been extensively studied, but limited evidence exists regarding influence of clinical characteristics on mortality risk, at the time of acute psychiatric hospitalization.

Methods: A prospective total-cohort study included all patients consecutively admitted to Haukeland University Hospital's psychiatric acute ward in Bergen, Norway between 2005 and 2014 (n = 6125). Clinical interviews were conducted at the first admission within the study period, and patients were subsequently followed for up to 15 years in the Norwegian Cause of Death Registry.

View Article and Find Full Text PDF

Background: Individual placement and support (IPS) is an evidence-based practice that helps individuals with mental illness gain and retain employment. IPS was implemented for young adults at a municipality level through a cross-sectoral collaboration between specialist mental healthcare, primary mental healthcare, and the government funded employment service (NAV). We investigated whether IPS implementation had a causal effect on employment outcomes for all young adults in receipt of a temporary health-related rehabilitation (work assessment allowance, WAA) welfare benefit, measured at the societal level compared to municipalities that did not implement IPS.

View Article and Find Full Text PDF

Background: There are now hundreds of systematic reviews on attention deficit hyperactivity disorder (ADHD) of variable quality. To help navigate this literature, we have reviewed systematic reviews on any topic on ADHD.

Methods: We searched MEDLINE, PubMed, PsycINFO, Cochrane Library, and Web of Science and performed quality assessment according to the Joanna Briggs Institute Manual for Evidence Synthesis.

View Article and Find Full Text PDF

ADHD is associated with an increased risk of injury. Causal evidence for effects of pharmacological treatment on injuries is scarce. We estimated effects of ADHD medication on injuries using variation in provider preference as an instrumental variable (IV).

View Article and Find Full Text PDF

Background: In this study we investigated the health-related rehabilitation trajectories of young Norwegian adults between 2004-2019. The study period is interesting because it overlaps with an extensive welfare system reform that occurred in Norway between 2006-2011. In parallel with the reform there was a substantial increase in health-related welfare dependency among young people due to mental health conditions.

View Article and Find Full Text PDF

Objectives: Compulsory mental health care includes compulsory hospitalisation and outpatient commitment with medication treatment without consent. Uncertain evidence of the effects of compulsory care contributes to large geographical variations and a controversy on its use. Some argue that compulsion can rarely be justified and should be reduced to an absolute minimum, while others claim compulsion can more frequently be justified.

View Article and Find Full Text PDF
Article Synopsis
  • ADHD prevalence and medication rates differ widely based on geographic location and local clinician practices, as there’s no clear boundary between ADHD and normal behavior.
  • The study aimed to identify variations in attitudes toward ADHD diagnosis and treatment among clinicians in child and adolescent mental health services (CAMHS) in Norway, expecting a spectrum from restrictive to liberal views.
  • A survey involving 674 clinicians revealed that attitudes leaned towards the restrictive end, with the study using confirmatory factor analysis to distinguish between "attitude toward diagnosis" and "attitude toward medication" as separate but related concepts.
View Article and Find Full Text PDF

Individual Placement and Support (IPS) is an evidence-based supported employment program that helps people with severe mental illness to achieve steady, meaningful employment in competitive mainstream jobs. The purpose of this study is to investigate the impact of Covid-19 restrictions on IPS service delivery in Northern Norway between March and October 2020. In Norway, IPS is in the early stages of full-scale implementation and is therefore potentially sensitive to external stressors such as the Covid-19 pandemic.

View Article and Find Full Text PDF

The role of the Individual Placement and Support (IPS) employment specialist is a new type of occupation within mental healthcare. High turnover among employment specialists necessitates improvement in their recruitment and retention. One element that impacts retention is job satisfaction.

View Article and Find Full Text PDF

Background: Employment is intrinsic to recovery from mental health conditions, helping people live independently. Systematic reviews indicate supported employment (SE) focused on competitive employment, including individual placement and support (IPS), is effective in helping people with mental health conditions into work. Evidence is limited on cost-effectiveness.

View Article and Find Full Text PDF

Rates of ADHD diagnosis vary across regions in many countries. However, no prior study has investigated how much within-country geographic variation in ADHD diagnoses is explained by variation in ADHD symptom levels. We examine whether ADHD symptom levels explain variation in ADHD diagnoses among children and adolescents using nationwide survey and register data in Norway.

View Article and Find Full Text PDF

Background: Since the 1990's, structural transformations in the Norwegian economy have decreased employment opportunities for low-skilled young people lacking formal education credentials. In parallel with these economic changes, there has been a strong increase in the proportion of young disability pensioners. Preventing labour market exit requires a thorough understanding of the disability process.

View Article and Find Full Text PDF

Background: High numbers of patients discharged from psychiatric hospital care are readmitted within a year. Peer support for discharge has been suggested as an approach to reducing readmission post-discharge. Implementation has been called for in policy, however, evidence of effectiveness from large rigorous trials is missing.

View Article and Find Full Text PDF

Background: For decades there has been a continuous increase in the number of people receiving welfare benefits for being outside the work force due to mental illness. There is sufficient evidence for the efficacy of Individual Placement and Support (IPS) for gaining and maintaining competitive employment. Yet, IPS is still not implemented as routine practice in public community mental health services.

View Article and Find Full Text PDF

Objectives: Peer support is rapidly being introduced into mental health services internationally, yet peer support interventions are often poorly described, limiting the usefulness of research in informing policy and practice. This paper reports the development of a peer support intervention that aims to improve outcomes of discharge from inpatient to community mental health care. People with experiential knowledge of using mental health services-peer workers and service user researchers-were involved in all stages of developing the intervention: generating intervention components; producing the intervention handbook; piloting the intervention.

View Article and Find Full Text PDF

Preference-based instrumental variables in health research rely on important and underreported assumptions: a systematic review.

J Clin Epidemiol

November 2021

Centre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Bergen, Norway; Division of Health Services, Norwegian Institute of Public Health, Oslo, Norway; Department of Community Medicine, UiT - The Arctic University of Norway, Tromsø, Norway; Centre for Work and Mental Health, Nordland Hospital, Bodø, Norway.

Objective: Preference-based instrumental variables (PP IV) designs can identify causal effects when patients receive treatment due to variation in providers' treatment preference. We offer a systematic review and methodological assessment of PP IV applications in health research.

Study Design And Setting: We included studies that applied PP IV for evaluation of any treatment in any population in health research (PROSPERO: CRD42020165014).

View Article and Find Full Text PDF

Aims And Method: To explore whether people from Black, Asian and minority ethnic (BAME) communities experience equality of access and outcome in individual placement and support (IPS) employment services. Cross-sectional data were analysed of all people with severe mental health problems who accessed two mature high-fidelity IPS services in London in 2019 (n = 779 people).

Results: There were no significant differences between the proportions of people who gained employment.

View Article and Find Full Text PDF