講演情報
[SY-102-03]Lack of resilience improvement and relapse prevention perspectives in the programs that help people with mental illness return to work
*Tsuyoshi Akiyama1 (1. Rokubancho Mental Clinic (Japan))
キーワード：
Resilience、Relapse、Mental illness、Return to work
Objective
Most people with mental illness want to work competitively. For many years, programs to help people with mental illness return to work (RTW) have been developed.
However, if people return to work and relapse immediately, it does not make sense. Therefore, programs should not only help people return to work but also improve their resilience and prevent relapse.
The author reviewed recent research on return-to-work programs and examined whether resilience building and relapse prevention have been studied in relation to these programs.
Methods
The author did a literature search with Pub Med and identified review papers published between 2020 and 2024 whose titles included “psychiatr* or mental” and “work or job or employ*.” After the title screening, the author read the abstracts and chose papers on the RTW of people with mental illness.
Results:
The initial title screening identified 100 papers. 77 papers were excluded because the theme was not RTW, and one paper was excluded because the subjects did not include people with mental illness. 22 papers were found to be relevant.
8 papers reported on the general need and usefulness, 3 papers on organizational issues, 4 papers on the interventions, 3 papers on the effectiveness, and 3 papers on the factors that may influence effectiveness. And the WHO guidelines reported on the level of evidence.
Discussion
It is encouraging that 22 good review papers have been published in this area during the past five years. The papers cover broad issues. However, they did not focus on the perspectives of resilience improvement or relapse prevention, and many studies did not pay attention to the process after RTW. The author acknowledges the ongoing efforts. However, there is a general lack of resilience improvement and relapse prevention perspectives in these programs and research.
Most people with mental illness want to work competitively. For many years, programs to help people with mental illness return to work (RTW) have been developed.
However, if people return to work and relapse immediately, it does not make sense. Therefore, programs should not only help people return to work but also improve their resilience and prevent relapse.
The author reviewed recent research on return-to-work programs and examined whether resilience building and relapse prevention have been studied in relation to these programs.
Methods
The author did a literature search with Pub Med and identified review papers published between 2020 and 2024 whose titles included “psychiatr* or mental” and “work or job or employ*.” After the title screening, the author read the abstracts and chose papers on the RTW of people with mental illness.
Results:
The initial title screening identified 100 papers. 77 papers were excluded because the theme was not RTW, and one paper was excluded because the subjects did not include people with mental illness. 22 papers were found to be relevant.
8 papers reported on the general need and usefulness, 3 papers on organizational issues, 4 papers on the interventions, 3 papers on the effectiveness, and 3 papers on the factors that may influence effectiveness. And the WHO guidelines reported on the level of evidence.
Discussion
It is encouraging that 22 good review papers have been published in this area during the past five years. The papers cover broad issues. However, they did not focus on the perspectives of resilience improvement or relapse prevention, and many studies did not pay attention to the process after RTW. The author acknowledges the ongoing efforts. However, there is a general lack of resilience improvement and relapse prevention perspectives in these programs and research.