Impact of Collaborative Care on Absenteeism for Depressed Employees Seen in Primary Care Practices: A Retrospective Cohort Study

J Occup Environ Med. 2018 Jan;60(1):83-89. doi: 10.1097/JOM.0000000000001173.

Abstract

Objective: The impact of "real world" collaborative care on depression and absenteeism for depressed employees seen in primary care practices using objective employer absence data.

Methods: A retrospective cohort study comparing depressed employees seen in primary care practices who enrolled for a "real world" collaborative care program to practice as usual (PAU) on objective absence days and depression response and remission at 6, and 12-month time periods.

Results: Absence days were more in the collaborative care group compared with the PAU group at 3 and 6 months but at 12 months the difference was no longer statistically significant. Collaborative care led to better response and remission depression scores compared with PAU at 12 months.

Conclusions: Collaborative care led to faster improvement in depression symptoms but did not translate to less time away from work.

Publication types

  • Comparative Study

MeSH terms

  • Absenteeism*
  • Adult
  • Depression / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Health
  • Patient Care Team*
  • Primary Health Care*
  • Psychiatric Status Rating Scales
  • Retrospective Studies
  • Symptom Assessment
  • Time Factors
  • Treatment Outcome