Intervention
CMD, Karolinska Exhaustion Disorder, Anxiety, Scale-7
DISORDER, DISORDERS
The CO-WORK-CARE complex intervention consisted of (1) early structured cooperation among care manager, rehabilitation coordinator and GP and (2) a person-centred dialogue meeting between patient and employer (immediate supervisor) with the rehabilitation coordinator as facilitator.The care for the patient was based on the patient’s ongoing sick leave, the sick leave diagnosis, the individual care plan (which the care manager and the patient initially drew up together) and the course of the CMD symptoms. In both intervention and control arms the individual care plan was drawn up between care manager and patient, but at intervention PCCs the rehabilitation coordinator was included from start, and the care manager, the rehabilitation coordinator and the GP continuously had contact about the lapse of the patient’s illness and progress (see Care Process in the Co-Work-Care trialGrey parts common for control and intervention PCCs, green parts solely for intervention PCCs.CMD, common mental disorder; GAD-7, General Anxiety Disorders Scale-7; GP, general practitioner; KEDS, Karolinska Exhaustion Disorder Scale; MADRS-S, Montgomery Asberg Depression Rating Scale-Self; PCC, primary care centres.The purpose of the person-centred dialogue meeting was above all to make it possible for the patient to inform the employer about the patient’s own conception of factors that could facilitate an RTW. The dialogue meeting was a simplified dialogue meeting applied to primary care context, adapted from a more extensive protocol by Karlson and Östberg.In all patient care, there was also a cooperation with the GP and with the PCC’s psychosocial team, but the structured and early care manager/rehabilitation coordinator /GP cooperation as well as the person-centred dialogue meeting with the employer was the added value in the intervention.