Treatment situation of long-term unemployed with psychological disorders

Untreated psychiatric disorders of long-term unemployed persons represent a medical problem and a placement barrier to the labor market that can be eliminated. The objective of the study was to assess the spectrum of diagnoses and the treatment rates in a group of unemployed persons (≥ 50 years) ref...

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Published inNervenarzt Vol. 84; no. 5; p. 603
Main Authors Bühler, B, Kocalevent, R, Berger, R, Mahler, A, Preiß, B, Liwowsky, I, Carl, P, Hegerl, U
Format Journal Article
LanguageGerman
Published Germany 01.05.2013
Subjects
Adult
Aged
Alcoholism - epidemiology
Alcoholism - therapy
Comorbidity
Female
Germany - epidemiology
Humans
Male
Mental Disorders - epidemiology
Mental Disorders - therapy
Middle Aged
Prevalence
Risk Factors
Unemployment - statistics & numerical data
Germany
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Summary:Untreated psychiatric disorders of long-term unemployed persons represent a medical problem and a placement barrier to the labor market that can be eliminated. The objective of the study was to assess the spectrum of diagnoses and the treatment rates in a group of unemployed persons (≥ 50 years) referred by the employment exchange of the job center in Munich to a center for psychosocial coaching. Out of 105 participants 44 (42%) showing signs of psychiatric disorders according to the patient health questionnaire (PHQ) screening were included in the evaluation. The psychiatric diagnoses were assessed by means of a fully structured diagnostic interview, the Munich composite international diagnostic interview (M-CIDI). A semi-structured interview was conducted to investigate the treatment rates and treatment compliance with guidelines. Affective disorders (70%) were in the foreground followed by anxiety disorders (55%, specific phobias, other and unspecified phobic anxiety disorders were excluded) and disorders due to abuse of alcohol (32%). Of the participants 61 % received no disorder-specific treatment or no treatment at all and treatment compliant with guidelines was received by 9%. Untreated psychiatric disorders (especially depression) or those that are not treated in compliance with guidelines represent a medical problem and a placement barrier to the labor market that can be eliminated.
ISSN:1433-0407
DOI:10.1007/s00115-011-3457-6