Employment and Social Security/Insurance among patients affected by mental disorders in Italy: A descriptive multi-center study.

Autor: Ventriglio A; Department of Clinical and Experimental Medicine, University of Foggia, Italy., Latorre M; Department of Clinical and Experimental Medicine, University of Foggia, Italy., Calabretta MA; Department of Mental Health, ASL Mantova, Italy., Cuomo A; Department of Molecular Medicine, University of Siena, Italy., Di Gioia I; Department of Clinical and Experimental Medicine, University of Foggia, Italy., Ducci G; Department of Mental Health ASL Roma 1, Italy., Ghio L; Department of Mental Health and Addiction, Azienda Sanitaria Locale 3 (ASL3) Genova, Italy., Mallozzi A; Department of Mental Health, ASL Torino, Italy., Politi P; Department of Brain and Behavioral Sciences, University of Pavia, Italy., Suma D; Department of Mental Health, ASL Brindisi, Italy., Tarricone I; Department of Medical and Surgical Sciences, Alma Mater Studiorum - Bologna University, Italy., Valentini Gravinese G; Francesco Antonio Valentini Foundation, Putignano, Italy., Vita A; Department of Clinical and Experimental Sciences, University of Brescia, Italy., Working Group E, Bellomo A; Department of Clinical and Experimental Medicine, University of Foggia, Italy.
Jazyk: angličtina
Zdroj: The International journal of social psychiatry [Int J Soc Psychiatry] 2023 Nov; Vol. 69 (7), pp. 1736-1748. Date of Electronic Publication: 2023 May 13.
DOI: 10.1177/00207640231174358
Abstrakt: Introduction: Many mental disorders especially chronic serious ones such as schizophrenia-spectrum disorders, are disabling syndromes and impact on patients' social and cognitive functioning, including work activity. Thus, affected patients may show a particular socio-economic vulnerability and need specific social security as well as rehabilitation interventions, including pensions or job-placements. In Italy, the Working Group named 'Employment and Social Security/Insurance in Mental Health (ESSIMH)' was founded in 2020 in order to collect research evidence on mental illness, employment, social security, and rehabilitation.
Methods: A descriptive, observational and multi-center study has been conducted in eleven Departments of Mental Health in Italy (Foggia, Brindisi, Putignano, Rome, Bologna, Siena, Pavia, Mantova, Genova, Brescia, and Torino) and involved 737 patients affected by major mental illness and classified in five diagnostic categories: psychoses, mood disorders, personality disorders, anxiety disorders, and others. The data collection was performed in 2020 among patients aged 18 to 70 years old.
Results: The rate of employment in our sample was 35.8% ( n  = 264). Occupational disability in our sample was recognized in 58.0% of patients with a mean percentage of severity 51.7 ± 43.1; patients with psychoses (73%) reported higher disability followed by personality (60%) and mood disorders (47.3%) ones. In a logistic multivariate modeling, factors significantly associated with diagnosis were (a) higher level of occupational disability in psychoses; (b) higher number of job- placement programs among psychoses patients; (c) lower level of employment in psychoses; (d) more psychotherapy in personality disorder patients; and (e) more years of MHC program in psychoses patients; factors associated with sex were: (a) higher number of drive licenses among males; (b) more physical activity among males; and (c) higher number of job-placement programs among males.
Conclusion: patients affected by psychoses were more likely to be unemployed, reported higher occupational disability as well as received more incentives and rehabilitation interventions. These findings confirmed that schizophrenia-spectrum disorders are disabling and patients need psychosocial support and interventions in the framework of a recovery-oriented treatment.
Competing Interests: Conflict of interestThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE
Externí odkaz: