Work Management

The number of working days lost to absence in the UK in 2007 was 172 million.

It is widely accepted that the most common causes of periods of absence from work are mental health problems including stress and depression.

Whist taking a short period of absence from work may seem like the only option at these times, the risk of developing a psychological or mental health problem increases from prolonged absence. Although it is possible to bring about a return to work after a number of years, it is generally accepted that the earlier the point of intervention, for instance offering support whilst in work or within the first weeks of absence, the better the prognosis for an early recovery. However, psychological assessment and treatment can bring about recovery and a return to work even after prolonged absence.

The important message is that “work is healthy”, numerous studies have demonstrated that a supportive work environment improves physical and emotional health, motivation and productivity.

Through our work with the Armed Forces, Emergency Services and the Government “Pathways to Work” programme, CBT Clinics has developed short-term treatment interventions to enable employees to remain in work and employers to reduce absence. For example:

  1. Work related stress is the most common cause for prolonged absence from work. This kind of stress can be effectively treated using evidence-based interventions. Stress management techniques can be taught to both individuals and groups.
  2. Anxiety and Depression. These are the most common mental health problems experienced within the general population. The National Institute of Clinical Excellence recommends Cognitive Behavioural Therapy (CBT) as the most effective treatment for these problems.
  3. Work and road related accidents can lead to Post Traumatic Stress Disorder and anxiety-related phobias. Research confirms that both EMDR (Eye Movement Desensitization and Reprocessing Therapy) and CBT (Cognitive Behaviour Therapy) are the treatments of choice for these disorders.
  4. Medical problems, such as chronic pain conditions and chronic fatigue syndrome. Whilst these conditions may be difficult to overcome, there is good evidence that these conditions do not need to be a barrier to work. Many people are able to enjoy satisfying working lives following our pain management interventions, learning coping strategies and life planning skills.
  5. Avoidance behaviours such as a dysfunctional reluctance to return to work after illness, or attending to normal domestic routines. Psychological intervention may help break the cycle of disability and prevent permanent negative lifestyle changes such as withdrawing into the home environment. Most people describe fear and loss of confidence rather than their physical condition, as the main barriers to work.

The treatment is most successful when:

  • The problem leading to absence from work is clearly identified
  • There are agreed treatment targets
  • The person is motivated to pursue a return to work and is positive about treatment
  • The person identifies with their work role
  • The person remains in contact with their workplace and feels supported by their employer
  • They are prepared to talk about the problem
  • There is a good chance of a return to work (a different position is available or a phased return is possible)

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