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  • Cited by 21
  • Cited by
    Crossref Citations
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Rüsch, Nicolas Corrigan, Patrick W. Waldmann, Tamara Staiger, Tobias Bahemann, Andreas Oexle, Nathalie Wigand, Moritz and Becker, Thomas 2018. Attitudes Toward Disclosing a Mental Health Problem and Reemployment. The Journal of Nervous and Mental Disease, Vol. 206, Issue. 5, p. 383.
    Porter, Susann Lexén, Annika Johansson, Suzanne and Bejerholm, Ulrika 2018. Critical factors for the return-to-work process among people with affective disorders: Voices from two vocational approaches. Work, p. 1.
    Hellström, Lone Bech, Per Hjorthøj, Carsten Nordentoft, Merete Lindschou, Jane and Eplov, Lene Falgaard 2017. Effect on return to work or education of Individual Placement and Support modified for people with mood and anxiety disorders: results of a randomised clinical trial. Occupational and Environmental Medicine, Vol. 74, Issue. 10, p. 717.
    Stacey, Dawn Légaré, France Lewis, Krystina Barry, Michael J Bennett, Carol L Eden, Karen B Holmes-Rovner, Margaret Llewellyn-Thomas, Hilary Lyddiatt, Anne Thomson, Richard and Trevena, Lyndal 2017. Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews,
    Isaksson, A. Corker, E. Cotney, J. Hamilton, S. Pinfold, V. Rose, D. Rüsch, N. Henderson, C. Thornicroft, G. and Evans-Lacko, S. 2017. Coping with stigma and discrimination: evidence from mental health service users in England. Epidemiology and Psychiatric Sciences, p. 1.
    Uyanik, Hatice Shogren, Karrie A. and Blanck, Peter 2017. Supported Decision-Making: Implications from Positive Psychology for Assessment and Intervention in Rehabilitation and Employment. Journal of Occupational Rehabilitation, Vol. 27, Issue. 4, p. 498.
    Brouwers, E P M Mathijssen, J Van Bortel, T Knifton, L Wahlbeck, K Van Audenhove, C Kadri, N Chang, Ch Goud, B R Ballester, D Tófoli, LF Bello, R Jorge-Monteiro, M F Zäske, H Milaćić, I Uçok, A Bonetto, C Lasalvia, A Thornicroft, G and Van Weeghel, J 2016. Discrimination in the workplace, reported by people with major depressive disorder: a cross-sectional study in 35 countries. BMJ Open, Vol. 6, Issue. 2, p. e009961.
    Oldfield, M. MacEachen, E. Kirsh, B. and MacNeill, M. 2016. Impromptu everyday disclosure dances: how women with fibromyalgia respond to disclosure risks at work. Disability and Rehabilitation, Vol. 38, Issue. 15, p. 1442.
    Brouwers, Evelien 2016. Stigma op psychische problemen is een barrière voor arbeidsparticipatie. TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde, Vol. 24, Issue. 4, p. 155.
    Chow, Clifton M. and Cichocki, Benjamin 2016. Predictors of Job Accommodations for Individuals With Psychiatric Disabilities. Rehabilitation Counseling Bulletin, Vol. 59, Issue. 3, p. 172.
    McGahey, Ellie Waghorn, Geoffrey Lloyd, Chris Morrissey, Shirley and Williams, Philip Lee 2016. Formal plan for self-disclosure enhances supported employment outcomes among young people with severe mental illness. Early Intervention in Psychiatry, Vol. 10, Issue. 2, p. 178.
    Gladman, Beverley and Waghorn, Geoff 2016. Personal experiences of people with serious mental illness when seeking, obtaining and maintaining competitive employment in Queensland, Australia. Work, Vol. 53, Issue. 4, p. 835.
    Tiemens, Bea 2015. Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomized controlled trial1). Nederlands Tijdschrift voor Evidence Based Practice, Vol. 13, Issue. 3, p. 12.
    Clement, S. Schauman, O. Graham, T. Maggioni, F. Evans-Lacko, S. Bezborodovs, N. Morgan, C. Rüsch, N. Brown, J. S. L. and Thornicroft, G. 2015. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, Vol. 45, Issue. 01, p. 11.
    Lassman, F. Henderson, R. Claire Dockery, L. Clement, S. Murray, J. Bonnington, O. Farrelly, S. and Thornicroft, G. 2015. How Does a Decision Aid Help People Decide Whether to Disclose a Mental Health Problem to Employers? Qualitative Interview Study. Journal of Occupational Rehabilitation, Vol. 25, Issue. 2, p. 403.
    Liebherz, Sarah Härter, Martin Dirmaier, Jörg and Tlach, Lisa 2015. Information and Decision-Making Needs Among People with Anxiety Disorders: Results of an Online Survey. The Patient - Patient-Centered Outcomes Research, Vol. 8, Issue. 6, p. 531.
    Tlach, Lisa Wüsten, Caroline Daubmann, Anne Liebherz, Sarah Härter, Martin and Dirmaier, Jörg 2015. Information and decision-making needs among people with mental disorders: a systematic review of the literature. Health Expectations, Vol. 18, Issue. 6, p. 1856.
    Rüsch, N. and Becker, T. 2015. Anti-stigma interventions in high- and lower-income settings – a lot remains to be done. Epidemiology and Psychiatric Sciences, Vol. 24, Issue. 05, p. 399.
    Kienhorst, Gerdie 2014. Stigma bestrijden binnen en vanuit de GGZ (1). Psychopraktijk, Vol. 6, Issue. 5, p. 18.
    Corbière, M. Villotti, P. Toth, K. and Waghorn, G. 2014. La divulgation du trouble mental et les mesures d’accommodements de travail : deux facteurs du maintien en emploi des personnes aux prises avec un trouble mental grave. L'Encéphale, Vol. 40, Issue. , p. S91.
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Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial

  • Claire Henderson (a1), Elaine Brohan (a1), Sarah Clement (a1), Paul Williams (a1), Francesca Lassman (a1), Oliver Schauman (a1), Lisa Dockery (a1), Simone Farrelly (a1), Joanna Murray (a2), Caroline Murphy (a2), Mike Slade (a3) and Graham Thornicroft (a3)...
Abstract
Background

Many mental health service users delay or avoid disclosing their condition to employers because of experience, or anticipation, of discrimination. However, non-disclosure precludes the ability to request ‘reasonable adjustments’. There have been no intervention studies to support decisionmaking about disclosure to an employer.

Aims

To determine whether the decision aid has an effect that is sustained beyond its immediate impact; to determine whether a large-scale trial is feasible; and to optimise the designs of a larger trial and of the decision aid.

Method

In this exploratory randomised controlled trial (RCT) in London, participants were randomly assigned to use of a decision aid plus usual care or usual care alone. Follow-up was at 3 months. Primary outcomes were: (a) stage of decision-making; (b) decisional conflict; and (c) employment-related outcomes (trial registration number: NCT01379014).

Results

We recruited 80 participants and interventions were completed for 36 out of 40 in the intervention group; in total 71 participants were followed up. Intention-to-treat analysis showed that reduction in decisional conflict was significantly greater in the intervention group than among controls (mean improvement −22.7 (s.d. = 15.2) v. −11.2 (s.d. = 18.1), P = 0.005). More of the intervention group than controls were in full-time employment at follow-up (P = 0.03).

Conclusions

The observed reduction in decisional conflict regarding disclosure has a number of potential benefits which next need to be tested in a definitive trial.

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Copyright
COPYRIGHT: © Royal College of Psychiatrists, 2013 
Corresponding author
Claire Henderson, Health Service and Population Research Department P029, David Goldberg Centre, King's College London, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK. Email: Claire.1.Henderson@kcl.ac.uk
Footnotes
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Declaration of interest

None.

Footnotes
References
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  • Cited by 21
  • Cited by
    Crossref Citations
    Crossref logo
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Rüsch, Nicolas Corrigan, Patrick W. Waldmann, Tamara Staiger, Tobias Bahemann, Andreas Oexle, Nathalie Wigand, Moritz and Becker, Thomas 2018. Attitudes Toward Disclosing a Mental Health Problem and Reemployment. The Journal of Nervous and Mental Disease, Vol. 206, Issue. 5, p. 383.
    Porter, Susann Lexén, Annika Johansson, Suzanne and Bejerholm, Ulrika 2018. Critical factors for the return-to-work process among people with affective disorders: Voices from two vocational approaches. Work, p. 1.
    Hellström, Lone Bech, Per Hjorthøj, Carsten Nordentoft, Merete Lindschou, Jane and Eplov, Lene Falgaard 2017. Effect on return to work or education of Individual Placement and Support modified for people with mood and anxiety disorders: results of a randomised clinical trial. Occupational and Environmental Medicine, Vol. 74, Issue. 10, p. 717.
    Stacey, Dawn Légaré, France Lewis, Krystina Barry, Michael J Bennett, Carol L Eden, Karen B Holmes-Rovner, Margaret Llewellyn-Thomas, Hilary Lyddiatt, Anne Thomson, Richard and Trevena, Lyndal 2017. Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews,
    Isaksson, A. Corker, E. Cotney, J. Hamilton, S. Pinfold, V. Rose, D. Rüsch, N. Henderson, C. Thornicroft, G. and Evans-Lacko, S. 2017. Coping with stigma and discrimination: evidence from mental health service users in England. Epidemiology and Psychiatric Sciences, p. 1.
    Uyanik, Hatice Shogren, Karrie A. and Blanck, Peter 2017. Supported Decision-Making: Implications from Positive Psychology for Assessment and Intervention in Rehabilitation and Employment. Journal of Occupational Rehabilitation, Vol. 27, Issue. 4, p. 498.
    Brouwers, E P M Mathijssen, J Van Bortel, T Knifton, L Wahlbeck, K Van Audenhove, C Kadri, N Chang, Ch Goud, B R Ballester, D Tófoli, LF Bello, R Jorge-Monteiro, M F Zäske, H Milaćić, I Uçok, A Bonetto, C Lasalvia, A Thornicroft, G and Van Weeghel, J 2016. Discrimination in the workplace, reported by people with major depressive disorder: a cross-sectional study in 35 countries. BMJ Open, Vol. 6, Issue. 2, p. e009961.
    Oldfield, M. MacEachen, E. Kirsh, B. and MacNeill, M. 2016. Impromptu everyday disclosure dances: how women with fibromyalgia respond to disclosure risks at work. Disability and Rehabilitation, Vol. 38, Issue. 15, p. 1442.
    Brouwers, Evelien 2016. Stigma op psychische problemen is een barrière voor arbeidsparticipatie. TBV – Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde, Vol. 24, Issue. 4, p. 155.
    Chow, Clifton M. and Cichocki, Benjamin 2016. Predictors of Job Accommodations for Individuals With Psychiatric Disabilities. Rehabilitation Counseling Bulletin, Vol. 59, Issue. 3, p. 172.
    McGahey, Ellie Waghorn, Geoffrey Lloyd, Chris Morrissey, Shirley and Williams, Philip Lee 2016. Formal plan for self-disclosure enhances supported employment outcomes among young people with severe mental illness. Early Intervention in Psychiatry, Vol. 10, Issue. 2, p. 178.
    Gladman, Beverley and Waghorn, Geoff 2016. Personal experiences of people with serious mental illness when seeking, obtaining and maintaining competitive employment in Queensland, Australia. Work, Vol. 53, Issue. 4, p. 835.
    Tiemens, Bea 2015. Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomized controlled trial1). Nederlands Tijdschrift voor Evidence Based Practice, Vol. 13, Issue. 3, p. 12.
    Clement, S. Schauman, O. Graham, T. Maggioni, F. Evans-Lacko, S. Bezborodovs, N. Morgan, C. Rüsch, N. Brown, J. S. L. and Thornicroft, G. 2015. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine, Vol. 45, Issue. 01, p. 11.
    Lassman, F. Henderson, R. Claire Dockery, L. Clement, S. Murray, J. Bonnington, O. Farrelly, S. and Thornicroft, G. 2015. How Does a Decision Aid Help People Decide Whether to Disclose a Mental Health Problem to Employers? Qualitative Interview Study. Journal of Occupational Rehabilitation, Vol. 25, Issue. 2, p. 403.
    Liebherz, Sarah Härter, Martin Dirmaier, Jörg and Tlach, Lisa 2015. Information and Decision-Making Needs Among People with Anxiety Disorders: Results of an Online Survey. The Patient - Patient-Centered Outcomes Research, Vol. 8, Issue. 6, p. 531.
    Tlach, Lisa Wüsten, Caroline Daubmann, Anne Liebherz, Sarah Härter, Martin and Dirmaier, Jörg 2015. Information and decision-making needs among people with mental disorders: a systematic review of the literature. Health Expectations, Vol. 18, Issue. 6, p. 1856.
    Rüsch, N. and Becker, T. 2015. Anti-stigma interventions in high- and lower-income settings – a lot remains to be done. Epidemiology and Psychiatric Sciences, Vol. 24, Issue. 05, p. 399.
    Kienhorst, Gerdie 2014. Stigma bestrijden binnen en vanuit de GGZ (1). Psychopraktijk, Vol. 6, Issue. 5, p. 18.
    Corbière, M. Villotti, P. Toth, K. and Waghorn, G. 2014. La divulgation du trouble mental et les mesures d’accommodements de travail : deux facteurs du maintien en emploi des personnes aux prises avec un trouble mental grave. L'Encéphale, Vol. 40, Issue. , p. S91.
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Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial

  • Claire Henderson (a1), Elaine Brohan (a1), Sarah Clement (a1), Paul Williams (a1), Francesca Lassman (a1), Oliver Schauman (a1), Lisa Dockery (a1), Simone Farrelly (a1), Joanna Murray (a2), Caroline Murphy (a2), Mike Slade (a3) and Graham Thornicroft (a3)...
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