Development and qualitative evaluation of an adapted return to work guideline for the sick-listed unemployed and temporary agency workers with minor psychological problems

Table 1 Description of the three process phases in the practice guideline for employed workers

Process phase	Recovery tasks	Interventions	Timeline*
Loss of control leads to	-understanding and insight	-information (oral and written)	Start counselling within 2 weeks after reporting sick.
Loss of control leads to	-acceptance	-rational	Completion after approximately 3 weeks (after starting counselling)
1. CRISIS PHASE	-rest and relaxation	-talking advice
	-rest and relaxation	-providing perspective
	-structure	-providing perspective
		-positive labelling	Goal not achieved→ stagnation
		-worry assignments
		-daily structure
		-sleep structure
View on causes leads to	From orientation on problems to orientation on solutions.	-problem and solutions inventories	Completion at 3–6 weeks after completion of the first phase
2. PROBLEM- AND SOLUTION PHASE	From orientation on problems to orientation on solutions.	-writing and registration assignments
2. PROBLEM- AND SOLUTION PHASE	-identification of problems and solutions or directions	-writing and registration assignments	Goal not achieved→ stagnation
Application of solutions leads to	Orientation on applications.	-target schemes	Completion no later than 6 weeks after completion of the second phase
	Orientation on applications.	-anticipation assignment
	-picking up all the roles and tasks	-anticipation assignment
3. APPLICATION PHASE	-picking up all the roles and tasks	-reorganise assignments
	-performance recovery of the worker		Goal not achieved→ stagnation

* In case of stagnation in each of the three phases the physician should reconsider the following principles:
(a) supplement problem orientation?; (b) change diagnosis?; (c) adjust interventions?
Go through the stage again (+ related tasks) and complete.

ISSN: 1756-0500