Supporting the Health, Work Ability and Employability of Unemployed People with Long-term Illness
DOI:
https://doi.org/10.14738/aivp.125.17664Keywords:
Coping, function, long-term illness, long-term unemployment, work abilityAbstract
The article describes a 3-year project called “Duckboards”, carried out in western Finland with long-term unemployed people living with long-term illness. The purpose of the intervention was to test how a multiprofessional team could support the health, work ability and functioning of 145 unemployed clients with long-term illness. Of this group, 45 responded to a quantitative survey, whose purpose was to produce information about how the participants rated the step-by-step intervention and Future Workshop and their encounters with various experts, and to investigate the meaning of the participation for them. Based on the client Likert scale ratings, it would seem that the intervention had a greater positive effect on the participants’ experienced physical and social health and daily coping, compared to job-seeking skills or career planning, where the variance was higher. The participants seemed very satisfied with their encounters and interaction with the project experts.
References
Chowdhury, S. R., et al., Global and regional prevalence of multimorbidity in the adult population in community settings: a systematic review and meta-analysis, The Lancet eClinicalMedicine, 2023. 57: p.1-22.
Kerätär, R., Kun katsoo kauempaa, näkee enemmän. Monialainen työkyvyn ja kuntoutustarpeen arviointi pitkäaikaistyöttömillä. [You’ll see more when you look from a distance: Multidimensional assessment of work ability and needs for rehabilitation among long-term unemployed]. Acta Universitatis Ouluensis D Medica 1340. University of Oulu, Finland. 2016. http://jultika.oulu.fi/files/isbn9789526210865.pdf
Džakula, A., K. Lončarek., and D. Vočanec, Complex patients - an academism or reality? Croatian Medical Journal, 2023. 28;64(1): p. 61-63.
Hujala, A., and J. Lammintakanen, Paljon sote-palveluja tarvitsevat ihmiset keskiöön. [Focussing on people needing a lot of social and health services], KAKS – The Foundation for Municipal Development. Publication 12. 2018. https://kaks.fi/wp-content/uploads/2018/01/paljon-sote-palveluja-tarvitsevatihmiset-keskioon.pdf
Global Burden of Disease 2021. Institute for Health Metrics and Evaluation, 2021. https://www.healthdata.org/sites/default/files/2024-05/GBD_2021_Booklet_FINAL_2024.05.16.pdf
World Health Organization, Global Action Plan for the Prevention and Control of Noncommunicable Diseases 2013–2020, 2020.
Finnish Institute for Health and Welfare THL. Yleistietoa kansantaudeista [General information about prevailing diseases], 2018. https://thl.fi/fi/web/kansantaudit/yleistietoa-kansantaudeista
Finnish Centre for Pensions 2023, Lähes 18000 jäi työkyvyttömyyseläkkeelle [Nearly 18000 new people on disability pension]. 2023. https://www.etk.fi/ajankohtaista/lahes-18-000-jaityokyvyttomyyselakkeelle/
Vorma, H., et al., Kansallinen mielenterveysstrategia ja itsemurhien ehkäisyohjelma vuosille 2020–2030. [National Mental Health Strategy and Programme for Suicide Prevention 2020–2030], Ministry of Social Affairs and Health in Finland.Helsinki, 2020. http://urn.fi/URN:ISBN:978-952-00-4139-7
Statistics Finland (i.a.)
Suvisaari, J., et al., Mielenterveys [Mental health) in: P. Koponen, K. Borodulin, A Lundqvist, K. Sääksjärvi & S. Koskinen (eds.): Terveys, toimintakyky ja hyvinvointi Suomessa. [Health, functional capacity and wellbeing in Finland]. Finterveys 2017 research report 4/2018. Finnish Institute for Health and Welfare THL, 2018. URL: http://dx.doi.org/10.14738/aivp.125.17664 271
Salonen, A., et al., Rahapelaaminen, peliongelmat ja rahapelaamiseen liittyvät asenteet ja mielipiteet vuosina 2007–2019. Suomalaisten rahapelaaminen 2019. Gambling, problem gambling and attitudes and opinions towards gambling in 2007–2019. Finnish Gambling 2019. Finnish Institute for Health and Welfare (THL). Report 18/2020. Helsinki, 2020. https://www.julkari.fi/handle/10024/140820
Valderas, J.M., et al., Defining comorbidity: implications for understanding health and health services. Annals of Family Medicine, 2009. 7: p. 357–363.
Käypä hoito suositus 2024. [Current Care Guideline], The Finnish Medical Society Duodecim. 2024. https://www.kaypahoito.fi/hoi50126
Fitzgerald Miller, J., Client power resources. In: J. Fitzgerald Miller (ed.). Coping with chronic illness. Overcoming powerlessness. 2000. Philadelphia: F.A. Davis Company,
Antonovsky, A., Unraveling the Mystery of Health. How People Manage Stress and Stay Well. 1987. San Fransisco: Jossey-Bass Publisher.
American Psychological Association, Resilience. 2023. https://www.apa.org/topics/resilience
Lipponen, K., Resilienssi arjessa, [Resilience in daily life], 2020. Kustannus Oy Duodecim.
Herbig, B., et al., Health in the long-term unemployed. Deutsches Arzteblatt International, 2013. 110(23-24): p. 413-419.
Saikku, P., Näkökulmia työttömän työkykyyn ja työkyvyn arviointiin. [Perspectives to work ability of the unemployed and to the assessment of work ability] In: V. Karjalainen & E. Keskitalo (eds.) Kaikki työuralle! Työttömien aktiivipolitiikkaa Suomessa. [A career for all! Activation policy for the unemployed] Finnish Institute for Health and Welfare (THL). Terveyden ja hyvinvoinnin laitos, 2013., p.120–149.
Finnish Institute for Health and Welfare (THL), Pitkäaikaissairastavuus [Long-term illness]. Aikuisväestön hyvinvointi ja terveys – Terve Suomi 2022. 2022. https://thl.fi/tilastot-ja-data/tilastotaiheittain/terveyden-ja-hyvinvoinnin-edistaminen/aikuisvaeston-hyvinvointi-ja-terveys-terve-suomi
Hult, M., Työttömien kokemuksia terveydestä ja hyvinvoinnista: haastattelututkimus. [Unemployed people’s experiences of health and wellbeing], Sosiaalilääketieteellinen aikakauslehti [Journal of Social Medicine], 2016. 53: p. 108-118.
Kerätär, R., and V. Karjalainen, Pitkäaikaistyöttömillä on runsaasti hoitamattomia mielenterveyden häiriöitä. [The long-term unemployed have a lot of untreated mental health disorders], Suomalainen Lääkärilehti, 2010. 45(65): p. 3683 – 3690. https://www.laakarilehti.fi/tieteessa/alkuperaistutkimukset/pitkaaikaistyottomilla-on-runsaastihoitamattomia-mielenterveyshairioita/
Suomen verotarkastajat Oy. [The Association of Finnish Tax Inspectors]
Oivo, T., and R. Kerätär, Osatyökykyisten reitit työllisyyteen - etuudet, palvelut, tukitoimet: Selvityshenkilöiden raportti. [Pathways to employment for people with partial work ability - benefits, services, support measures, Rapporteurs' report] Reports and Memorandums of the Ministry of Social Affairs and Health in Finland 43/2018. 2018. http://urn.fi/URN:ISBN:978-952-00-3997-4
Männikkö, M., and N. Martikka, Tuloksellisuustarkastuskertomus. Paljon palveluja tarvitsevat ja käyttävät asiakkaat perusterveydenhuollossa [Performance audit report. Clients in primary health caer need and use a lot of services. ] Report 11/2017. 2017. Helsinki: National Audit Office of Finland.
Koivisto, J. and H. Tiirinki, Monialaisen palvelutarpeen tunnistaminen sosiaali-, terveys- ja työvoimapalveluissa. [Identifying the individuals with integrated care needs in health, social and employment services], Series and publication number. Publications of the Government´s analysis, assessment and research activities 2020:38. 2020. http://urn.fi/URN:ISBN:978-952-287-908-0
Hujala A. et al., Sote-ammattilaisten monialainen yhteistyö Paljon palveluja tarvitsevat asiakkaat etusijalle. [Interdisciplinary collaboration between social and health professionals. Prioritizing clients who need plenty of services], Yhteiskuntapolitiikka. 2019. 84: p. 5-6. https://www.julkari.fi/bitstream/handle/10024/138878/YP1905-6_Hujalaym.pdf?sequence=2
Ministry of Economic Affairs and Employment in Finland, Erillistilasto TYPPI-tietojärjestelmä [Client Service System]. 2009.
Hourzad, A., et al., The effects of an empowering self-management model on self-efficacy and sense of coherence among retired elderly with chronic diseases: a randomized controlled trial. The effects of an empowering self-management model on self-efficacy and sense of coherence among retired elderly with chronic diseases: a randomized controlled trial, Clinical Interventions in Aging, 2018., p. 2215-2224,
Ruutu, S., & H. Putkisaari, Toipumisorientaatio, Kustannus Oy Duodecim, 2022.
Karjalainen, L., Tilastotieteen perusteet [Introduction to Statistical Science], 2010. Otavan Kirjapaino Oy.
The Finnish code of conduct for research integrity and procedures for handling alleged violations of research integrity in Finland Guideline of the Finnish National Board on Research Integrity TENK 2023. 2023. https://tenk.fi/sites/default/files/2023-11/RI_Guidelines_2023.pdf
Kankkunen, P., and K. Vehviläinen-Julkunen, Tutkimus hoitotieteessä [Research in Nursing Science], 2009. WSOYpro.
Wei, H., et al., A systematic meta-review of systematic reviews about interprofessional collaboration: facilitators, barriers, and outcomes. Journal of Interprofessional Care, 2022. 36(5): p. 735-749.
Mustonen, R., and S. Inkeroinen, Monialainen potilasohjaus: yhteistyöllä parempaa hoitoa. [Interprofessional patient counselling: better care through collaboration], Tutkiva hoitotyö, 2024. 22(2): p. 33-34.
Timperi, T., Sote-integraation edellyttämä monialainen yhteistyöosaaminen: Selvityshenkilön raportti. [Multidisciplinary collaborative competence required for the integration of health and social services], Ministry of Social Affairs reports and memorandums 2022:22. 2022. http://urn.fi/URN:ISBN:978-952-00-5399-4
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