Performance indicators (PI) and criteria for rehabilitation of workers with adjustment disorders
PI 1 | Quality of the assessment of symptoms |
• ≥3 symptoms noted in medical file | |
PI 2 | Correct diagnosis |
• a diagnosis should be noted in the file | |
If ≥5 depressive symptoms (including ≥1 obliged symptom) are noted in file, then | |
• diagnosis should be depressive disorder | |
If ≥3 anxiety symptoms (including ≥1 obliged symptom) are noted in file, then | |
• diagnosis should be anxiety disorder | |
If diagnosis is depressive disorder, not anxiety disorder and ≥4 distress symptoms are noted, then | |
• diagnosis should be adjustment disorder | |
PI 3 | Evaluation of the treatment in the curative sector |
• treatment, or its absence, should be noted in file | |
If patient is under treatment, then | |
• this treatment should be described | |
PI 4 | Assessment of work related causes |
• the work related causes, or their absence, should be stated in the medical file | |
PI 5 | Assessment of impediments in the return to work process |
• the impediments, or their absence, should be stated in the medical file | |
PI 6 | Interventions aimed at the individual |
If diagnosis is adjustment disorder, then | |
• an intervention aimed at the individual should be noted in the file | |
OR | |
• patient should be referred to psychologist/social worker/general practitioner | |
PI 7 | Interventions aimed at the organisation |
If work related causes or impediments to return to work process are present, then | |
• the occupational physician should confer with superior or personnel officer | |
PI 8 | Interventions aimed at providers of care in the curative sector |
If treatment in curative sector is inadequate, then | |
• patient should be referred to psychologist/social worker/general practitioner | |
PI 9 | Timing of the first consultation |
• first consultation should be within 3 weeks from first day of sickness absence | |
PI 10 | Continuity of care |
If patient has not yet completely recovered, then | |
• second consultation should be within 3 weeks from first consultation | |
AND | |
• third consultation should be within 3 weeks from second consultation |