Table 1

Performance indicators (PI) and criteria for rehabilitation of workers with adjustment disorders

PI 1Quality of the assessment of symptoms
    • ≥3 symptoms noted in medical file
PI 2Correct 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 3Evaluation 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 4Assessment of work related causes
    • the work related causes, or their absence, should be stated in the medical file
PI 5Assessment of impediments in the return to work process
    • the impediments, or their absence, should be stated in the medical file
PI 6Interventions 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 7Interventions 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 8Interventions 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 9Timing of the first consultation
    • first consultation should be within 3 weeks from first day of sickness absence
PI 10Continuity 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