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Rehabilitation of mental illness and chronic pain – the impact on sick leave and health

Author

Listed:
  • Hägglund, Pathric

    (Swedish Social Insurance Inspectorate (ISF))

  • Johansson, Per

    (IFAU - Institute for Evaluation of Labour Market and Education Policy)

  • Laun, Lisa

    (IFAU - Institute for Evaluation of Labour Market and Education Policy)

Abstract

This paper exploits a government initiative to analyze the effect of cognitive behavioral therapy (CBT) for individuals with mild or moderate mental illness and multidisciplinary treatment (MDT) for individuals with pain in back and shoulders. We employ a propensity score matching approach to study the effects on sick leave, health care consumption and drug prescriptions. We find that CBT improved health and prevented sick leave for individuals who were not on sick leave when treatment was initiated but had no effect for individuals who were on sick leave when the treatment was initiated. MDT was a failure regardless of the individual’s sick leave status at the time of treatment. MDT increased sick leave while having no long term impact on either health care visits or drug prescriptions.

Suggested Citation

  • Hägglund, Pathric & Johansson, Per & Laun, Lisa, 2015. "Rehabilitation of mental illness and chronic pain – the impact on sick leave and health," Working Paper Series 2015:22, IFAU - Institute for Evaluation of Labour Market and Education Policy.
    • Handle: RePEc:hhs:ifauwp:2015_022
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    File URL: http://www.ifau.se/upload/pdf/se/2015/wp2015-22-Rehabilitation-of-mental-illness-and-chronic-pain.pdf
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    References listed on IDEAS

    as
    1. Abbring, Jaap H. & van den Berg, Gerard J., 2003. "A Simple Procedure for the Evaluation of Treatment Effects on Duration Variables," IZA Discussion Papers 810, Institute of Labor Economics (IZA).
    2. de Luna Xavier & Johansson Per, 2014. "Testing for the Unconfoundedness Assumption Using an Instrumental Assumption," Journal of Causal Inference, De Gruyter, vol. 2(2), pages 1-13, September.
    3. Alberto Abadie & Guido W. Imbens, 2006. "Large Sample Properties of Matching Estimators for Average Treatment Effects," Econometrica, Econometric Society, vol. 74(1), pages 235-267, January.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Nicolas R. Ziebarth, 2018. "Social Insurance and Health," Contributions to Economic Analysis, in: Health Econometrics, volume 127, pages 57-84, Emerald Group Publishing Limited.

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    More about this item

    Keywords

    Mental diseases; chronic pain; sick leave; propensity score matching;
    All these keywords.

    JEL classification:

    • H43 - Public Economics - - Publicly Provided Goods - - - Project Evaluation; Social Discount Rate
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • J22 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Time Allocation and Labor Supply

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