Table 1
Client study participants.
| Client | Diagnosis | Team | Observation | Interview | Gender |
|---|---|---|---|---|---|
| 1 | Stress | 1 | X | F | |
| 2 | Stress | 1 | X | F | |
| 3 | Stress | 1 | X | X | F |
| 4 | Depression | 1 | X | X | F |
| 5 | Depression | 1 | X | M | |
| 6 | Depression | 1 | X | F | |
| 7 | Stress | 1 | X | X | F |
| 8 | Depression | 1 | X | M | |
| 9 | Stress | 1 | X | X | F |
| 10 | Anxiety | 1 | X | X | F |
| 11 | Stress | 1 | X | X | F |
| 12 | Stress | 2 | X | X | F |
| 13 | Stress | 2 | X | X | F |
| 14 | Anxiety/depression | 2 | X | F | |
| 15 | Anxiety | 2 | X | F | |
| 16 | Stress | 2 | X | M | |
| 17 | Stress | 2 | X | X | F |
| 18 | Depression | 2 | X | X | F |
| 19 | Stress | 2 | X | X | M |
| 20 | Stress | 2 | X | X | F |
Table 2
Typology of decisions discussed at the roundtable meetings.
| Decision types | Content | Examples of options discussed |
|---|---|---|
| The IBBIS content | The individual focus in the IBBIS course |
|
| Activities in the intervention |
| |
| Planning IBBIS meetings |
| |
| Return-to-work process | Job function and assignments |
|
| Estimated fitness for duty (termination of sick leave benefit) |
| |
| Realistic date for return to work |
| |
| Stepped return-to work plan |
| |
| Collaboration between stakeholders | Client role and responsibility |
|
| Roles and responsibilities among professionals |
| |
| Collaboration with employer and colleagues |
| |
| Collaboration with other stakeholders |
| |
| Involvement of family and friends |
| |
| Goals and goal setting | Long term goals |
|
| Temporary goals |
| |
| Excluded decisions | Client requests that exceeded the IBBIS framework |
|
| Employment specialist: | “The most important thing is that the three of us are here to make a shared plan that suits you. You are the main character. I will present a short summary of what you and I have worked with and the same goes for the care manager”. |
| Care manager: | “And you will of course add to that. We need to ensure that we are following the same path”. |
| Employment specialist: | “Yes we are not on two paths here, it will be integrated – that is the whole purpose (smiles). We’ll end the meeting by formulating a shared plan, which we’ll send to you and you can comment on it”. |
| Care manager: | “We are following the same path – you are at the helm, so you gain what you wish”. |
| (Observations, KHP) | |
| Client: | (crying and upset) “I need to say that I have a very very bad day, I am getting worse by attending this (IBBIS). I need to find out if we think this is good for me, I can’t manage it at home, there is so much and nobody to help me, it is so demanding. I think it is good for me, but I can’t manage it all, the exercises, I can’t. So, we have to call it off. Then I’ll just have to find an easy job and shut it all down – we have to find out what is best for me”. |
| Care manager: | “We can adjust the exercises; it’s not meant to stress you out. Let’s talk about it on Thursday when the two of us meet”. |
| Client: | “I just have this huge time pressure on me at home and it takes up all my energy and now I don’t have a car anymore and need to take a bus in the morning and it is such a pressure, we have not settled at all with that routine and I can’t sort out things, I don’t have any orientation”. |
| Care manager: | “We can adjust the exercises, it is very common that people at your stage, feel that everything adds to the pressure, it sounds like you are under a lot of pressure right now”. |
| (Observation LH) | |