Regional kompetansetjeneste for arbeid og psykisk helse

En stor andel av Norges befolkning er på uføretrygd og Norge har verdens høyeste sykefravær. Psykiske lidelser er en av de vanligste årsakene til arbeidsfravær, og den dominerende diagnose for uføretrygd før 45 års alder. Arbeid og aktivitet vil i sum være mer kurativt enn skadelig. Likevel er samarbeidet mellom arbeids- og helsesektoren for tilfeldig.

Kompetansetjenesten har forankring i forskning, rådgivning og formidling og har i hovedsak fire virkeområder:

Bidra med formidling av kunnskap om, og utvikling av, forskning på arbeid og psykisk helse i Helse Nord. Målet er å bidra til etablering av nye strukturelle løsninger for pasientgruppen.

Bidra til nye arbeidsmåter, direkte knyttet til rollen som jobbspesialister gjennom opplæring i individuell jobbstøtte (IPS), samt veiledning og registerbaserte løsninger.

Bidra til å utvikle og drifte regionale nettverk.

Fag og metodeutvikling for innføring av IPS i norsk helsetjeneste, kvalitetskontroll og kvalitetsutvikling av tjenesten.

Kompetansetjenesten i Nordlandssykehuset

Tjenesten er direkte finansiert fra Helse Nord RHF, men Nordlandssykehuset drifter og delfinansierer tjenesten. Vi er en liten tjeneste med få fast ansatte (2,2 stilling) men 13-14 andre tilknyttet i eksternt finansierte stillinger i ulik prosenttilknytning. Ekstern forskningsfinansiering på om lag 30 millioner.

Vi er samlokalisert i et senter sammen med en Helse i arbeid-poliklinikk, og det er flere NAV-ansatte lokalisert i senteret.

2024

Brinchmann, B., Wittlund, S., Lorentzen, T., Moe, C., McDaid, D., Killackey, E., Rinaldi, M., & Mykletun, A. (2024). The societal impact of individual placement and support implementation on employment outcomes for young adults receiving temporary health-related welfare benefits: a difference-in-differences study. Psychological medicine, 1–9. https://doi.org/10.1017/S0033291723003744

Butenko, D., Rinaldi, M., Moe, C., Brinchmann, B., Wittlund, S., Killackey, E., Borg, M. & Mykletun, A. (2024). “What I thought was the dream job was a little different than I had expected”: A qualitative study exploring the turnover of IPS employment specialists. Journal of Vocational Rehabilitation, 61(1), 79-91. https://doi.org/10.3233/JVR-240027

Hoff, E. H., Kraft, K. B., Moe, C. F., Nylenna, M., Østby, K. A., & Mykletun, A. (2024). The cost of saying no: general practitioners' gatekeeping role in sickness absence certification. BMC public health, 24(1), Artikkel 439. https://doi.org/10.1186/s12889-024-17993-1

Hofstad, T., Nyttingnes, O., Markussen, S., Johnsen, E., Killackey, E., McDaid, D., Rinaldi, M., Dean, K., Brinchmann, B., Douglas, K., Gröning, L., Bjørkly, S., Palmstierna, T., Strømme, M. F., Blindheim, A., Rugkåsa, J., Hofmann, B. M., Pedersen, R., Widding- Havneraas, T., … Mykletun, A. (2024). Long term outcomes and causal modelling of compulsory inpatient and outpatient mental health care using Norwegian registry data: Protocol for a controversies in psychiatry research project. International Journal of Methods in Psychiatric Research, e1980. https://doi.org/10.1002/mpr.1980

Kraft, K. B., Hoff, E. H., Nylenna, M., Moe, C. F., Mykletun, M. & Østby, K. (2024). Time is money: general practitioners’ reflections on the fee-for-service system. BMC Health Services Research, 24(1), Artikkel 472. https://doi.org/10.1186/s12913-024-10968-3

Lyhmann, I., Widding-Havneraas, T., Bjelland, I., Markussen, S., Elwert, F., Chaulagain, A., Mykletun, A. & Halmøy, A. (2024). Effect of pharmacological treatment of attention-deficit/hyperactivity disorder on later psychiatric comorbidity: a population-based prospective long-term study. BMJ Mental Health, 27(1), e301003. https://doi.org/10.1136/bmjment-2024-301003

Strømme, M. F., Bartz‐Johannessen, C., Kjelby, E., Mehlum, L., Mykletun, A., Kroken, R. A., Johnsen, E. & Gjestad, R. (2024). Risk factors for mortality in patients admitted to a psychiatric acute ward: A prospective cohort study. Acta psychiatrica Scandinavica, 149(3), 244-255. https://doi.org/10.1111/acps.13657

2023

Butenko, D., Rinaldi, M., Brinchmann, B., Brandseth, O. L., Killackey, E., & Mykletun, A. (2023). The personality profile of IPS employment specialists, and how it relates to job satisfaction: A longitudinal cohort study. Scandinavian journal of psychology, 64(1), 71–79. https://doi.org/10.1111/sjop.12864

Chaulagain, A., Lyhmann, I., Halmøy, A., Widding-Havneraas, T., Nyttingnes, O., Bjelland, I., & Mykletun, A. (2023). A systematic meta-review of systematic reviews on attention deficit hyperactivity disorder. European psychiatry : the journal of the Association of European Psychiatrists, 66(1), e90. https://doi.org/10.1192/j.eurpsy.2023.2451

Gillard, S., Foster, R., White, S., Healey, A., Bremner, S., Gibson, S., Goldsmith, L., Lucock, M., Marks, J., Morshead, R., Patel, A., Patel, S., Repper, J., Rinaldi, M., Simpson, A., Ussher, M., Worner, J & Priebe, S. (2023). Peer support for discharge from inpatient to community mental health care: the ENRICH research programme. Programme Grants for Applied Research, 11(8), 9-92. https://doi.org/10.3310/LQKP9822

Moe, C., Brinchmann, B., Borg, M., McDaid, D., Rinaldi, M., Killackey, E., & Mykletun, A. (2023). Implementing individual placement and support in Norway. From vocational rehabilitation to an employment scheme. Social Policy & Administration, 57(5), 610–625. https://doi.org/10.1111/spol.12881

Widding-Havneraas, T., Elwert, F., Markussen, S., Zachrisson, H. D., Lyhmann, I., Chaulagain, A., Bjelland, I., Halmøy, A., Rypdal, K., & Mykletun, A. (2023). Effect of ADHD medication on risk of injuries: a preference-based instrumental variable analysis. European child & adolescent psychiatry, 10.1007/s00787-023-02294-6. https://doi.org/10.1007/s00787-023-02294-6

Widding-Havneraas, T., Markussen, S., Elwert, F., Lyhmann, I., Bjelland, I., Halmøy, A., Chaulagain, A., Ystrom, E., Mykletun, A., & Zachrisson, H. D. (2023). Geographical variation in ADHD: do diagnoses reflect symptom levels?. European child & adolescent psychiatry, 32(9), 1795–1803. https://doi.org/10.1007/s00787-022-01996-7

Widding-Havneraas, T., Zachrisson, H. D., Markussen, S., Elwert, F., Lyhmann, I., Chaulagain, A., Bjelland, I., Halmøy, A., Rypdal, K., & Mykletun, A. (2023). Effect of Pharmacological Treatment of Attention-Deficit/Hyperactivity Disorder on Criminality. Journal of the American Academy of Child and Adolescent Psychiatry, S0890-8567(23)00340-4. https://doi.org/10.1016/j.jaac.2023.05.025

Wittlund, S., Butenko, D., Brandseth, O. L., Brinchmann, B., Killackey, E., McDaid, D., Rinaldi, M., & Mykletun, A. (2023). Impact of Covid-19 Restrictions on Individual Placement and Support Service Delivery in Northern Norway. Journal of psychosocial rehabilitation and mental health, 10(2), 203–213. https://doi.org/10.1007/s40737-022-00304-5

Wittlund, S., Lorentzen, T. (2023). Changes in health-related rehabilitation trajectories following a major Norwegian welfare reform. BMC Public Health 23, 1444. https://doi.org/10.1186/s12889-023-16272-9

2022

Brinchmann, B. & Mykletun, A. (2022). Sysselsetting av pasienter med alvorlige psykiske lidelser. Tidsskrift for Norsk psykologforening, 59(10), 932-937.

https://psykologtidsskriftet.no/oppsummert/2022/09/sysselsetting-av-pasienter-med-alvorlige-psykiske-lidelser

Brinchmann, B., Rinaldi, M., Sandtorv, E., Moe, C. F., McDaid, D., Killackey, E. & Mykletun, A. (2022). Are attitudes in employees of public employment service in line with the principles of individual placement and support? A questionnaire‐based survey. Social Policy & Administration, 56(4), 681-692. https://doi.org/10.1111/spol.12828

Butenko, D., Rinaldi, M., Brinchmann, B., Brandseth, O. L., Killackey, E. & Mykletun, A (2022). The personality profile of IPS employment specialists, and how it relates to job satisfaction: A longitudinal cohort study. Scandinavian Journal of Psychology, 64(1), 71-79. https://doi.org/10.1111/sjop.12864

Butenko, D., Rinaldi, M, Brinchmann, B., Killackey, E., Johnsen, E. & Mykletun, A. (2022). Turnover of IPS employment specialists: Rates and predictors. Journal of Vocational Rehabilitation, 57(1), 23-32. https://doi.org/10.3233/JVR-221195

Gillard, S., Barlow, S., Bremner, S., Foster, R., Gibson, S., Goldsmith, L., Healey, A., Lucock, M., Marks, J., Patel, A., Patel, S., Priebe, S., Rinaldi, M., Simpson, A., Ussher, M. & White, S. (2022). Peer support for discharge from inpatient mental health care – Authors' reply. The Lancet Psychiatry, 9(7), 542-543. https://doi.org/10.1016/S2215-0366(22)00205-X

Gillard, S., Bremner, S., Patel, A., Goldsmith, L., Marks, J., Foster, R., Morshead, R., White, S., Gibson, S. L., Healey, A., Lucock, M., Patel, S., Repper, J., Rinaldi, M., Simpson, A., Ussher, M., Worner, J. & Priebe, S. (2022). Peer support for discharge from inpatient mental health care versus care as usual in England (ENRICH): a parallel, two-group, individually randomised controlled trial. The Lancet Psychiatry, 9(2), 125-136. https://doi.org/10.1016/S2215-0366(21)00398-9

Lyhmann, I., Widding-Havnerås, T., Zachrisson, H. D., Bjelland, I., Chaulagain, A., Mykletun, A. & Halmøy, A. (2022). Variation in attitudes toward diagnosis and medication of ADHD: a survey among clinicians in the Norwegian child and adolescent mental health services. European Child & Adolescent Psychiatry, 1-11. https://doi.org/10.1007/s00787-022-02110-7

Lystad, J., Rognli, E. B., Moen, E. Å., Brinchmann, B., Spjelkavik, Ø. & Aamodt, H. L. (2022). Arbeidsrettet behandling ved alvorlig psykisk lidelse i spesialisthelsetjenesten. Tidsskrift for Norsk psykologforening, 59(10), 874-883. https://doi.org/10.52734/2h82w7yP

Marks. J., Sriskandarajah, N., Aurelio, M. M., Gillard, S., Rinaldi, M., Foster, R. & Ussher, M. (2022). Experiences of peer workers and mental health service users with a peer support intervention: applying and critiquing a behaviour change techniques taxonomy. Advances in Mental Health, 20(2), 91-101. https://doi.org/10.1080/18387357.2021.2012088

Moe, C., Borowska, M., Stenvall, B., Esp, T., Silbermann, A., Brinchmann, B. & Borg, M.(2022). Forskerskole i samarbeidsbasert forskning – et bidrag til mer likeverdig deltakelse i kunnskapsutvikling. Tidsskrift for psykisk helsearbeid, 19(1), 40-50. https://doi.org/10.18261/tph.19.1.4

Moe, C. F., Brinchmann, B., Borg, M., McDaid, D., Rinaldi, M., Killackey, E. & Mykletun, A. (2022). Implementing individual placement and support in Norway. From vocational rehabilitation to an employment scheme. Social Policy & Administration, 1-16. https://doi.org/10.1111/spol.12881

Park, A.-L., Rinaldi, M., Brinchmann, B., Killackey, E., Aars, N. A. P., Mykletun, A., & McDaid, D. (2022). Economic analyses of supported employment programmes for people with mental health conditions: A systematic review. European Psychiatry, 65(1), Article e51. https://doi.org/10.1192/j.eurpsy.2022.2309

Perkins, R., Patel, R., Willett, A., Chisholm, L. & Rinaldi, M. (2022). Individual placement and support: cross-sectional study of equality of access and outcome for Black, Asian and minority ethnic communities. BJPsych Bulletin, 46(1), 10-15. https://doi.org/10.1192/bjb.2021.9

Widding-Havneraas, T., Markussen, S., Elwert, F., Lyhmann, I., Bjelland, I., Halmøy, A., Chaulagain, A., Ystrom, E., Mykletun, A. & Zachrisson, H. E. (2022). Geographical variation in ADHD: do diagnoses reflect symptom levels?. European Child & Adolescent psychiatry. https://doi.org/10.1007/s00787-022-01996-7

Wittlund, S., Butenko, D., Brandseth, O. L., Brinchmann, B., Killackey, E., McDaid, D., Rinaldi, M & Mykletun, A. (2022). Impact of Covid-19 Restrictions on Individual Placement and Support Service Delivery in Northern Norway. Journal of Psychosocial Rehabilitation and Mental Health, 1-11. https://doi.org/10.1007/s40737-022-00304-5

Wittlund, S., Lorentzen, T., Brinchmann, B. & Mykletun, A. (2022, 30. September). Dagens tiltak for å forebygge ungt utenforskap virker ikke. Forskersonen. https://forskersonen.no/barn-og-ungdom-ingvild-kjerkhol-kronikk/dagens-tiltak-for-a-forebygge-ungt-utenforskap-virker-ikke/2086061

Wittlund, S., Mykletun, A. & Lorentzen, T. (2022). Disability pension dynamics in early adulthood: A two-decade longitudinal study of educational, work and welfare-state trajectories in Norway. SSM-Population Health, 17, 1-11.
https://doi.org/10.1016/j.ssmph.2022.101062

2021

Moe, C., Brinchmann, B., Rasmussen, L. Brandseth, O. L., McDaid, D., Killackey, E., Rinaldi, M., Borg, M. & Mykletun, A. (2021). Implementing individual placement and support (IPS): the experiences of employment specialists in the early implementation phase of IPS in Northern Norway. The IPSNOR study. BMC Psychiatry, 21, Article 632. https://doi.org/10.1186/s12888-021-03644-x

Mykletun, A., Widding-Havneraas, T., Chaulagain, A., Lyhmann, I., Bjelland, I., Halmøy, A., Elwert, F., Butterworth, P., Markussen, S., Zachrisson, H. D. & Rypdal, K. (2021). Causal modelling of variation in clinical practice and long-term outcomes of ADHD using Norwegian registry data: the ADHD controversy project. BMJ open, 11(1), e041698. http://dx.doi.org/10.1136/bmjopen-2020-041698

Widding-Havneraas, T., Chaulagain, A., Lyhmann, I., Zachrisson, H. D., Elwert, F., Markussen, S., McDaid, D. & Mykletun, A. (2021). Preference-based instrumental variables in health research rely on important and underreported assumptions: a systematic review. Journal of Clinical Epidemiology, 139, 269-278. https://doi.org/10.1016/j.jclinepi.2021.06.006

2020

Dorrington, S., Carr, E., Stevelink, S. A., Dregan, A., Whitney, D., Durbaba, S., Ashworth, M., Mykletun, A., Broadbent, M., Madan, I., Hatch, S. & Hotopf, M. (2020). Demographic variation in fit note receipt and long-term conditions in south London. Occupational and Environmental Medicine, 77(6), 418-426. http://doi.org/10.1136/oemed-2019-106035

Moe, C., Brinchmann, B., McDaid, D., Killackey, E., Rinaldi, M. & Mykletun, A. (2020). Approaches to implementing individual placement and support in the health and welfare sectors: a scoping review protocol. JBI Evidence Synthesis, 18(1), 170-177. https://doi.org/10.11124/JBISRIR-D-19-00035

Stewart, R., Fosså, S. D., Hotopf, M. & Mykletun, A. (2020). Extent of disease at first cancer presentation and previous anxiety and depressive symptoms: the HUNT study. The British Journal of Psychiatry, 217(2), 427-433. https://doi.org/10.1192/bjp.2019.211

2019

Brinchmann, B., Widding-Havneraas, T., Modini, M., Rinaldi, M., Moe, C.F., McDaid, D. Park, A.-L., Killackey, E., Harvey, S. B. & Mykletun, A. (2019). A meta-regression of the impact of policy on the efficacy of individual placement and support. Acta Psychiatrica Scandinavica, 141(3), 206– 220. https://doi.org/10.1111/acps.13129

Gayed, A., Bryan, B. T., LaMontagne, A. D., Milner, A., Deady, M., Calvo, R. A., Mackinnin, A., Christensen, H., Mykletun, A., Glozier, N. & Harvey, S. B. (2019). A cluster randomized controlled trial to evaluate HeadCoach: an online mental health training program for workplace managers. Journal of Occupational and Environmental Medicine, 61(7), 545-551. https://doi.org/10.1097/jom.0000000000001597

Gayed, A., Tan, L., LaMontagne, A. D., Milner, A., Deady, M., Milligan-Saville, J. S., Madan, I., Calvo, R. A., Christensen, H., Mykletun, A., Glozier, N. & Harvey, S. B. (2019). A comparison of face-to-face and online training in improving managers' confidence to support the mental health of workers. Internet interventions, 18, Article 100258. https://doi.org/10.1016/j.invent.2019.100258

2018

Deady, M., Johnston, D. A., Glozier, N., Milne, D., Choi, I., Mackinnon, A., Mykletun, A., Calvo, R. A., Gayed, A., Bryant, R., Christensen, H. & Harvey, S. B. (2018). A smartphone application for treating depressive symptoms: study protocol for a randomised controlled trial. BMC psychiatry, 18(1), 1-9. https://doi.org/10.1186/s12888-018-1752-5

Dorrington, S., Roberts, E., Mykletun, A., Hatch, S., Madan, I. & Hotopf, M.(2018).
Systematic review of fit note use for workers in the UK. Occupational and environmental medicine, 75(7), 530-539. http://doi.org/10.1136/oemed-2017-104730

Gayed, A., Bryan, B. T., Petrie, K., Deady, M., Milner, A., LaMontagne, A. D., Calvo, R. A., Mackinnin, A., Christensen, H., Mykletun, A., Glozier, N. & Harvey, S. B. (2018). A protocol for the HeadCoach trial: the development and evaluation of an online mental health training program for workplace managers. BMC psychiatry, 18(1), 1-9.
https://doi.org/10.1186/s12888-018-1603-4

Gayed, A., LaMontagne, A. D., Milner, A., Deady, M., Calvo, R. A., Christensen, H., Mykletun, A., Glozier, N. & Harvey, S. B. (2018). A new online mental health training program for workplace managers: pre-post pilot study assessing feasibility, usability, and possible effectiveness. JMIR mental health, 5(3), e10517.
https://doi.org/10.2196/10517

Gayed, A., Milligan-Saville, J. S., Nicholas, J., Bryan, B. T., LaMontagne, A. D., Milner, A., Madan, I., Calvo, R. A., Christensen, H., Mykletun, A., Glozier, N. & Harvey, S. B. (2018). Effectiveness of training workplace managers to understand and support the mental health needs of employees: a systematic review and meta-analysis. Occupational and environmental medicine, 75(6), 462-470. http://dx.doi.org/10.1136/oemed-2017-104789

Harvey, S. B., Sellahewa, D. A., Wang, M. J., Milligan-Saville, J., Bryan, B. T., Henderson, M., Hatch, S. L. & Mykletun, A. (2018). The role of job strain in understanding midlife common mental disorder: a national birth cohort study. The Lancet Psychiatry, 5(6), 498-506. https://doi.org/10.1016/S2215-0366(18)30137-8

Harvey, S. B., Øverland, S., Hatch, S. L., Wessely, S., Mykletun, A. & Hotopf, M. (2018). Exercise and the prevention of depression: results of the HUNT cohort study. American Journal of Psychiatry, 175(1), 28-36. https://doi.org/10.1176/appi.ajp.2017.16111223

Schofield, T. P., Kiely, K. M., Mykletun, A., Harvey, S. B., & Butterworth, P. (2018). Using longitudinal survey data to estimate mental health related transitions to a disability pension. Journal of Occupational and Environmental Medicine, 60(4), e166-e172. http://dx.doi.org/10.1097/JOM.0000000000001269

Østby, K. A., Mykletun, A. & Nilsen, W. (2018). Explaining the gender gap in sickness absence. Occupational Medicine, 68(5), 320-326. https://doi.org/10.1093/occmed/kqy062

Østby, K. A., Mykletun, A. & Nilsen, W. (2018). Personality and long-term health-related benefits. Occupational Medicine, 68(7), 444-447. https://doi.org/10.1093/occmed/kqy092

2017

Harvey, S. B., Deady, M., Wang, M. J., Mykletun, A., Butterworth, P., Christensen, H. & Mitchell, P. B. (2017). Is the prevalence of mental illness increasing in Australia? Evidence from national health surveys and administrative data, 2001–2014. Medical Journal of Australia, 206(11), 490-493. https://doi.org/10.5694/mja16.00295

Harvey, S. B., Modini, M., Joyce, S., Milligan-Saville, J. S., Tan, L., Mykletun, A., Bryant, R. A., Christensen, H. & Mitchell, P. B. (2017). Can work make you mentally ill? A systematic meta-review of work-related risk factors for common mental health problems. Occupational and environmental medicine, 74(4), 301-310. http://dx.doi.org/10.1136/oemed-2016-104015

Nilsen, W., Skipstein, A., Østby, K. A. & Mykletun, A. (2017). Examination of the double burden hypothesis—a systematic review of work–family conflict and sickness absence. European Journal of Public Health, 27(3), 465-471. https://doi.org/10.1093/eurpub/ckx054

Nordhagen, H. P., Harvey, S. B., Rosvold, E. O., Bruusgaard, D., Blonk, R. & Mykletun, A.(2017). Case-specific colleague guidance for general practitioners’ management of sickness absence. Occupational Medicine, 67(8), 644-647.
https://doi.org/10.1093/occmed/kqx120

O’Dea, B., Lee, R. S. C., McGorry, P. D., Hickie, I. B., Scott, J., Hermens, D. F., Mykletun, A., Purcell, R., Killackey, E., Pantelis, C., Amminger, G. P. & Glozier, N. (2017). Erratum to: prospective cohort study of depression course, functional disability, and NEET status in help-seeking young adults. Social psychiatry and psychiatric epidemiology, 52(4), 503. https://doi.org/10.1007/s00127-017-1336-6

2016

Joyce, S., Modini, M., Christensen, H., Mykletun, A., Bryant, R., Mitchell, P. B. & Harvey, S. B. (2016). Workplace interventions for common mental disorders: a systematic meta-review. Psychological medicine, 46(4), 683-697.
https://doi.org/10.1017/S0033291715002408

Melkevik, O., Hauge, L. J., Bendtsen, P., Reneflot, A., Mykletun, A. & Aarø, L. E. (2016). Associations between delayed completion of high school and educational attainment and symptom levels of anxiety and depression in adulthood. BMC psychiatry, 16, Article number 64. https://doi.org/10.1186/s12888-016-0765-1

Melkevik, O., Nilsen, W., Evensen, M., Reneflot, A. & Mykletun, A. (2016). Internalizing disorders as risk factors for early school leaving: A systematic review. Adolescent Research Review, 1, 245-255. https://doi.org/10.1007/s40894-016-0024-1