Efficacy of a peer-led group program for unemployed people with mental health problems: Pilot randomized controlled trial

Abstract

Background: People with long-term unemployment and mental health problems often find it difficult to take active steps toward help-seeking and job search and to navigate the complex system of available services. Likewise, job center staff would welcome interventions to improve the reintegration of long-term unemployed individuals with mental health problems into the labor market. Aim: To examine the efficacy of a peer-led group program that supports unemployed people with mental health problems in terms of help-seeking, job search and recovery. Methods: Based on participatory research, a four-session group program was designed and evaluated in a pilot randomized controlled trial (RCT) with 42 participants, randomized to the program (n\u2009=\u200923) or treatment as usual (n\u2009=\u200919). Outcomes were assessed at baseline (T0), 3\u2009weeks (T1), 6\u2009weeks (T2) and 6\u2009months later (T3). Results: There were no significant intervention effects on primary outcomes (job search self-efficacy and help-seeking). But compared to the control group, intervention participants showed significant improvements in depressive symptoms (p\u2009=\u2009.02) and recovery (p\u2009=\u2009.04) at T2 with medium effect sizes. There were trend-level positive program effects on self-stigma, hopelessness and secrecy. Conclusion: This pilot RCT provides initial evidence for the efficacy of a peer-led group program to improve symptoms and recovery among unemployed participants with mental health problems.