Preventing Mid- and Later-Life Work Limitations

National demographic, economic and cultural trends are creating a need for hiring and
retaining older workers. However, while many older people will prefer and/or need to work,
chronic health problems occurring in mid-life or later can severely disrupt employment.
This study will conduct a randomized controlled trial (RCT) of the Work and Health
Initiative (WHI). The WHI is an innovative community-based program that provides mental
health and vocational services to workers with depression to improve functioning and reduce
productivity loss. This study will focus on workers 50 years of age and older. This study
will test the hypothesis that relative to usual care, the WHI improves the work outcomes of
depression. Study results potentially will result in a new multi-disciplinary method for
addressing a serious public health and employment issue.

Inclusion Criteria:

- age ≥ 45 years

- working ≥ 15 hours/week

- DSM-IV current major depression and/or dysthymia

- Work limitations: at-work productivity loss score ≥ 5%

Exclusion Criteria:

- severe physical health deficits

- non-English speaking or reading

- positive current alcoholism screening

- psychosis

- mania