abstract: 'BackgroundUnemployment rates are higher among people with mental health

  issues/illness (MHI) than in the general working population, and many of

  them face the dilemma of whether or not to disclose their MHI when

  searching for employment. Disclosure can lead to rejection and

  discrimination, but alternatively can also have important advantages

  that may be necessary to retain employment. Whether disclosure decisions

  lead to sustainable employment depends on many factors, of which

  unemployed people themselves can only influence their decision to

  disclose or not and the way in which they communicate. This study

  evaluates the cost-effectiveness of an intervention to support

  unemployed people with MHI in their disclosure decision and

  communication.MethodsThis is a two-armed, clustered, randomized

  controlled trial with longitudinal design and randomization at

  organization level. An intervention will be examined, which consists of

  a disclosure decision aid tool (CORAL.NL) for unemployed people and

  workplace stigma-awareness training especially designed for employment

  specialists, which focusses on how to support unemployed people in their

  disclosure decisions. Participants in the intervention group are

  unemployed people who receive support from trained employment

  specialists from organizations allocated to the intervention group, and

  receive the CORAL.NL decision aid after baseline. The control group

  consists of unemployed people who receive support as usual from

  employment specialists from different organizations allocated to the

  control group. Primary outcomes are: cost-effectiveness of the

  intervention, e.g. healthcare costs, having employment, days until start

  of employment, independency of social security, having other forms of

  employment and decision making about disclosing MHI. Secondary outcomes

  are mental health and wellbeing, stigma and discrimination and

  work-related factors. Financial income data are collected via the

  registration systems of Dutch municipalities and Statistics Netherlands,

  and by questionnaires at baseline, and at 3, 6 and 12months.DiscussionIf

  using a decision aid to decide about disclosure of MHI leads to people

  finding and retaining employment more often, this study will contribute

  to lowering healthcare and societal costs.Trial registrationNetherlands

  Trial Register: NL7798. Registered on 4 June 2019.'
affiliation: 'Janssens, KME (Corresponding Author), Tilburg Univ, Tilburg Sch Social
  \& Behav Sci, Tranzo, Tilburg, Netherlands.

  Janssens, K. M. E.; van Weeghel, J.; Joosen, M. C. W.; Brouwers, E. P. M., Tilburg
  Univ, Tilburg Sch Social \& Behav Sci, Tranzo, Tilburg, Netherlands.

  van Weeghel, J., Kennisctr Phrenos, Utrecht, Netherlands.

  Henderson, C., Kings Coll London, Dept Hlth Serv \& Populat Res, London, England.

  Joosen, M. C. W., Tilburg Univ, Dept Human Resource Studies, Tilburg Sch Social
  \& Behav Sci, Tilburg, Netherlands.'
author: Janssens, K. M. E. and van Weeghel, J. and Henderson, C. and Joosen, M. C.
  W. and Brouwers, E. P. M.
author-email: k.m.e.janssens@tilburguniversity.edu
author_list:
- family: Janssens
  given: K. M. E.
- family: van Weeghel
  given: J.
- family: Henderson
  given: C.
- family: Joosen
  given: M. C. W.
- family: Brouwers
  given: E. P. M.
da: '2023-09-28'
doi: 10.1186/s13063-020-04376-1
eissn: 1745-6215
files: []
journal: TRIALS
keywords: 'Mental health issues; illness; Unemployed people; Employment

  specialists; Disclosure; Employment'
keywords-plus: 'MENTAL-ILLNESS; INDIVIDUAL PLACEMENT; HEALTH-PROBLEMS; PRIME-MD; WORK;

  VALIDATION; STIGMA; AID; EMPLOYEES; UTILITY'
language: English
month: MAY 29
number: '1'
number-of-cited-references: '48'
orcid-numbers: Janssens, Kim/0000-0002-6625-3516
papis_id: 63b4fd5c6baa11a96c92cc084ff8ed27
ref: Janssens2020evaluationinterventi
times-cited: '8'
title: 'Evaluation of an intervention to support decisions on disclosure in the employment
  setting (DECIDES): study protocol of a longitudinal cluster-randomized controlled
  trial'
type: Article
unique-id: WOS:000537957200005
usage-count-last-180-days: '0'
usage-count-since-2013: '2'
volume: '21'
web-of-science-categories: Medicine, Research \& Experimental
year: '2020'