QualitativeJournal of occupational rehabilitation2026

Managers' Use of Organizational Resources when Supporting Employees with Common Mental Disorders: A Swedish Qualitative Study.

Ellinor Tengelin, Lisa Björk, Linda Corin and 4 others

PMID 40252151

WHAT IT FOUND

Managers described clear routines, time, money, flexible work, human resources, occupational health services, safety representatives, senior managers, colleagues, team leaders and open climates as helpful for supporting employees with common mental disorders.

Too rigid, distant, or stigma-laden resources felt unhelpful.

Key findings

01Managers described routines and structures as reassuring when clear, but too general, too detailed, or aimed at the wrong organizational level made them hard to use.

02Managers said having enough time, money and flexibility was critical for supporting employees, and lack of time could make them overlook signs of mental distress.

03Managers valued support from human resources, occupational health services, safety representatives, senior managers, colleagues, team leaders and an open workplace climate, but said it failed when these sources were distant, lacked knowledge of the workplace or the condition, or were shaped by stigma.

STILL TO COME

How it was doneWhat they found

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What it does not show

Findings are managers' retrospective accounts of selected critical incidents, not measured outcomes for employees or the organization. The sample was limited to 35 managers in Swedish private companies with at least 50 employees, so it may not transfer to public, tax-funded organizations or smaller companies. Swedish labour-market, union, safety-representative and sickness-insurance rules form part of the context, which may differ in other welfare systems. Because managers said encountering employees with common mental disorders is rare, the incidents recalled may be disproportionately difficult, and the authors identify this as recall bias. Only a small number of managers from the service-sector pink-collar group were included, which may reduce transferability to workplaces where the main work object is human beings. Five managers initially scheduled were excluded because they did not meet inclusion criteria or withdrew without explanation. Cases involving alcohol abuse were included although interviews asked for depression, anxiety or exhaustion, because managers sometimes described alcohol abuse in relation to common mental disorders.

The easy way to misread this

Do not read these resource categories as a tested intervention that will improve employee mental health or return-to-work outcomes. The study reports managers' experiences of resources they used, and the authors state that intervention studies are needed to establish effectiveness.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →


The study

Participants
35 managers
Certainty of evidence
Very low

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    Ellinor Tengelin, Lisa Björk, Linda Corin, et al. Managers' Use of Organizational Resources when Supporting Employees with Common Mental Disorders: A Swedish Qualitative Study. Journal of occupational rehabilitation. 2026.

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