Vocational rehabilitation in Wales: a mixed method evaluation of condition management programmes.

Condition management programmes (CMPs) are vocational rehabilitation schemes, which aim to address the needs of disability-related benefit claimants in the UK. The aim of this evaluation was to investigate the extent to which three CMPs in Wales enable individuals to manage health conditions and move closer towards work. Outcome measurements for the Short Form 36 Version 2, General Self Efficacy Scale and Hospital and Anxiety and Depression Scale were collated from 244 clients and analyzed using parametric statistics. Semistructured interviews were also held with members of staff and clients (n=27). Statistically significant changes (P<0.001) were observed in all outcome measure scores between start and end of intervention. Benefits of engaging in CMPs included better management of health conditions, increased confidence and increased activity. The results suggest that CMPs may be particularly effective for those with mental health conditions and support a model of vocational rehabilitation that focuses upon concepts such as fulfilment and a positive sense of identity.