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INTRODUCTION

Leads to increased cardiovascular disease, death rate and psychiatric illness.

   Objective is to prevent resignation, hopelessness and deterioration of health.

Encourage positive outlook with readiness to re-enter labour force.

VULNERABLE GROUPS

  • School leavers, esp. non-achievers (beware of impulsive overdoses)

  • History of psychosomatic or physical disability

  • Children of the unemployed

  • Previous problematic marriages

  • Men with many dependants

  • Those >50 yrs with good job records

Role of GP

  • Diagnostic awareness

  • Foreshadow problems

  • Caring, supportive counselling (very powerful)

  • Liaison with social services

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