1. GAP BETWEEN DECREASE OF WORK ABILITY AND INCREASE OF WORK PLACE DEMANDS dr. Marija Molan, higher health councillor University Clinical Centre Ljubljana, Clinical Institute of Occupational, Traffic and Sports Medicine, Poljanski nasip 58, Ljubljana, Slovenia marija@molan.ws

2. COI DISCLOSURE

3. ISSUES - WORK Globalization of work (production and services) Restructuring in all sectors (industry and services) Organizational changes and new procedures for work New content of the main task Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

4. ISSUES - WORKER Workers have to adapt to the new world of work Workers have to stay at work for more than forty years Due to aging working abilities decrease Workers with poor mental health have limited adaptation’s abilities Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

5. PROCEDURE Definition of the main research goal: Functioning of workers with mental health problems Complex psychological evaluation Sample: 758 workers Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

6. RESULTS - STRUCTURE OF THE SAMPLE Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

7. WORKERS WITH ADJUSTMENT DISORDERS (F43,2) Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

8. ADJUSTMENT DISORDERS EXTERNAL MANIFESTATION Poor adaptation abilities in combination with depression and anxiety are reflected in unfitness for work Workers with adequate flexibility, who are depressed and anxious, should be included in treatment regardless of their work performance High levels of adaptation and flexibility assure keeping of adequate fitness for work Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

9. COMPARISON OF WORK PLACE DEMANDS AND WORKERS ABILITIES abilities level time demands Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

10. CONSEQUENCES Decrease of adaptation abilities limits competitiveness at the work place Workers are not able to perform tasks of their work places Formally the same work places with new content and new technology Routine, simple tasks are automated Due to the new situations additional more complex tasks are included Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

11. CONCLUSION - WORKERS Less adaptive workers are the first victims Consequences is unemployment They are not able to adapt to new situation and levels of poor self- estimation and depression increase The level of competitiveness decreases and possibility to find a job is less and less realistic Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

12. CONCLUSION - SOCIETY More long lasting unemployed people Arise of social problems due to the unemployment Less competitive workers unable to perform high demanding, changing tasks Lower level of general satisfaction and well being Higher expenses for treatment of mental health problems Marija Molan, 21st EUMASS and 4th International Congress of Medical Assessors in the Republic of Slovenia, Thursday, 2016-06-09

13. GAP BETWEEN DECREASE OF WORK ABILITY AND INCREASE OF WORK PLACE DEMANDS dr. Marija Molan, higher health councillor University Clinical Centre Ljubljana, Clinical Institute of Occupational, Traffic and Sports Medicine, Poljanski nasip 58, Ljubljana, Slovenia marija@molan.ws