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Factors associated with return to work in patients with long-term disabilities due to neurological and neuropsychiatric disorders
The current study explores factors predicting return to work in a sample of patients with neurological and neuropsychiatric disorders who have attended a prevocational readiness and social skills training programme many years after trauma. Participants were community-dwelling adults with long-term disabilities (N = 67). Results of univariate analyses followed by multivariate logistic regression analysis revealed that both pre-injury (prior) and post-injury (current) factors influenced the likelihood of employment in our sample: prior employment, current employment readiness, current...
Les pratiques d’orientation en direction des personnes malades chroniques
Accompagnement collectif et individuel dans le cadre d'une recherche-action Cet article présente les pratiques d'orientation individuelles et collectives mises en œuvre auprès de personnes malades chroniques, dans le cadre d'une recherche-action portant sur les freins et les leviers de leur retour à l'emploi. Après avoir exposé nos ancrages théoriques et les choix méthodologiques effectués, nous décrirons comment des pratiques collectives au sein d'un dispositif d'échanges et des pratiques individuelles...
Determinants of Sickness Absence and Return to Work Among Employees with Common Mental Disorders
A Scoping Review Purpose: To present an overview of the existing evidence on prognostic factors of (recurrent) sickness absence (SA) and return to work (RTW) among workers with a common mental disorder (CMD). This scoping review provides information about determinants for SA and RTW, which could be used to develop better interventions aimed at the prevention of SA and promotion of RTW among workers with a CMD. Methods: Relevant articles were identified in PubMed, Embase, PsycINFO, PSYNDEX, and SINGLE up to October 2016. In order to be included, studies should provide insight into prognostic factors...
Le retour au travail des immigrants victimes de lésions professionnelles
Les embûches de la rencontre interculturelle et la précarité du lien d'emploi Cet article rapporte une partie des résultats d'une étude exploratoire sur le processus de réadaptation et de retour au travail en contexte de relations interculturelles. Cette étude avait deux objectifs : identifier les stratégies mises de l'avant par les différents acteurs pour faciliter le processus de réadaptation et de retour au travail des travailleurs immigrants et décrire les contraintes, les obstacles et les aides au processus...
Return to work: A comparison of psychological and physical injury claims
The report examines the similarities and differences between psychological and physical claims. Two main areas are considered: RTW by potential influencing factors, and employees responses and experiences. Source:
Barriers to and facilitators of return to work after sick leave in workers with common mental disorders
Perspectives of workers, mental health professionals, occupational health professionals, general physicians and managers Common mental disorders (CMDs), such as anxiety, stress and depression, are among the leading causes of disability worldwide and have a major impact in terms of lost productivity and sickness absence. Returning to work is a complex process in which different stakeholders may be involved and have to co-operate. This report discusses the return-to-work process of workers on sick leave with CMDs, and the barriers and facilitators from a multi-stakeholder perspective, ie workers...
Work, organisational practices, and margin of manoeuver during work reintegration
BACKGROUND: Many individuals of working age experience cardiovascular disease and are disabled from work as a result. The majority of research in cardiac work disability has focused on individual biological and psychological factors influencing work disability despite evidence of the importance of social context in work disability. In this article, the focus is on work and organisational features influencing the leeway (margin of manoeuvre) workers are afforded during work reintegration. METHODS: A qualitative method was used. A large auto manufacturing plant was selected owing to work, organisational...
How do line managers experience and handle the return to work of employees on sick leave due to work-related stress?
A one-year follow-up study PURPOSE: To examine how line managers experience and manage the return to work process of employees on sick leave due to work-related stress and to identify supportive and inhibiting factors. MATERIALS AND METHODS: Semi-structured interviews with 15 line managers who have had employees on sick leave due to work-related stress. The grounded theory approach was employed. RESULTS: Even though managers may accept the overall concept of work-related stress, they focus on personality and individual circumstances when an employee is sick-listed due to work-related stress...
Legislative change enabling use of early part-time sick leave enhanced return to work and work participation in Finland
Part-time sick leave is used in many countries to enhance return to work, however its effectiveness – especially at the early stage of work disability – is not known. This quasi-experiment utilizing propensity score matching shows that part-time sick leave, started during the first 12 weeks of work disability, enhances return to work and increases work participation over a 2-year period. Source: Viikari-Juntura E, Virta LJ, Kausto J, Autti-Rämö I, Martimo K-P, Laaksonen M, Leinonen T, Husgafvel-Pursiainen K, Burdorf A, Solovieva S. (2017). Scand J Work Environ Health . http...
Return to work after mild-to-moderate stroke: work satisfaction and predictive factors
A large proportion of stroke patients are unable to return to work (RTW), although figures vary greatly. A total of 121 mild-to-moderate stroke patients, who had a paid job at the time of their stroke were included (a) to quantify RTW and work satisfaction one-year post-stroke (using the Utrecht Scale for Evaluation of Rehabilitation-Participation) and (b) to determine factors predicting RTW post-stroke, based on stroke-related, personal and neuropsychological variables. Half of the patients were not in work (28%) or were working less (22%) than pre-stroke. Ninety percent of those in fulltime employment...
Relations interculturelles - Comprendre le processus de réadaptation et de retour au travail
Dans le domaine de la santé et de la sécurité du travail (SST), les barrières linguistiques et culturelles sont souvent décrites comme des facteurs de vulnérabilité des travailleurs. Il est rapporté que de telles barrières ont déjà été ou sont encore à l'origine d'erreurs diagnostiques ou de mauvaises évaluations cliniques, compliquant ainsi le processus de réadaptation et de retour au travail. La problématique de la réadaptation et du retour au travail dans le contexte...
Return to work after cancer
There is an increasing amount of information available for line managers, human resources and occupational health professionals on helping individuals with cancer stay in work. However, until this research, there had been a lack of evidence on specific health and safety issues and effective approaches to risk assessment and risk management for occupational safety and health (OSH) professionals, and others, to support those undergoing treatment or returning to work after cancer. The research addresses this evidence gap by: - seeking to understand the health and safety implications of returning to...
Rehabilitation and return to work after cancer: Literature review
As treatments have improved, there are more and more people surviving cancer in Europe. While most cancer survivors return to work after treatment, many face long-term symptoms and impairments that can make it difficult for them to do so. This report provides an overview of the relevant scientific literature, conducted to collect information on existing initiatives, policies and practices on rehabilitation and return to work after cancer and gather examples of successful interventions. Source:
The role of health-care providers in the workers' compensation system and the return-to-work process
International research has generated strong evidence that health-care providers have a key role in the return-to-work (RTW) process. However, pressure on consultation time, administrative challenges and limited knowledge about a patient's workplace can thwart meaningful engagement. This multi-jurisdictional, two-year study focused on health-care providers' experiences within the workers' compensation system and their role in the RTW process. Source:
Costs and Work Loss Burden of Diagnosed Opioid Abuse Among Employees on Workers Compensation or Short-term Disability
Objective: To compare 12-month healthcare costs between employees with versus without diagnosed opioid abuse within 12 months after an injury-related workers' compensation (WC) or short-term disability (STD) claim. Methods: Retrospective study using 2003 to 2014 US insurance claims linked to administrative data on WC/STD claims. Multivariable models compared healthcare costs between employees with versus without diagnosed opioid abuse. Results: Study included 107,975 opioid-treated employees with an injury-related WC or STD claim. Mean number of opioid prescription fills and adjusted total...
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