Preventing Needless Work Disability by Helping People Stay Employed

  title={Preventing Needless Work Disability by Helping People Stay Employed},
  author={Jennifer Christian and Douglas W. Martin and David Ml Brown and Alan L. Colledge and Constantine J. Gean and Elizabeth Genovese and Natalie P. Hartenbaum and M R Jarrard and Michel Lacerte and Gideon Letz and Loren Lewis and Robert MacBride and Michael P. McGrail and J Mark Melhorn and Stanley Miller and James H. Ross and Marcia Scott and Adam Seidner and James Byron Talmage and William W. Shaw and C. D. Williams and David Siktberg},
  journal={Journal of Occupational and Environmental Medicine},
Each year, millions of American workers develop health problems that may temporarily or permanently prevent them from reentering the workforce. In most cases, employees are able to stay at work or return to work after a brief recovery period. However, approximately 10% of these workers incur significant work absences and/or life disruptions that can lead to prolonged or permanent withdrawal from the workforce. During this nonworking period, these individuals are described as “disabled,” and… 

Advancing Value-Based Medicine: Why Integrating Functional Outcomes With Clinical Measures Is Critical to Our Health Care Future

Functional impairment related to injury or illness is a condition in which individuals may have a loss of physical ability, limitations on their day-to-day living activities, or restrictions on their societal interactions.

Sustaining Work Participation Across the Life Course

Future research of work disability should focus on earlier identification of at-risk workers with chronic conditions, the use of more innovative and flexible accommodation strategies matched to specific functional losses, stronger integration of the workplace into on-going rehabilitation efforts, and a better understanding of stigma and other social factors at work.

Effects of Presenteeism in Chronic Occupational Musculoskeletal Disorders: Stay at Work is Validated

Patients classified as presentees were significantly more likely to complete the prescribed functional restoration treatment program, to return to work (full-duty or full-time), to retain work 1-year posttreatment, and to have a decrease in job demand from preinjury to posttreatment.

Defining Documentation Requirements for Coding Quality Care in Workers’ Compensation

The American College of Occupational and Environmental Medicine (ACOEM) supports modifying the rules for documentation of care in workers’ compensation in order to provide reimbursement and other incentives to deliver care.

The Economic Impact of a Disability Prevention Program

It is suggested that relative modest efforts at coordinating appropriate medical care with employer accommodation that allow early reintegration of injured workers back into the workforce could result in substantial reductions of medical expenditures.

The Employment/Eligibility Service System: A New Gateway for Employment Supports and Social Security Disability Benefits

We propose to modernize the gateway to the Social Security Disability Insurance (SSDI) program in a manner that addresses two major problems. First, workers with medical conditions that threaten

Biopsychosocial Considerations in Unnecessary Work Disability

  • G. Caruso
  • Medicine
    Psychological Injury and Law
  • 2013
A heuristic diathesis stress model of work-related disability as a framework for general and specific interventions to improve system performance and outcomes for all stakeholders is offered.

Biopsychosocial Considerations in Unnecessary Work Disability

A heuristic diathesis stress model of work-related disability as a framework for general and specific interventions to improve system performance and outcomes for all stakeholders is offered.

Is Work Good for Your Health and Well-being?

There is a strong evidence base showing that work is generally good for physical andmental health and well-being, taking into account the nature and quality of work and its social context, and that worklessness is associated with poorer physical and mental health.



Unemployment and health: physicians' role.

The disability insurance plans in Canada and the community expectations from physicians dealing with patients who are out of work because of injury or sickness are discussed.

Unemployment and health: physicians' role.

  • S. Guirguis
  • Medicine
    International archives of occupational and environmental health
  • 1999
The disability insurance plans in Canada and the community expectations from physicians dealing with patients who are out of work because of injury or sickness are discussed.

Managing Work Disability: Why First Return to Work is Not a Measure of Success

Studies of the effectiveness of medical and vocational rehabilitation and the disincentive effects of workers' compensation benefits frequently assume that a return to work signals the end of the

Evaluating patients for return to work.

  • D. Wyman
  • Medicine
    American family physician
  • 1999
The family physician should be familiar with the Americans with Disabilities Act as it applies to the patient's "fitness" to perform the "essential tasks" of the patient’s job.

Disability certifications in adult workers: a practical approach.

  • B. Barron
  • Medicine, Philosophy
    American family physician
  • 2001
Strategies that help the physician complete disability certification forms effectively include identification of disability type, ascertainment of the definition of disability being applied, evaluation of workplace demands and essential job functions, assessment of worker capacity, and accurate and timely completion of the forms in their entirety.

Compensation neurosis: financial reward for illness as nocebo.

  • R. Bellamy
  • Medicine
    Clinical orthopaedics and related research
  • 1997
Financial reward for illness functions as a powerful nocebo, a nonspecific force creating and exacerbating illness, and that adversarial systems rewarding permanent illness or injury, particularly self reported pain, are often permanently harmful.

Nontreatment variables affecting return-to-work in Tennessee-based employees with complaints of low back pain.

Return-to-work for these patients was not dependent upon age, gender, insurer, number of physical therapy treatments attended, or previously reported low back injury, and the first was previous injury influencing the current injury, as documented by both previous surgery and the interval between theCurrent injury and beginning of treatments.

Practical Aspects of Functional Capacity Evaluations

More research is needed to better define the appropriate role for functional capacity evaluations in clinical and administrative settings, and to support the use of serial FCE data collection to measure progress in worker rehabilitation.

Back to Work: Predictors of Return to Work Among Patients With Back Disorders Certified As Sick: A Two-Year Follow-up Study

Information about the age of the patients, diagnoses, pain intensity, self-assessed work ability, and self-predicted absence status may be used as predictors of time until return to work in patients with back disorders certified as sick who attend a back disorder outpatient clinic.

Motivating factors for return to work.

  • G. GardA. Sandberg
  • Medicine
    Physiotherapy research international : the journal for researchers and clinicians in physical therapy
  • 1998
Structure, content, relationships, health and self-confidence were all important motivating factors for return to work, particularly the division of labour at work was the most important motivator.