The return to work after an injury or work-related illness involves numerous challenges for both organizations and employees. The return to work coordinator will play a very important role in a successful and sustainable return to work. But what must the coordinator do in concrete terms to help this happen?
Legend: Recommendation of our expert
Expert advisor:
- Marie-Michelle GOUIN, assistant professor, human resource management, Université de Sherbrooke
Authors:
- Rachèle HÉBERT, research professional, Université de Sherbrooke
France ST-HILAIRE, associate professor, human resource management, Université de Sherbrooke
Marie-Eve MAJOR, associate professor, ergonomics, Faculty of Kinesiology, Université de Sherbrooke
Rébecca LEFEBVRE, research professional, Université de Sherbrooke
Étienne FOUQUET, research assistant, Université de Sherbrooke
This initiative was made possible through a collaboration with the Université de Sherbrooke.
We interpreted the study published in 2017 by Durand and colleagues that was conducted with large organizations in Québec, Canada. These authors had two objectives: 1) to identify coordinators’ tasks and activities during the return to work 2) to examine certain characteristics of organizations or coordinators that influence their return to work practices following an injury or work-related illness.
What do we mean by:
Return to work
An employee is considered as returning to work when they resume work tasks after a disability caused by an injury or an illness. The longer the absence, the more complex the return to work.
Long-term disability
Long-term disability is considered to last beyond the general time period for healing from a health problem: usually more than twelve weeks for musculoskeletal problems and more than six months for a mental health problem.
Return to work coordinator
The role of the return to work coordinator is held by a professional who may occupy various positions within an organization (e.g.: manager or human resource professional, occupational physician or nurse) or externally (e.g.: rehabilitation counsellor for an insurance company). The coordinator
- facilitates the return to work of an employee in a disability situation because of an illness or injury;
- works in collaboration with the different return to work stakeholders (e.g.: employee, manager, insurer, workers’ compensation adviser, health professionals, union and colleagues of the employee).
What do the results of the study tell us?
4 core competencies and targeted actions for a successful and sustainable return to work.
The authors sorted 49 of the return to work coordinator’s tasks and activities into 4 core competencies.
COMPETENCY 1 |
Adapt practices based on the needs and abilities of the absent employee and on the return to work process. |
COMPETENCY 2 |
Engage stakeholders in the workplace and the appropriate external resources during the return to work process. |
COMPETENCY 3 |
Develop practices that conform to laws, regulations, agreements and procedures related to absences and the return to work. |
COMPETENCY 4 |
Review or reflect on your practices and understanding when it comes to absences and health at work, and invite stakeholders from the workplace to do the same. |
Of the 49 tasks done by coordinators, 4 tasks are primarily recognized as practices that promote a successful and sustainable return to work. These are presented in the following table.
Method
Profile of participants
- 327 coordinators invited by email.
- 195 questionnaires completed online.
- Men 23.3% / Women 76.7%.
- Between ages 35 and 54 (64.2%).
- Private and public organizations in Québec.
- Organizations of 500 or more employees.
The online questionnaire targeted disability management managers and return to work coordinators.
TaskS and activitIES promoting a successful and sustainable return to work
Task and activity | Specific approaches | Explanation | Sample action |
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1. Maintain communication with the employee who is absent. (Competency 1)
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2. Examine the environmental factors in the workplace that could jeopardize the return to work. (Competency 1)
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3. Plan the return to work (all tasks). (Competencies 1 and 2)
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4. Apply laws, policies and regulations regarding absences and return to work. (Competency 3) |
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Because studies must always be interpreted with caution
Because all study participants were volunteers, they may have been more committed to their work, which could have influenced the type of competencies and the tasks and activities.
The study was carried out with large Québec organizations; some differences may exist in other organizations (e.g.: small or medium-sized) and other countries.
Actions employers can take
Focus on actions and tasks that conform to good practices for a successful and sustainable return to work.
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Focus on prior training and the profile for return to work coordinators.
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Profile for coordinators who promote the desired return to work practices in an organization:
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Responses from the expert
The tasks and activities interpreted in this study come from only three of the four key competencies. Why?
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Can communicating quickly with the person who is ill or injured be seen as “pushy”?
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How can we identify obstacles to the return to work?
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In the literature, the “concerted efforts” or “cooperation” of stakeholders are often mentioned as important elements for a successful return to work. Why? During return to work planning (and even before), many decisions are made by stakeholders. These decisions are very important for the success of the return to work. Everyone must agree on the following points:
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How can organizations benefit from a formal procedure overseeing returns to work? When it is known and acknowledged, such a procedure can promote the return to work by
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The interpretation and action steps are based on the work of the following researchers:
- Corbière, M. et al., 2017. Validation du questionnaire Obstacles au Retour au Travail Et Sentiment d’Efficacité pour les Surmonter (ORTESES) auprès de travailleurs avec un trouble mental courant ou un trouble musculosquelettique. Montréal : IRSST, R-938.
- Coutu, M.-F. et al., 2015. Programme de prise de décision entre l'ergothérapeute et le travailleur ayant une incapacité due à un trouble musculosquelettique persistant: Perspective des acteurs en réadaptation. Montréal: IRSST, R-896.
- Gouin, M.-M., Coutu, M.-F., Durand, M.-J. 2017. Return-to-work success despite conflicts: an exploration of decision-making during a work rehabilitation program. Disability and rehabilitation. 1–11.
- Nastasia, I. et al., 2017. Pratiques des milieux de travail pour assurer un retour en emploi sain et durable. Montréal : IRSST, R-983.
Here are two comprehensive guides to help and support you in your return to work approach in order to facilitate recovery and promote employee retention:
- For a mental health problem (Technical guide: RG-758): Guide supporting the return to work and promoting employee retention – Facilitating the return to work of an employee after an absence related to a mental health problem (Guide soutenir le retour au travail et favoriser le maintien en emploi – Faciliter le retour au travail d’un employé à la suite d’une absence liée à un problème de santé psychologique). You can download this tool free by clicking here.
- St-Arnaud, L. and Pelletier, M. (4 November 2013)
- A practical tool that combines individual support and organizational changes. Includes informative video clips.
- For a musculoskeletal problem (Intervention tool: OMRT-Fr): Musculo-skeletal problems – Guide and tools for retention and the return to work (Troubles musculo-squelettiques – Guide et outils pour le maintien et le retour au travail) You can download this tool free by clicking here.
- Stock, S., Baril, R., Dion-Hubert, C., Lapointe, C., Paquette, S., Sauvage, J., Simoneau, S. and Vaillancourt, C. (2 November 2005)
- Guide accompanied by a number of intervention tools (estimation grids and forms) to support organizations wishing to design and implement a return to work program.
TO CITE THIS GLOBAL-WATCH SCIENTIFIC INTERPRETATION
- Gouin, M.-M., Hébert, R., St-Hilaire, F., Major, M.-E., Lefebvre, R., Fouquet, E. (2018). Key practices for a successful and sustainable return to work. Global-Watch Scientific Interpretation available at www.global-watch.com
TO CITE THE ORIGINAL ARTICLE BY THE AUTHORS OF THE STUDY
- Durand, M.-J., Nastasia, I., Coutu, M.-F., & Bernier, M. (2017). Practices of Return-to-Work Coordinators Working in Large Organizations. Journal of Occupational Rehabilitation, 27(1), 137-147.
Also available at global-watch.com
- ENGLISH VERSION TO COME: Trousse d'outils Global-Watch - Le retour au travail après une absence de longue durée
- IN FRENCH ONLY: Le retour au travail après une absence pour des raisons de santé mentales : 3 initiatives
- Sustainable return to work for individuals with common mental disorders: Building on available resources
- Challenges of the return to work for breast cancer survivors
- Global-Watch Videoconference Summary: Returning to work after a long-term absence
- IN FRENCH ONLY: Histoire de cas - Via Rail: présence au travail optimale
- Case Study: Preparing for the return from the outset: how Pratt and Whitney Canada supports its employees on disability
