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Return to Work
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- 1Unemployment & Healthhigher mortality rate (5-10 years earlier); x2-3 increase risk of longstanding illness; poorer MH with x3 risk of psychiatric morbidity; higher medical consultation and hospital admission rates
- 2Equality Act (2010)the employer has a legal duty to
make "reasonable adjustments" to work, such as flexible hours (i.e. part time or starting later if drowsy from medications),
support from colleagues, a place to go for a break if needed - 3Occupational History to Considerjob title, description, in practice/day to day; hours/shifts; environment; duties, exposure; sickness absence record; chronology & post occupation; ill health (self & colleagues)
- 4Modifications & RestrictionsTime- phased return, reduced hours, time for treatment; Duties- monitoring work load, safety; Support- 1 to 1 coaching/shadowing, flexibility
- 5Returning to Work is:therapeutic, helps to promote recovery and rehabilitation, leads to better health outcomes, minimizes the harmful effect of long term sickness absence, reduces poverty
- 6Working Definition of Recovery (Ryan)a personal journey of actively self-managing a psychiatric disorder while reclaiming, gaining and maintaining a positive sense of self, roles and life beyond the mental health system (in spite of psychiatric disability)
- 7The Recovery Movementhas gained significance in the last 4 decades; emphasizes on the uniqueness on very person's experience of MH problems or illness
- 8What supports recovery?good relationships, financial security, satisfying work, personal growth, developing resilience to possible adversity or stress in the future
- 9(Onken, 2007)peer support, hope, sense of meaning, life your life and not your diagnosis
- 10The Mental Health Recovery Startwo elements: ten pronged star mapping progress across ten life dimensions identified as core to recovery; ladder of change- outlines a series of 5 descriptive steps
- 11Organisation-Directed Strategies (Arnold et al)redesign the task, establish flexible work
schedules, provide social support, establish goals; these strategies are directed at increasing employee participation and autonomy; primary interventions - 12Most Popular Interventionsphased or gradual return to work programmes, in combination with psychological rehabilitation such as confidence building, counselling or cognitive behavioural therapy
- 13Individual Interventionstypically focus on protective factors such as encouraging positive health behaviours, like better diet and exercising, and promoting coping and problem solving skills
- 14Employer-level Interventionscontrol and decision-making latitude, clear workplace roles, good job fit, fair performance appraisals, attention to work-life balance, employee invovement
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- OPP2 Fichas sobre Return to Work, creado por ashleyjsmit el 17/06/2013.
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- ashleyjsmit
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