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Related Experiment Videos

A developmental conceptualization of return to work.

Amanda E Young1, Richard T Roessler, Radoslaw Wasiak

  • 1Center for Disability Research, Liberty Mutual Research Institute for Safety, 71 Frankland Rd, Hopkinton, MA 01748, USA. amandae.young@libertymutual.com

Journal of Occupational Rehabilitation
|October 29, 2005
PubMed
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Return to work (RTW) is viewed as an evolving process with four phases: off work, re-entry, retention, and advancement. This new framework helps improve understanding and interventions for successful RTW outcomes.

Area of Science:

  • Occupational Health
  • Rehabilitation Science
  • Workplace Studies

Background:

  • Return to work (RTW) research has a long history, yet understanding and improving outcomes remain challenging.
  • Existing RTW models may not fully capture the dynamic nature of the return-to-work journey.
  • An alternative conceptualization is needed to advance the field of RTW.

Purpose of the Study:

  • To present an alternative conceptual framework for understanding return to work (RTW).
  • To propose a phased approach to RTW that accounts for its developmental nature.
  • To identify phase-specific outcomes for evaluating RTW success.

Main Methods:

  • A literature review was conducted on return to work (RTW).
  • Comments from RTW and workers' compensation researchers were incorporated.

Related Experiment Videos

  • A conceptual model of RTW as an evolving process was developed.

    • Main Results:

    • Return to work (RTW) is conceptualized as a four-phase evolving process: "off work," "work re-entry," "retention," and "advancement."
    • Multiple phase-specific outcomes are proposed for evaluating the success of RTW.
    • The model highlights the importance of incremental milestones in the RTW process.

    Conclusions:

    • Viewing RTW as a developmental, phased process enhances understanding and improves outcomes.
    • This broadened perspective clarifies the significance of incremental achievements in RTW.
    • The proposed framework facilitates better intervention selection and evaluation for return to work.