Suchergebnisse

The guidelines published by the International Social Security Association,ISSA Guidelines: Return to Work and Reintegration, provide a policy imperative towards early intervention for people with nonoccupational health conditions at risk of exiting the workforce and moving to disability dependency. Socioeconomic and fiscal imperatives have been demonstrated by the Organisation for Economic Co-operation and Development's (OECD) review on sickness, disability and work (OECD, 2010), and by an accumulating evidence base for effectiveness. This study explored how social protection agencies are responding in terms of employment rehabilitation services for employed people with acquired disabilities. Specifically, this study reviewed job retention and return processes for workers with nonoccupational health conditions from the perspective of the ISSA guidelines in four jurisdictions with differing system frameworks. The methods used included a review of relevant literature and web resources and gathering detailed system descriptions from national respondents. Although the jurisdictions differed in the concepts used, service context, the structure of welfare systems and eligibility criteria, there was evidence of an acknowledgement of the needs of employed people with disabilities. This was not, however, consistently reflected in procedures, processes or outcome measurements. While some promising characteristics were identified, there was substantial room for improvement in the job retention and return to work strategies of the relevant agencies in all four jurisdictions. It was concluded that the deployment of theISSA Guidelines: Return to Work and Reintegration, published in 2013, had yet to make a substantial impact on services and approaches in the domain of nonoccupational health conditions in these jurisdictions.

AbstractAs part of a larger study into stress, absence and reintegration (Stress Impact 2003–2005), semistructured interviews were carried out with a range of professionals including general practitioners, occupational health physicians, health and safety officers, human resource professionals, general managers, mental health professionals and return-to-work coordinators. The aim of the study was to explore professional perceptions of stress recognition/diagnosis, experiences, stress factors, interventions, referrals, the return-to-work process and disability management in six European Union jurisdictions (Austria, Finland, Ireland, Italy, the Netherlands and the United Kingdom). The most striking characteristic of the responses was the lack of congruence in views and beliefs within the same professional group across jurisdictional boundaries and between professionals within the same jurisdiction. There was little evidence that any clear message is getting across to professionals. Professionals need to respond more flexibly to stress-related absence, particularly in the use of psychosocial and work-based disability management supports or interventions.