Dimensions | Practice profile 1 | Practice profile 2 |
---|---|---|
Assessment of the Contribution of Work Stressors to Work Disability | ||
 How work environment stressors are taken into account in a decision to authorize sick leave | Work stressors seen as exceeding the patient’s current adaptive capacity, but as possibly diminishing over the short term | Work stressors seen as having an adverse effect on the patient’s health - Give sick leave to remove the patient from the adverse effect of the stressors |
- Postpone the decision - Give short-term sick leave | ||
Sense-giving regarding Sick Leave and RTW | ||
 Meaning of sick leave as explained to the patient | Sick leave is part of the treatment and of limited duration | Time to rest |
 Message passed on early about the RTW | RTW presented at beginning of sick leave (i) as part of the treatment and (ii) as inevitable | No specific message |
 Messages about the RTW passed on during follow-up | RTW helps wind up the recovery | Complete severing of contact with the workplace is preferable |
Need to contact co-workers or the supervisor to reduce apprehensions about RTW | ||
Planning of Steps towards RTW | ||
 How the work environment is taken into account during preparation of the RTW | Patient asked to contact his/her supervisor to discuss a realistic RTW plan | Drafting of the RTW plan, taking into account the employer’s constraints, as understood by the patient |
Specialized occupational rehabilitation resources recommended if the stressors are significant and persistent | ||
No particular action to proactively mobilize specialized occupational rehabilitation resources |