Features
Saying "No" to compensation and "Yes" to control
Lara (not her real name) recovers from brain trauma but eventually quits her job and abandons her claim. Why?
Recorded Webinar: A Case Management Discussion
Frank Imbesi & Dr Mary Wyatt discuss a case put forward by RTWMatters member Meagan Moravcova.
All campers should be this happy
Have a look at this letter from an employee of one workplace doing fantastic things for injured workers and their RTW - now why aren't letters like these more common?
Compensation: More painful than surgery?
There is a correlation between compensation and poorer surgical outcomes. What can be done?
The power of learned optimism
How 'learned optimism' can improve return to work outcomes: Breaking down Theo Feldbrugge's webinar presentation.
The lowdown on lifting
Dr. Jos Verbeek talks about a review of research on training employees to lift to prevent back problems.
It's time to say good-bye to brain drain
Rob Aurbach talks about the neuroplasticity, and the impact of negative messages on pain and return to work
For Doctors - Back and neck pain: Does age (and work) make a difference?
Professor Charlotte Leboeuf-Yde outlines her key findings
Give a little bit of tough; and you'll get some back
We all know what happens to that which goes around (it comes around); so why do we sometimes forget that to get respect in the workplace, we have to give it too?
The Value of Questions and Early Answers
Gather round, I've got a story to tell - and it starts with a question...
Seminar report: Katherine Lippel talks workers' compensation systems
Professor Katherine Lippel on Workers' compensation design: How rules and practices may promote or undermine successful return to work
What makes a good workers' compensation dispute resolution system?
Dispute Resolution system expert Nerida Wallace explains the important characteristics of a workers' compensation dispute resolution system
Consider the alternative: ADR in the workers' compensation context
An introduction to Alternative Dispute Resolution (ADR) processes and their application in the workers' compensation in Australia
Recorded webinar: Improving Return to Work Motivation with Optimism
Theo Feldbrugge discusses the impact of optimism / pessimism on return to work

U.S. senior researcher position: health services, disability
Liberty Mutual Research Instutute for Safety
Considering Surgery
Do we have the right expectations? Are there other options?
Leading the Pack, or Dragging it Down?
When one part of the system underperforms, the others follow suit.
It is all in the name - Understanding discs
Disc bulge, disc degeneration, disc protrusion. Terms that worry patients, most of the time unnecessarily.
Developing a sucessful rehabilitation program: case study
Interview with Garry Pearce, Director of Rehabilitation for the Tasmanian Department of Health.
WEBINAR with Dr. Peter Cotton: Using Surveys to Understand your Workplace and Prevent Claims
Understanding workplace morale and quality of management allows improvements to be made. Peter demonstrates the positive correlation.
The Forest for the Trees
How To Identify the Variables of Chronic Pain To Achieve Holistic Return to Work
Decision-making justice Part 3. Getting it right. A MUST READ for Claims Managers
What works and what does not work in the decision making process.
Mental health at work, Steps to get there
An interview with Ingid Ozols, Director of Mental Health@Work
Garnering consensus on the importance of work to health
Occupational Physicians have brought together a broad group to join forces on changing beliefs and attitudes to being in work
Discord grows in the UK over work capacity assessments
World endeavors in disability management and what can be learned from the challenges facing the United Kingdom
Train supervisors and line managers in return to work WHY?
A Powerpoint presentation on the whys and wherefores of supervisor training in rtw management
Decision-making Justice Part 1. The issues. A MUST READ for claims staff and decision makers.
A good decision making process is worth its weight in platinum
Decision-making Justice Part 2. Getting it right. A MUST READ for Claims Managers
How you cannot afford to get it wrong, and how you can get it right.
An overview of Rotator Cuff troubles
Shoulder problems are the second most common work-related musculoskeletal problem. Here's an overview of rotator cuff conditions, the most common cause of shoulder problems.
We are the most important medicine
Personal responsibility and partnership are fundamental elements on the road to recovery
Compensating 9/11 First Responders
Is compensation for 9/11 first responders a black and white moral issue, or is the situation more complex?
The OT Way
What do gardening, work and dancing have in common? According to occupational therapist Sven Roehr, each is an "occupation" and each has the potential to improve health and promote rehabilitation.
Principles underlying RTW - Draft 3
Love that worker!
How to sell yourself and your restrictions back into a new job
Low in confidence, and down at heart--it can be a difficult and long journey to get back into the workforce. Here's the juice on helping people find a job.
The Principles Underlying Return to Work
Written by your Return to Work Matters Team.
The Balancing Act
How to manage everybody's needs, expectations and obligations during the RTW process.
Tact and trust
Are your innovative ideas constantly met with suspicion? This case study from cotton-milling industrial revolution Scotland looks at how tact builds trust--and what squanders it.
He Ain't Heavy...He's My Employee
The cost-benefit of a successful return to work
Emotional resilience: 2
Pessimistic workers suffer a greater health burden as well as decreased productivity. This second of a two-part series investigates identifying pessimistic thinking in employees, and improving optimism and emotional resilience in the workplace.
It Takes One to Know One!
What lessons a return to work coordinator learned on her own RTW journey.
Emotional resilience in the workplace: part one
This first of a two-part series investigates the negative health and work effects of pessimism, and how fostering emotional resilience improves wellness and business.
Stress and emotional resilience
Ever wondered what RTW and sabre-toothed tigers have in common? Or why some people bounce back quicker than others from stressful situations?
Is compensation a social determinant of health?
Socio-economic status, and the ways in which we live and work, all influence health. What about compensation?
Backing away from compensation
A prominent South Australian back surgeon has called for workers' comp for back pain to be scrapped. What about fixing treatment instead?
Patient costs of no-cost compensation
Do patients who bear some of the costs of treatment have better rehab outcomes? And if so, should workers' comp recipients share treatment costs with their employer?
Think scary RTW cases come out of the blue? Think again.
Identify high risk cases BEFORE they bite.
The opiate trap
The use of opiates in chronic pain cases should be carefully monitored. Patients need a high level of support and a good understanding of treatment options.
Patient advocacy and workers' comp
Workers' comp cases present GPs and other health professionals with opportunities for meaningful patient advocacy. How can these be seized?
Everybody's talking about...
RTWMatters! We surveyed 111 readers and learned some surprising things about how we help you, and who makes your life difficult.
Back to the past
Back pain flare-ups are a normal part of recovery.
Judging the judges
SuperDoc reminisces about his time in the Courts and asks, "Do judges have ANY idea what they're doing?"
Preventing Further Harm to the Harmed
Etymology - the archaeology of words - sometimes uncovers a contemporary resonance in ancient digs.
Driving change
How one car manufacturer steered their ageing workforce towards higher productivity
A new vision
Vision loss accommodations for RTW and STW
Taking it from the top
Disability management in the workplace; A human resource perspective
Takeover opportunity
When your company's takeover uncovers deficient RTW strategies.
Toxic Doctors
What do you do with a toxic doctor?
Trust Us
The Great Places to Work Institute identifies trust as a key predictor of organizational success. What matters is not only how much others trust you, but how trusting YOU are.
Philosopher King
An Italian entrepreneur has turned the Umbrian village of Solomeo into both a fashion factory, and an extraordinary experiment in workplace health and well-being.
Missing the signs
Organizations who offer "good work" have fewer stress and musculoskeletal claims. Managerial competence helps determine whether work is "good". Are American organizations missing the signs?
Who's the boss?
The health and wellbeing of people with chronic illness improves when they become "self-managers." Are there lessons here for RTW?
RTW bullies
Instead of enjoying their support, Lara felt bullied by her case manager and colleagues. Read her story to see how these attitudes very nearly jeopardized her recovery.
What you can't see...
...CAN hurt you. Having an internal injury that nobody sees can make rehabilitation far more difficult. We hear how one worker overcame poor treatment and took control of her own recovery.
Learning from the Vet
Getting in touch with connections
Considerations for change in the Workers Compensation System
What is not lived, is not understood.
RTW Coordinating in a nut-shell
Ever get looked at like YOU'RE a nut when you try and explain what you do? Here's a party-friendly description of RTW coordination!
The Juggling Act
Return to work coordination and everything else.
Position Vacant - RTW Coordinator
What AM I worth? And how does this compare to what prospective employers THINK I'm worth?
Can we cooperate for workplace health and wellbeing?
And can the UK show us how it's done?
What disease kills the most people between the ages of 0 and 45?
And why is this knowledge useful to workplaces?
What does research say about Early Intervention?
The first in a series of responses to members' questions, we find that the early bird gets results.
Mind over matter?
Injury-attitude impacts RTW more than injury-severity, says Monash researcher. Ask questions and listen to unlock the power of a Positive Mental Attitude.
Better off without comp?
It's time to question whether some workers should be spared the compensation process.
Sophie's choice (a case study)
A rehab provider addresses the human impact of injury restarts for a disempowered young worker.
Money, morals and the NZ RTW Monitor
Supporters say NZ's workers' comp system promotes social justice. Detractors say it is financially unviable. What do the stats suggest?
Supervisors up to scratch?
If we can train good superheros (ahem - take yours truly for example) then surely we can train good supervisors.
Workplace stress: we can work it out
Causes of stress, and why it will never disappear if we don't encourage the right behaviors.
Other people's stress
Are stress management programs for managers the key to reducing stress claim costs?
Process SERVING People
We revise our New Years' tattoo with a little help from a new friend: soon-to-be RTWMatters blogger Richard Green
Tired of workplace health wannabes?
Every workplace has health champions and health underdogs. Motivating the latter can be a real challenge...
Talk to " Your" employee
Research shows that injury-attitude impacts RTW more than injury-severity. Asking questions and listening is key.
Court between a rock and a hard place
Some regard the courts a necessary evil in injury compensation; but how can they be used to foster good?
'I couldn't wait to get back.'
A case study in motivated RTW from an injured laborer with special incentives for getting back to normal life.
Spooked by chronic pain?
SuperDoc talks you through celebrity gossip 101 - and unsheets the spooks of chronic pain
Down the rabbit hole...
What can be done to prevent ordinary and extraordinary patients falling down the rabbit hole of workers' comp?
Good RTW processes: What's in it for ME?
Six reasons why getting return to work right is worth YOUR time and effort.
Love, Imagination and Workers' Comp
Listening to workers' perspectives on the system can be painful, but might help us move beyond blame and suspicion.
We are killing Joe
Understanding how 'the system' can trip up the people it is supposed to help is the first thread in a safety net.
What do you bring to work?
Not your roll or leftover pasta - but what attitude or outlook do you bring? Find out why it's a question worth asking.
Functional Capacity Evaluations: the pitfalls.
A look at the role of the professional in explaining the results of an FCE.
Decision-making: a job for sharing
There's no such thing as too many chefs in the problem-solving kitchen. Share for improved RTW.
Are Docs Asking the Right Questions?
To treat the patient we need to know the patient
The ABC of CBT: Part Three
In which we ask: Who would benefit from CBT? How can you broach the subject of therapy in the workplace? How long does CBT take?
The ABC of CBT: Part Two
In which we - and injured worker Ms W - learn that when you change your behavior, you also change your thoughts, beliefs, feelings...and rehab prospects.
The ABC of CBT: Part One
In which we - and injured worker Ms W - learn that 'C' is for 'Cognitive,' and that thoughts aren't facts.
Are your managers up to scratch?
If we can train good superheros (take yours truly for one fine example) then surely we can train good supervisors - and guess what? Your employees' happiness depends on it.
Are we asking the right questions?
There's more than meets the eye when it comes to patients at risk of poor return to work results.
Return to work coordinators - Revealing the gold
RTW coordinators make a huge difference, but how do we find, develop and promote the right people for the job.
The economic costs of cardiovascular disease and stroke in America
Heart disease and stroke results in $41.7 billion in lost productivity
Looking for the RTW peace dove?
Believe it or not, when conflict arises in RTW there ARE ways of dealing with it...
Believe and You Will Cope
'Self-efficacy' is more than just an odd-sounding word. Superdoc explains who needs self-efficacy skills - and why it's in your interest to help develop them.
The terrible two: UNDER-use and OVER-care
Ever wondered why some musculoskeletal injuries don't resolve as quickly as they should?
Don't keep doctors dancing in the dark
Assisting difficult RTW is even harder when the treating practitioner doesn't have all the facts.

The Principles Underlying RTW - Draft 2
Is it 'compensation' or 'rehabilitation'?
Why prevention is better than a cure.
Wellness programs are being considered as a central strategy in US health care policy.
The Principles underlying RTW
The principles underlying successful RTW are universal, but we think their application differs depending on the part you play.
Making the most of a referral for pain management
What does it mean and how to make the most of it.
Who is accountable for a return to health and activity?
Is freedom a responsibility of others?
What's work got to do...got to do with it?
Returning to work is even harder if the work itself feels meaningless. What makes a job meaningful?
Motivation - the juice, just gimme the juice.
The what, where and why of motivation, distilled to bullet points.
How is exposure to trauma affecting you and your employees?
There is a way of minimizing the adverse effects trauma workers are exposed to - start by acknowledging "vicarious trauma".
Things have gotta change: back pain and why our thinking is all wrong
When it comes to back pain, we don't have the right vocabulary - and we need it. The right words can inform the correct way of thinking.
Mild traumatic Brain Injury - a case study
Just over two years ago I was in a hurry. I'd been to a store and was returning home to entertain some visitors. Clutching my purchases in one hand, I opened the car door.....
Not working is bad for the heart and the head. There's proof.
UK research evidence shows that risk of death for workless people is 20% higher.
All bad news or incentive to improve?
The financial crisis provides employers the opportunity to support employees to better health - but there are pitfalls to avoid.
Grrrrrrrr
Who suffers when people dupe the system?
Riding the see-saw of workers' comp costs
During recession, claim numbers go down, but claim duration goes up. What happens to costs?
Workers' comp and recession: Expect a decline in rate of claims
Unless plant closures and mass lay-offs are planned, workers' comp claims decline during recessions.
Is a person capable of doing the job - are we capable of assessing this?
How do doctors assess a person's ability to work?
Patient styles, distress, and what they get
How patients communicate has an important influence on the treatment they receive.
Tests vs Symptoms - which wins?
Is it useful to know the pathology of a wrinkle?
Getting real with advice for time off work
Let's put some evidence behind sick leave certificates
Superdoc (11) - Claims staff turnover? No surprises when you think about it
Job turnover in claims staff is high; if staff felt they could make a positive difference, they'd be more likely to hang around.
New Zealand's Bronnie Thompson looks at the next steps back to work - looking broadly at the path forward.
Two cases demonstrate the importance of thinking about the big picture in return to work
Superdoc (10) - Rehabilitate or terminate - who cares?
Financial rewards as perverse incentives.
Superdoc (9) - Back pain and investigations
An investigation won't tell us what we usually need to know about back pain - so why do we often jump so quickly into it?
Participative Planning
Workplace culture glue and review
Superdoc (8) - Back pain and the 'fear avoidance model'
A lot has ch-ch-changed recently, but our Superhero Superdoc is back on back pain and the importance of not being afraid of it.
Superdoc (7) - Fighting fear and back pain
Fear and back pain make a destructive combination - our local superhero talks about why.
What creates positive workplace culture?
Trust and control
SuperDoc (6) - Issues around causation
A look at the issues surrounding work causation ... and the funny questions people ask superheros.
SuperDoc (5) - On partnerships with doctors
Partnerships between doctors and the workplace are worth working on.
SuperDoc (4) - Communicating with doctors
How to Communicate with Doctors (or Yacking with Quacks)
SuperDoc (3) - On the importance of listening - and saying no.
Super Doc gives a super-spiel about the importance of listening - and saying no
SuperDoc (2) - On medical certificates & common sense
On medical certificates, flexibility and common sense
SuperDoc (1) - On not treating doctors as the Great Decider
Better than a blog - it's a monologue! Not the Great Decider, who is this guy?
Why we publish Return To Work Matters
Who does the hard work, and why they should be supported.

What's it all about?
The what and why of Return To Work Matters
Mary is a return to work specialist with a passion for improving outcomes. Her personal experience is that investing in people in their time of need pays for itself many times over.
Self effacing, warm, always positive Mary Wyatt is a consummate professional dedicated to return to work.
'It has always been my private conviction that any man who pits his intelligence against a fish and loses has it coming.' - John Steinbeck
Our mysterious medical superhero in tights
Her main interest includes the factors that complicate return to work, pain and anxiety, and confidence in motivation for self management, and resilience.
Ms. Frohrip is a Return to Work Coordintor at the University of Minnesota Duluth
Christine Paul is a vocational rehabilitation counselor for the State of Minnesota. She has a special interest and training in relaxation and stress management. She has a certificate in integrative health, training in mind-body medicine and teaches adaptive yoga for people with physical disabilities at Mind Body Solutions.
DAN THOMPSON Registered Rehabilitation Professional Registered Vocational Professional Certified Life Care Planner


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