Session resources

May 20, 2022: Mental health and work 1

Didactic presentation: Mental health and work 1
In this presentation, Drew Sousa RN COHN (C) discusses how employers and healthcare providers can work collaboratively to support and facilitate return to work in an individual with a mental health condition, the organizational factors required to provide a healthy work environment, and how stigma impacts the ability to obtain appropriate healthcare services.
Download the PDF(717.17 KB)
CAN/CSA-Z1003-13/BNQ 9700-803/2013: Psychological Health and Safety in the Workplace
CAN/CSA-Z1003-13/BNQ 9700-803/2013 – Psychological Health and Safety in the Workplace is a voluntary standard that specifies requirements for a documented and systematic approach to develop and sustain a psychologically healthy & safe workplace. Source: CSA Group
Guide for health and safety committees and representatives
A joint health and safety committee (JHSC) is composed of worker and employer representatives. Committees identify potential health and safety issues and bring them to the employer’s attention and must be kept informed of health and safety developments in the workplace by the employer. Employer size (number of workers) is important in terms of the need for and size of a JHSC. Committees can potentially assist with the accommodation process. Source: Government of Ontario
Stress and mental health at work - management standards on stress
The management standards cover six key areas of work design that, if not properly managed, are associated with poor health, lower productivity and increased accident and sickness absence rates. Source: UK government Health and Safety Executive

May 13, 2022: Return to work and disability management

Didactic presentation: Return to work and disability management
In this presentation, Dr. Behdin Nowrouzi-Kia explains the role of allied health practitioners in return to work and disability management, key principles for successful return to work, and identifying resources for suitable workplace accommodations.
Download the PDF(515.94 KB)
NOC Career Handbook
The Career Handbook provides global ratings assigned to occupations to further define worker characteristics and other indicators related to occupations that are important for career exploration and informed career decision-making. It includes information on aptitudes, interests, involvement with data/people/things, physical activities, environmental conditions, education/training indicators, career progression and work settings. This counselling resource is used by a wide range of professionals for many applications, and by individuals engaged in self-directed career planning. Source: Government of Canada
O*Net online
The O*NET program is the United State's primary source of occupational information. Central to the project is the O*NET database, containing information on hundreds of standardized and occupation-specific descriptors. Source: O*Net
Seven ‘Principles’ for Successful Return to Work
What do employers need to do to enhance a worker’s return to work (RTW) after an injury or illness? The evidence-based advice contained in Seven “Principles” for Successful Return to Work provides some answers. The principles are based on an Institute for Work & Health (IWH) systematic review of RTW studies, which identified the elements contributing to a successful return to work. Source: Institute for Work & Health
Access to Work
Access to Work in the UK helps workers get or stay in work if they have a physical or mental health condition or disability. The support provided depends on the worker's need. Source: UK Government
Canadian Association of Occupational Therapists - Find an OT
Find occupational therapy resources across Canada. Source: Canadian Association of Occupational Therapists
COPM The Canadian Occupational Performance Measure
The Canadian Occupational Performance Measure is an evidence-based outcome measure designed to capture a client’s self-perception of performance in everyday living, over time. Originally published in 1991, it is used in over 40 countries and has been translated into more than 35 languages. Source: COPM
Ontario Self Management Program
Funded by the Champlain Local Health Integration Network, the Online Self-Management Program is made available Province-wide through a partnership between the Champlain Local Health Integration Network, Living Healthy Champlain, Bruyère Continuing Care, and the Regional Chronic Disease Self-Management Programs. Source: Self-Management Program of Ontario

May 6, 2022: Engaging with the WSIB/insurance systems 1

Didactic presentation: Engaging with the WSIB/insurance systems 1
In this presentation, Dr. Aaron Thompson explains what the WSIB is and how it functions, describes the role of health-care providers in the workers’ compensation system, and how to effectively complete Form 8s for your patients.
Download the PDF(860.19 KB)
WSIB Employers' Initial Accident-Reporting Obligations
Employers must report a work-related accident to the WSIB under certain conditions. Source: Workplace Safety and Insurance Board
Online Self-Management Program Ontario
The program aims to help improve patient self-management of chronic conditions, improve health literacy and provide the opportunity for individuals living with chronic conditions to take control of their health and live healthier and more fulfilling lives. Regional Chronic Disease Self-Management Programs exist across the province of Ontario within the 14 Local Health Integration Networks (LHINs). Source: Online Self-Management Program of Ontario.
Recovery and return to work for PTSD
Recovery and Return to Work is an important part of a holistic PTSD Plan. Return to Work for an worker who has suffered PTSD can involve careful balancing of the needs of the worker and the needs of the workplace/Employer. Source: First Responders First
WSIB Mild Traumatic Brain Injury Program of Care
The Mild Traumatic Brain Injury Program of Care (mTBI POC) is a community-based health care program designed for early care of injured people with non-complex mTBI/concussion to help them recover and return to or stay at work. Source: Workplace Safety and Insurance Board

April 29, 2022: Diagnosis and management of work-related injuries and illnesses

Diagnosis and management of work-related injuries and illnesses
In this presentation, Dr. Vincent Spilchuk defines occupational illness and injury and discusses how to evaluate a patient for a suspected occupational or environmental illness or injury and outline a return-to-work plan.
Occupational Medicine Clinic, St. Michael's Hospital
The Occupational Medicine Clinic at St. Michael’s provides clinical consultations and exemplary care to those who are suffering from occupational and environmental injury and disease. Patients are seen through referral from their family physician or from specialists. Source: Unity Health, Toronto
CAN/CSA-Z94.4-18: Selection, use, and care of respirators
This Standard sets out requirements for the selection, use, and care of respirators and for the administration of an effective respiratory protection program in the workplace. Source: CSA Group
Code for medical surveillance for designated substances
Learn how physicians should conduct surveillance programs of designated substances. Source: Government of Ontario
Code for medical surveillance for designated substances. Part II: Medical surveillance program requirements for individual designated substances
Learn about requirements for medical surveillance programs for Silica. Source: Government of Ontario
Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic
Perna G, Cuniberti F, Daccò S, Nobile M, Caldirola D. Impact of respiratory protective devices on respiration: Implications for panic vulnerability during the COVID-19 pandemic. J Affect Disord. 2020 Dec 1;277:772-778. doi: 10.1016/j.jad.2020.09.015.
Occupational Causes of Sarcoidosis
Newman KL, Newman LS. Occupational causes of sarcoidosis. Curr Opin Allergy Clin Immunol. 2012 Apr;12(2):145-50. doi: 10.1097/ACI.0b013e3283515173.
Quality of life, anxiety and depression in sarcoidosis
Goracci A, Fagiolini A, Martinucci M, Calossi S, Rossi S, Santomauro T, Mazzi A, Penza F, Fossi A, Bargagli E, Pieroni MG, Rottoli P, Castrogiovanni P. Quality of life, anxiety and depression in sarcoidosis. Gen Hosp Psychiatry. 2008 Sep-Oct;30(5):441-5. doi: 10.1016/j.genhosppsych.2008.04.010.
Respirator Selection
Workers should use respirators for protection from contaminants in the air only if other hazard control methods are not practical or possible under the circumstances. Respirators should not be the first choice for respiratory protection in workplaces. Source: Canadian Centre for Occupational Health and Safety
Sarcoidosis: An Occupational Disease?
Oliver LC, Zarnke AM. Sarcoidosis: An Occupational Disease? Chest. 2021 Oct;160(4):1360-1367. doi: 10.1016/j.chest.2021.06.003.
WSIB: Report an Illness or Injury
How workers and employers can report an illness or injury that happens on the job to WSIB. Source: Workplace Safety and Insurance Board

April 22, 2022: Overview of occupational and environmental medicine

Didactic presentation: Overview of occupational and environmental medicine
In this presentation, Dr. Anil Adisesh discusses the roles and functions of an occupational physician and occupational health teams, the common categories of occupational medical conditions and the relationship between the occupational and environmental aspects of OEM.
Occupational History Recording Tool
This tool is being developed by the ECHO OEM research team. We encourage you to use it with your patients/clients and would appreciate your feedback echooem@iwh.on.ca.
Mental Health Status of Canadian Funeral Service Workers at the Beginning of the COVID-19 Pandemic
See Table 1 for a list of hazards and risks for funeral service workers.
Durand-Moreau, Quentin MD; Galarneau, Jean-Michel PhD. Mental Health Status of Canadian Funeral Service Workers at the Beginning of the COVID-19 Pandemic. Journal of Occupational and Environmental Medicine: June 2021 - Volume 63 - Issue 6 - p e330-e334. doi: 10.1097/JOM.0000000000002204
Providing access to independent medical examinations
Individuals have a general right to access their personal information in independent medical examination files, with some notable exceptions. Source: Canadian Medical Protective Association (CMPA)
Workplace Safety and Insurance Act - Schedule 1: Industries
Industries covered and not covered by the Act. Source: Government of Ontario

December 3, 2021: Ethics and legal issues in occupational medicine

Complex Regional Pain Syndrome Fact Sheet
Complex regional pain syndrome (CRPS) is a broad term describing excess and prolonged pain and inflammation that follows an injury to an arm or leg. Source: National Institute for Neurological Disorders and Stroke
Complex regional pain syndrome in adults (2nd edition)
These guidelines concern the diagnosis and management of patients with complex regional pain syndrome (CRPS). They are designed for professionals working in the different health specialties who care for these patients. Source: Royal College of Physicians UK
Ergonomics in the workplace: understanding the law
Occupational health and safety laws related to ergonomics and ways to address hazards due to poor ergonomics. Source: Government of Ontario
Toronto Academic Pain Medicine Institute (TAPMI)
TAPMI is created by the five major pain centres in downtown Toronto coming together to share care, so that across the five sites, patients have access to an interdisciplinary team of chiropractors, doctors, nurses, occupational therapists, pharmacists, physiotherapists, psychologists and social workers. Source: TAPMI

November 26, 2021: Engaging with relevant workplace parties

Didactic presentation: Engaging with relevant workplace parties
In this presentation, Dr. Sol Sax discusses when, why, and how physicians should engage with workplace parties.
Office of the Worker Advisor
The Office of the Worker Adviser (OWA) is an independent agency of the Ontario Ministry of Labour. The OWA provides free and confidential services (advice, education, and representation) in workplace insurance matters (formerly called workers’ compensation) and on occupational health and safety reprisal issues. Source: Office of the Worker Advisor

November 19, 2021: Musculoskeletal conditions and chronic pain among working patients

Didactic presentation: Musculoskeletal conditions and chronic pain among working patients
In this presentation, Dr. Andrea Furlan discusses an approach to examine a person with a musculoskeletal problems, explains the indications of opioids for nociceptive, neuropathic and nociplastic chronic pain, and cites 10 evidence-based treatments for low back pain.
Arthritis and Work
Under the Arthritis and Work tab, find resources such as an online accommodation tool, accommodations for people with arthritis, employment rights and responsibilities, and tips for employees on having a conversation about arthritis at work. Source: The Arthritis Society
Rehabilitation management of low back pain - it's time to pull it all together!
Tousignant-Laflamme Y, Martel MO, Joshi AB, Cook CE. Rehabilitation management of low back pain - it's time to pull it all together! J Pain Res. 2017 Oct 3;10:2373-2385. doi: 10.2147/JPR.S146485
Work-related Musculoskeletal Disorders - Guide and Tools for Modified Work
Guides and tools to support modified work for musculoskeletal disorders. Source: Institut de recherche Robert-Sauvé en santé et en sécurité du travail (IRSST)
Motivational interviewing in brief consultations
This module explains what motivational interviewing is, its uses, and explanations. Source: BMJ Learning

November 12, 2021: Engaging with the WSIB/insurance systems 2

Didactic presentation: Engaging with the WSIB/insurance systems 2
In this presentation, Dr. Aaron Thompson discusses health-care programs offered by the WSIB and how the return-to-work services work, how primary care providers are integrated into the continuum of care in WSIB programs, and how to interact with WSIB programs.
Appeals: Objecting to a WSIB decision
How to appeal a WSIB decision on claim, including time limits for appeals. Source: Workplace Safety and Insurance Board (WSIB)
Office of the Worker Advisor
The Office of the Worker Adviser (OWA) is an independent agency of the Ontario Ministry of Labour. The OWA provides free and confidential services (advice, education, and representation) in workplace insurance matters (formerly called workers’ compensation) and on occupational health and safety reprisal issues. Source: Office of the Worker Advisor
Tips about disclosure
Disclosure is not a one-size fits all concept. There is no one right way or right time to disclose a disability. Source: Carlton University Read Initiative

November 5, 2021: Assessment of fitness for work

Didactic presentation: Assessment of fitness for work
In this presentation, Dr. Anil Adisesh discusses the concept of “workability”, how to apply functional principles to facilitate “workability”, and the types of barriers to return to work and the physician's role in helping to overcome them.
Pulmonary toxicity following exposure to waterproofing grout sealer
Daubert GP, Spiller H, Crouch BI, Seifert S, Simone K, Smolinske S. Pulmonary toxicity following exposure to waterproofing grout sealer. J Med Toxicol. 2009 Sep;5(3):125-9. doi: 10.1007/BF03161222.
WHACS Your Patients
Schuman SH, Simpson WM Jr. WHACS your patients. J Occup Environ Med. 1999 Oct;41(10):829. doi: 10.1097/00043764-199910000-00001.

October 29, 2021: Recognizing occupational and environmental hazards

Didactic presentation: Recognizing occupational and environmental hazards
In this presentation, Dr. Victoria Arrandale discusses common types of occupational hazards, questions that can help you understand a worker’s occupational exposures, and exposure limits that may apply to an individual worker's job.
Computer workstation ergonomics
This guide will help determine if your computer workstation is a good fit for you. It provides suggestions for basic tools to set up and maintain a healthy computer workstation. This guide is not designed to address specific injuries – in that situation, a professional should be consulted. Source: WorkSafe NB
OHCOW ventilation checklist (COVID-19)
The following checklist can be used as a guide. Pertinent questions are suggested that can be used to assess the suitability of ventilation in the workspace/building that are to be occupied. Source: Occupational Health Clinics for Ontario Workers
Overcoming the Challenges of Remote Home Office Assessments
Blake J., Taylor C. (2021) Overcoming the Challenges of Remote Home Office Assessments. In: Black N.L., Neumann W.P., Noy I. (eds) Proceedings of the 21st Congress of the International Ergonomics Association (IEA 2021). IEA 2021. Lecture Notes in Networks and Systems, vol 221. Springer, Cham. https://doi.org/10.1007/978-3-030-74608-7_2
Setting up a temporary home office
Working at home in the middle of a COVID-19 pandemic means having no time and little opportunity to set up ergonomically sound workstations. So what can office workers do to make their kitchen table workspaces as comfortable as possible? We turn to Dr. Dwayne Van Eerd for advice. Source: Institute for Work & Health
Telework / Remote Work / Working From Home
It is becoming more and more common for people to do at least some of their regular work from home or another location instead of going into the office. Technology has made it possible for a worker to stay at home but be connected to the office by telephone, computer, and internet. This type of arrangement is known by many terms, including telework, telecommuting, remote work, or working from home. Source: Canadian Centre for Occupational Health and Safety
Online Self-Management Program Ontario
The program aims to help improve patient self-management of chronic conditions, improve health literacy and provide the opportunity for individuals living with chronic conditions to take control of their health and live healthier and more fulfilling lives. Regional Chronic Disease Self-Management Programs exist across the province of Ontario within the 14 Local Health Integration Networks (LHINs). Source: Online Self-Management Program of Ontario.
Ontario Pain Clinics
How and where to get treatment for pain that lasts longer than three months. Source: Government of Ontario
Person-Environment-Occupation (PEO) model
The Person-Environment-Occupation (PEO) model is a model that emphasizes occupational performance shaped by the interaction between person, environment, and occupation. Source: OTTheory.com
Personal security alarms for the prevention of assaults against healthcare staff
Perkins, C., Beecher, D., Aberg, D.C. et al. Personal security alarms for the prevention of assaults against healthcare staff. Crime Sci 6, 11 (2017). https://doi.org/10.1186/s40163-017-0073-1
Screening and Diagnosis of Celiac Disease
Celiac disease (CD) is an immune mediated injury to the small intestine that is caused by ingestion of gluten (a name for multiple proteins in wheat, rye and barley) in genetically susceptible individuals. In Canada, CD occurs in approximately 1:100 people. The disease can be difficult to diagnose because it presents with a variety of symptoms (see Table) at any point in life. Prevalence of CD is higher in specific associated conditions. Source: Canadian Celiac Association
SMART goals in physical and occupational therapy: overview, writing tips, and resources
This resource is provided as an example of how to create SMART goals and should not be considered an endorsement of the source organization. Source: eviCore healthcare.
What is a lone worker alarm and how can it help protect employees?
Managing lone workers in health and safety can be a challenge and with 2020 bringing about a new focus on homeworking, it is no longer select professions that have to worry about how their workers are coping when they are not being supervised. Source: HSE Network

October 22, 2021: Mental health and work 2

Didactic presentation: Mental health and work 2
In this presentation, Dr. Nadia Aleem the difference between mental stress and illness, potential presentations and the impact of mental illness in the workplace, and how to develop an approach to case management of mental health claims.
Download the PDF(937.01 KB)
AbilitiCBT
AbilitiCBT is an internet-based cognitive behavioral therapy (iCBT) program that you can access from any device, any time. The governments of Ontario and Manitoba are offering AbilitiCBT for free to all their residents age 16 or older for the anxiety, depression, and anxiety related to a pandemic programs. AbilitiCBT programs include anxiety, depression, anxiety related to a pandemic, pain management and insomnia. Source: AbilitiCBT
Occupational Medicine: Champions Program
The Ontario Workplace Health Champions Program operates in Ontario’s medical schools and is funded by the Ontario Workplace Safety and Insurance Board. The Program funds one physician faculty member at each medical school to oversee and support occupational medicine content in the medical curriculum at the undergraduate and postgraduate levels. Source: Department of Medicine, University of Toronto
First Responders First: Recovery and return to work
This section is designed to provide you some tips on how to accommodate workers who have PTSD. Research has found that PTSD does have an impact on impaired occupational functioning, particularly as it relates to reduced productivity, presenteeism and absenteeism. This is not an exhaustive list of accommodations, there may be other ideas or options you may wish to use. Source: First Responders First
Guarding minds at work
Guarding Minds at Work helps employers identify and measure employee experience with psychosocial factors known to have a powerful impact on organizational health, the health of individual employees, and the financial bottom line. Guarding Minds was commissioned in 2007 by Canada Life Assurance Company and continues to be supported by Workplace Strategies for Mental Health. It is hosted by the Canadian Centre for Occupational Health and Safety who are responsible for preserving the confidentiality of data collected. It was originally developed by experienced research-practitioners from the Faculty of Health Sciences at Simon Fraser University in Vancouver, British Columbia, Canada. Source: Guarding minds at work
WSIB Community Mental Health Program
The Community Mental Health Program gives people access to psychological assessment and evidence-based, outcome-focused treatment and lets psychologists spend more time on treating people and less on administration. The WSIB and the Ontario Psychological Association collaborated in developing this program. Source: Workplace Safety and Insurance Board (WSIB)
WSIB Disclosure of Claim File Information
Physicians and patients can request access to their WSIB case file. All claim file information is considered personal information under the Freedom of Information and Protection of Privacy Act (FIPPA) and may be disclosed in limited circumstances in accordance with various exceptions listed in FIPPA. Source: Workplace Safety and Insurance Board (WSIB)
WSIB reemployment obligations
When certain conditions are met, injury employers may have, in addition to their obligations to cooperate in the return-to-work (RTW) process, an obligation to re-employ a worker who has been unable to work due to a work-related injury. Source: Workplace Safety and Insurance Board (WSIB)

October 15, 2021: Mental health and work 1

Didactic presentation: Mental health and work 1
In this presentation, Drew Sousa RN COHN (C) discusses how employers and healthcare providers can work collaboratively to support and facilitate return to work in an individual with a mental health condition, the organizational factors required to provide a healthy work environment, and how stigma impacts the ability to obtain appropriate healthcare services.
CAN/CSA-Z1003-13/BNQ 9700-803/2013: Psychological Health and Safety in the Workplace
This voluntary standard specifies requirements for a documented and systematic approach to develop and sustain a psychologically healthy & safe workplace. Source: CSA Group
UK Work-related stress: management standards
The Management Standards approach will help organisations comply with the law and tackle work-related stress. Source: UK Government Health and Safety Executive
Concussion guidelines
This tool supports primary care providers on the diagnosis and management of concussion in adult patients (≥18 years). The tool helps guide the assessment and diagnosis of concussion, and steps to create a tailored management and recovery plan with the patient. It also contains various resources for monitoring and follow-up visits. Source: Centre for Effective Practice
Consent and the Workplace Safety and Insurance Board (WSIB)
In order to access WSIB networks the patient must have an accepted claim for the injury. Section 37.1 of the Workplace and Safety and Insurance Act indicates that the WSIB is able to collect all information relevant to the injury or illness being claimed. Therefore, consent is not required if information is being requested by the WSIB when it is a patient claiming benefits under the Act. Source: Workplace Safety and Insurance Act, 1997, S.O. 1997, c. 16, Sched. A
CSA Z1011 20 Work disability management system
This Standard specifies the requirements for a work disability management (WDM) system that can be used by organizations to systematically manage their WDM activities. This Standard includes a framework for the management of work disability at the organizational level. It is applicable to small, medium, and large organizations in the private, not-for-profit, and public sectors with at least ten workers. Annex A provides details about the employer role in work disability management. Source: CSA group
Guideline for concussion/mild traumatic brain injury & prolonged symptoms 3rd edition for adults over 18 years of age
This section of the guideline refers to return to activity, work, and school considerations. Source: Ontario Neurotrauma foundation
Ontario neurotrauma guidelines
ONF is internationally recognized for the guidelines for managing concussions (adults and children) and guideline for rehabilitating adults with moderate-to-severe TBI. These guidelines help healthcare professionals manage post-concussion symptoms and provide direction to rehabilitate persons with moderate-to-severe ABI. Starting in 2019 these Guidelines will become living guidelines to ensure that the most current research literature is incorporated into the recommendations. Source: Ontario Neurotrauma Foundation
Recovery and return to work
A good resource for translating mental health symptoms into functional limitations and accommodation ideas is First Responders First.
Recovery and Return to Work is an important part of a holistic PTSD Plan. Return to Work for an worker who has suffered PTSD can involve careful balancing of the needs of the worker and the needs of the workplace/Employer. The Employer has a duty to accommodate, which means that you are required to “identify and change any rules, practices, expectations or procedures to meet the needs of employees so that they can perform to the best of their potential. This right to equality must be balanced with the employer’s right to run a productive workplace.” Source: First Responders First
WSIB New Mild Traumatic Brain Injury Program of Care
The Mild Traumatic Brain Injury Program of Care (mTBI POC) is a community-based health care program designed for early care of injured people with non-complex mTBI/concussion to help them recover and return to or stay at work. Source: WSIB

October 8, 2021: Return to work and disability management

Didactic presentation: Return to work and disability management
In this presentation, Dr. Behdin Nowrouzi-Kia discusses the role of allied health practitioners in return to work and disability management, key principles for successful return to work, and identifying resources for suitable workplace accommodations.
Download the PDF(1001.97 KB)
Seven “Principles” for Successful Return to Work
What do employers need to do to enhance a worker’s return to work (RTW) after an injury or illness? The evidence-based advice contained in Seven “Principles” for Successful Return to Work provides some answers. The principles are based on an Institute for Work & Health (IWH) systematic review of RTW studies, which identified the elements contributing to a successful return to work. Source: Institute for Work & Health
Accommodating and Communicating about Episodic Disability (ACED)
The development of an ACED toolkit is at the heart of this project. The toolkit, when completed, will contain a number of tools that provide guidance to workers with episodic disabilities, as well as their employers, managers, supervisors, disability managers and human resources personnel. Source: Institute for Work & Health
Occupational therapy return to work interventions for persons with trauma and stress-related mental health conditions: a scoping review
Edgelow M, Harrison L, Miceli M, Cramm H. Occupational therapy return to work interventions for persons with trauma and stress-related mental health conditions: a scoping review. Work. 2020;65(4):821-836. doi: 10.3233/WOR-203134.
Supporting return to work among employees with musculoskeletal or mental health conditions: an evidence-based practical resource
This resource synthesizes the research evidence on the practical solutions that workplaces can implement—in conjunction with workers’ compensation, insurance and health-care authorities—to support the return to work (RTW) of employees with musculoskeletal disorders or mental health conditions. This two-page guide emphasizes that the most effective RTW strategies package together interventions from more than one of three areas of RTW support: health services, case coordination and work modification. The key messages in the resource come from systematic reviews conducted at the Institute for Work & Health. These systematic reviews scanned the research literature for quality evidence about the effectiveness of workplace and system-based RTW interventions. Source: Institute for Work & Health
The Canadian Occupational Performance Measure (COMP)
The Canadian Occupational Performance Measure is an evidence-based outcome measure designed to capture a client’s self-perception of performance in everyday living, over time. Originally published in 1991, it is used in over 40 countries and has been translated into more than 35 languages. Source: COMP
Working Together: Successful strategies for return to work
This evidence-based tool, developed by the Institute for Work & Health in collaboration with the Ontario Society of Occupational Therapists and College of Occupational Therapists of Ontario, is designed for occupational therapists in work practice. Drawing from the popular Seven “Principles” for Successful Return to Work, this tool consolidates the principles into four stages reflecting occupational therapy practice processes. Source: Institute for Work & Health

October 1, 2021: Diagnosis and management of work-related injuries and illnesses

Didactic presentation: Diagnosis and management of work-related injuries and illnesses
In this presentation, Dr. Vincent Spilchuk discusses the definition of occupational illness and occupational injury, how to evaluate a patient for a suspected occupational or environmental illness/injury, and how to outline a return-to-work plan
Manual handling assessment charts (the MAC tool)
The MAC tool was developed to help the user identify high-risk workplace manual handling activities and can be used to assess the risks posed by lifting, carrying and team manual handling activities. It is designed to help you understand, interpret and categorise the level of risk of the various known risk factors associated with manual handling activities. It incorporates a numerical and a colour-coding score system to highlight high-risk manual handling tasks. Source: UK Government Health and Safety Executive
Risk factors associated with pushing and pulling loads
There are a number of risk factors associated with pushing and pulling of loads, which can be categorised into Task, Individual, Load and Environment (TILE). The following are some risk factors within these categories that could contribute to a pushing and pulling related injury. You should consider these risk factors when carrying out your risk assessments. Source: Source: UK Government Health and Safety Executive
WSIB Programs of Care
Programs of Care are available for the most common musculoskeletal injuries and specific illnesses. To participate in programs of care, health care practitioners must complete the following form: Instructions for Delivering Programs of Care (POC). Source: Workplace Safety and Insurance Board (WSIB)

September 24, 2021: Engaging with the WSIB/insurance systems 1

Didactic presentation: Engaging with the WSIB/insurance systems 1
In this presentation, Dr. Aaron Thompson explains what the WSIB is and how it functions, describes the role of health-care providers in the workers’ compensation system, and how to effectively complete Form 8s for your patients.
Workplace rights
You have the right to be treated fairly at work, to work in a safe and healthy workplace, to be trained to deal with workplace hazards, and to join a trade union. It’s the law. Those, and other rights, are protected by the Employment Standards Act (ESA), the Pay Equity Act (PEA), the Occupational Health and Safety Act (OHSA) and the Labour Relations Act (LRA). Source: Ministry of Labour, Training and Skills Development
Doxylamine/pyridoxine (Xonvea) for treating nausea and vomiting of pregnancy
This evidence review considers a combination product containing doxylamine and pyridoxine (Xonvea, Alliance Pharmaceuticals; Diclectin in Canada), which received a marketing authorisation for treating nausea and vomiting of pregnancy in July 2018 in the UK. Source: National Institute for Health and Care Excellence (NICE).
Guarding minds at work
Guarding Minds at Work helps employers identify and measure employee experience with psychosocial factors known to have a powerful impact on organizational health, the health of individual employees, and the financial bottom line. Guarding Minds was commissioned in 2007 by Canada Life Assurance Company and continues to be supported by Workplace Strategies for Mental Health. It is hosted by the Canadian Centre for Occupational Health and Safety who are responsible for preserving the confidentiality of data collected. It was originally developed by experienced research-practitioners from the Faculty of Health Sciences at Simon Fraser University in Vancouver, British Columbia, Canada. Source: Guarding minds at work
Policy on preventing discrimination because of pregnancy and breastfeeding: Employment
Protection against discrimination in employment extends to all aspects of the employment relationship, from the recruitment and selection process, through all the various aspects of the working relationship, to the termination of the employment. Employment includes full-time work, part-time work, volunteer work, student internships, special employment programs, probationary employment, and temporary or contract work. Source: Ontario Human Right Commission.
Postpartum depression risk factors: A narrative review
Ghaedrahmati M, Kazemi A, Kheirabadi G, Ebrahimi A, Bahrami M. Postpartum depression risk factors: A narrative review. J Educ Health Promot. 2017 Aug 9;6:60. doi: 10.4103/jehp.jehp_9_16.
UK Coronavirus (COVID-19): advice for pregnant employees
This guidance on COVID-19 for pregnant employees is applicable in England, Scotland, Wales and Northern Ireland. Source: UK Government Health and Safety Executive
Workers Health & Safety Centre: Night work and long hours unhealthy for pregnant workers, says research
In this article, new research and an updated literature review provide mounting evidence of the link between working at night or long hours and adverse pregnancy outcomes. Source: Workers Health & Safety Centre.

September 17, 2021: Overview of occupational and environmental medicine

Didactic presentation: Overview of occupational and environmental medicine
In this presentation, Dr. Anil Adisesh discusses the roles and functions of an occupational physician and occupational health teams, the common categories of occupational medical conditions, and the relationship between the occupational and environmental aspects of OEM.
WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury, 2000–2016
The global monitoring report from the World Health Organization (WHO) and the International Labour Organization (ILO) on the joint estimates of the work-related burden of disease and injury from 2000 to 2016. Source: the World Health Organization (WHO) and the International Labour Organization (ILO).
WHO/ILO: Almost 2 million people die from work-related causes each year
A joint news release from the World Health Organization and International Labour Organization about the global monitoring report on the joint estimates of the work-related burden of disease and injury from 2000 to 2016. Source: World Health Organization.
Occupational Allergies to Cannabis
Decuyper II, Green BJ, Sussman GL, Ebo DG, Silvers WS, Pacheco K, King BS, Cohn JR, Zeiger RS, Zeiger JS, Naimi DR, Beezhold DH, Nayak AP. Occupational Allergies to Cannabis. J Allergy Clin Immunol Pract. 2020 Nov-Dec;8(10):3331-3338. doi: 10.1016/j.jaip.2020.09.003.
Ontario Regulation 490/09: Designated Substances
The Ontario regulation for designated substances, part of the Occupational Health and Safety Act. Source: Government of Ontario.
Online Self-Management Program Ontario
The program aims to help improve patient self-management of chronic conditions, improve health literacy and provide the opportunity for individuals living with chronic conditions to take control of their health and live healthier and more fulfilling lives. Source: Online Self-Management Program of Ontario.
Ontario Structured Psychotherapy Program
The Ontario Structured Psychotherapy (OSP) program provides individuals with publicly-funded, evidence-based, cognitive-behavioural therapy (CBT) and related approaches to help manage depression, anxiety, and anxiety-related conditions. CBT is a structured, time-limited therapy that is problem-focused and goal-oriented and teaches practical strategies and skills. Source: The Royal
PHQ-9 Questionnaire for Depression Scoring and Interpretation Guide
The Patient Health Questionnaire (PHQ) offer clinicians concise, self-administered screening and diagnostic tools for mental health disorders. Source: Michigan Medicine, University of Michigan.