December 8, 2023: Engaging with relevant workplace parties
Didactic presentation: Engaging with relevant workplace parties
In this presentation, Dr. Sol Sax describes WHY health care practitioners (HCPs) should engage with workplace parties, explains WHEN HCPs should engage with workplace parties, and describes HOW HCPs might engage with workplace parties.
Download the PDF(335.66 KB)
Adverse Event Following Immunization Reporting: Fact Sheet
Adverse event following immunization reporting for health care providers in Ontario: Fact sheet. Source: Public Health Ontario
Lag storage glucose tolerance test profile
The causes of a lag profile on the glucose tolerance test. Source: GP Notebook
December 1, 2023: Ethics and legal issues in occupational medicine
Ethics and Legal Issues in Occupational Medicine: Some Resources to Consider
A list of resources curated by didactic presenter Dr. Nik Rajaram to support decision making around ethical and legal issues in practice.
Download the PDF(105.26 KB)
Job Demands and Accommodation Planning Tool (JDAPT)
The Job Demands and Accommodation Planning Tool (JDAPT) helps workers with chronic and episodic conditions—and the workplace parties who support them—identify accommodations tailored to job demands that allow workers to successfully stay in their jobs. Source: Accommodating and Communicating about Episodic Disabilities (ACED)
November 24, 2023: Assessment of fitness for work
Didactic presentation: Assessment of fitness for work
In this presentation, Dr. Anil Adisesh explains the concept of “workability”, applies functional principles to facilitate “workability”, and outline the types of barriers to return to work and the role of the physician in overcoming them.
Download the PDF(795.53 KB)
Telemental Health
Telemental Health offers real-time client care for those in northern communities and community partners that serve First Nations, Inuit and/or Métis patients specifically via secure videoconferencing. Source: Centre for Addiction and Mental Health (CAMH)
November 17, 2023: Engaging with the WSIB/insurance systems 2
Didactic presentation: Engaging with the WSIB/insurance systems Part 2
In this presentation, Dr. Aaron Thompson explains the “life of a WSIB claim, describes health care programs provided by the WSIB, and explains how return to work services function at WSIB.
Download the PDF(1.2 MB)
"In Case of Injury" Poster (Form 82)
Download or order a copy of the Workplace Safety and Insurance Act (WSIB)'s "In Case of Injury" poster (Form 82), which must be prominently displayed in every workplace covered by the WSIB. Source: WSIB
Diagnostic and Exposure Criteria for Occupational Diseases - Guidance Notes for Diagnosis and Prevention of the Diseases in the International Labour Organization (ILO) List of Occupational Diseases (revised 2010)
Learn more about diagnostic and exposure criteria for occupational diseases from the guidance notes for diagnosis and prevention of the diseases in the International Labour Organization (ILO) List of Occupational Diseases (revised 2010). There is information on page 510 regarding epicondylitis. Source: ILO
Iontophoresis in Lateral Epicondylitis: A Randomized, Double-blind Clinical Trial
Learn more about the the effects of iontophoresis in patients with lateral epicondylitis (LE). Source: PubMed
November 10, 2023: Recognizing occupational and environmental hazards
Didactic presentation: Recognizing occupational and environmental hazards
In this presentation, Dr. Victoria Arrandale describes the common types of occupational hazards, identifies rules and regulations that may apply to the occupational exposure of an individual worker, develops questions that will help to better understand a worker’s occupational exposures, and discusses how to better understand where a worker or health care provider can look for support on questions of workplace exposure.
Download the PDF(673.98 KB)
Ergonomics in the Workplace: Understanding the Law
Learn more about occupational health and safety laws related to ergonomics and ways to address hazards due to poor ergonomics. Source: Government of Ontario
Filing a Workplace Health and Safety Complaint
Learn how to file a complaint if you have a workplace health and safety or workplace harassment concern and believe your employer is not correcting the situation. Source: Government of Ontario
Guide to the Occupational Health and Safety Act (OHSA)
The Guide to the OHSA guide is intended to provide an overview of the Occupational Health and Safety Act (OHSA). The OHSA sets out the rights and duties of all parties in the workplace, as well as the procedures for dealing with workplace hazards and for enforcement as needed. The guide explains what every worker, supervisor, employer, constructor and workplace owner needs to know about the Occupational Health and Safety Act. It describes workplace parties' rights and responsibilities in the workplace and answers, in plain language and the questions that are most commonly asked about the Act. Source: Government of Ontario
Health Care Practitioners & the Workplace Safety and Insurance Act (WSIA)
Learn more about how the WSIA can help health care practitioners better understand and interact with workplace safety and insurance system. Source: Workplace Safety and Insurance Board
Legal Aid Ontario
Legal Aid Ontario will help pay for a lawyer to represent a client if they qualify financially and have a legal issue that Legal Aid Ontario covers. Source: Legal Aid Ontario
Legal Aid Ontario Specialty Clinics
Specialty clinics represent specific individuals (e.g., seniors, people living with HIV/AIDS), deal with specific area of law, and service clients throughout Ontario. Some clinics also specialize in areas of law for low‑income clients who are marginalized for other reasons. Source: Legal Aid Ontario
Manual Handling Assessment Charts (the MAC tool)
The Manual Handling Assessment Charts (MAC) is a tool to help users identify high-risk workplace manual handling activities. Employers and safety representatives can use the tool to assess the risks posed by lifting, carrying and team manual handling activities. Source: UK Government Health and Safety Executive
Occupational Health Clinics for Ontario Workers (OHCOW)
Learn more about the comprehensive occupational health services and information provided by the Occupational Health Clinics for Ontario Workers (OHCOW) and their impartial advice for unionized workers. Their clients include workers, joint health and safety committees or representatives, unions, employers, health professionals, community groups, legal clinics, students and members of the public. Source: Occupational Health Clinics for Ontario Workers
Office of the Worker Advisor (OWA)
Learn more about how the Office of the Worker Advisor (OWA) can help you with workplace insurance matters if you are a non-unionized injured worker, or a survivor of an injured worker. Source: Office of the Worker Advisor
Ontario e-laws: Occupational Health and Safety Act
Learn more about the Occupational Health and Safety Act (OHSA) to enable you to educate your patients on their rights under the OHSA. The Ontario e-laws website is the online version of the OHSA. Source: Government of Ontario
Reprisals Under the Occupational Health and Safety Act
Learn more about reprisals and the Ontario law that protects workers from health and safety hazards at work. It gives important rights to workers, such as the right to refuse unsafe work, and gives the Ministry of Labour the power to inspect workplaces and investigate complaints. It is against the law for an employer to threaten or punish you because you followed health and safety laws or tried to enforce them. Source: Office of the Worker Advisor
What are My Rights as a Worker in Ontario?
Learn more about workers' rights in Ontario. Source: Settlement.org
WSIB Form 8: Health Professional's Report
Health professionals use this form for:
- Patients who are claiming benefits under the WSIB insurance plan for an injury/illness related to work, or
- You think that the cause of your patient's injury/illness is workplace factors
Source: Workplace Safety and Insurance Board
- Patients who are claiming benefits under the WSIB insurance plan for an injury/illness related to work, or
- You think that the cause of your patient's injury/illness is workplace factors
Source: Workplace Safety and Insurance Board
WSIB Musculoskeletal Program of Care (MSK POC)
Learn more about the WSIB musculoskeletal program of care, a community-based health care program designed for early care of people with musculoskeletal injuries to help them recover and return to or stay at work. Source: Workplace Safety and Insurance Board
November 3, 2023: 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 examining a person with musculoskeletal problems, explains the indications of opioids for nociceptive, neuropathic and nociplastic chronic pain, cites evidence-based treatments for low back pain, and discusses the impact of working with chronic pain on the person. Lynn Cooper, from the Canadian Injured Workers Alliance, brings the lived experience of persistent pain from a work injury to the didactic presentation.
Download the PDF(1.97 MB)
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
The Canadian Occupational Performance Measure (COPM)
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
UK Health and Safety Executive: Working Safely with Display Screen Equipment
As an employer, you must protect your workers from the health risks of working with display screen equipment (DSE), such as PCs, laptops, tablets and smartphones. The Health and Safety (Display Screen Equipment) Regulations apply to workers who use DSE daily, for continuous periods of an hour or more. We describe these workers as 'DSE users'. The regulations don't apply to workers who use DSE infrequently or only use it for a short time. Source: UK Government Health and Safety Executive
October 27, 2023: Mental health and work 2
Didactic presentation: Mental health and work 2
In this presentation, Lina Di Carlo discusses how employers and healthcare practitioners can work collaboratively to support an individual, with a mental health condition, to facilitate an effective return to work; the organizational factors required to provide a healthy work environment which supports an individual to obtain appropriate health care, facilitate a return to work and fully integrate into the workplace; and how stigma impacts an individual’s ability to obtain appropriate health care.
Download the PDF(579.13 KB)
Wellness Recovery Action Plan (WRAP)
The WRAP process supports you to identify the tools that keep you well and create action plans to put them into practice in your everyday life. All along the way, WRAP helps you incorporate key recovery concepts and wellness tools into your plans and your life. Source: WRAP
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: Work-Related Mental Stress Injuries
You may be eligible for support from the WSIB if you have experienced a mental stress injury that can be shown to have resulted either from a traumatic incident or series of incidents at work that are substantial stressors. Source: Workplace Safety and Insurance Board
October 20, 2023: Mental health and work 1
Didactic presentation: Mental health and work 1
In this presentation, Dr. Nadia Aleem discusses the components of an occupational mental health assessment and strategies and tools that can be used to perform this assessment.
Download the PDF(152.41 KB)
Policy on ableism and discrimination based on disability: 8. Duty to accommodate
Under the Code, employers and unions, housing providers and service providers have a legal duty to accommodate the needs of people with disabilities who are adversely affected by a requirement, rule or standard. Accommodation is necessary to ensure that people with disabilities have equal opportunities, access and benefits. Employment, housing, services and facilities should be designed inclusively and must be adapted to accommodate the needs of a person with a disability in a way that promotes integration and full participation. Source: Ontario Human Rights Commission
Wellness Recovery Action Plan (WRAP)
The WRAP process supports you to identify the tools that keep you well and create action plans to put them into practice in your everyday life. All along the way, WRAP helps you incorporate key recovery concepts and wellness tools into your plans and your life. Source: WRAP
October 13, 2023: 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(755.17 KB)
Online 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 Ontario
Ontario Assistive Devices Program
The Assistive Devices Program (ADP) helps people with long-term physical disabilities pay for customized equipment, like wheelchairs and hearing aids. The ADP also helps cover the cost of specialized supplies, such as those used with ostomies. Source: Government of Ontario
October 6, 2023: 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(515.55 KB)
Appeals: Objecting to a WSIB decision
You will receive a letter from the WSIB informing you of a decision in your claim or the claim of your employee. If you disagree with the WSIB’s decision, respond to the letter as soon as possible and explain why you disagree; point out any facts you think were overlooked and ask the decision maker to reconsider the decision. Source: Workplace Safety and Insurance Board
Workplace Safety and Insurance Appeals Tribunal: Appeals Process
If you disagree with a final decision of the Workplace Safety and Insurance Board (WSIB), you can start an appeal at the Workplace Safety and Insurance Appeals Tribunal (WSIAT). The WSIB and the WSIAT are separate, independent organizations that play different roles in Ontario’s workplace safety and insurance system. Source: Workplace Safety and Insurance Appeals Tribunal
WSIB Operational Policy: Decision-Making
Under the WSIA and WCA, workers, employers, and health care practitioners must provide the WSIB with information for the purpose of determining entitlement to benefits. Source: Workplace Safety and Insurance Board
WSIB Operational Policy: Entitlement to Health Care
The Workplace Safety and Insurance Act provides: a worker entitled to benefits under the insurance plan is entitled to such health care as may be necessary, appropriate, and sufficient as a result of the injury. Source: Workplace Safety and Insurance Board
WSIB Operational Policy: Psychotraumatic Disability
The purpose of this policy is to provide entitlement guidelines for claims for psychotraumatic injuries. Source: Workplace Safety and Insurance Board
WSIB Operational Policy: Reconsiderations of Decisions
The WSIB may reconsider any decision, and confirm, amend, or reverse it. The individual making the reconsideration decision is responsible for advising the worker and the employer of the decision. Source: Workplace Safety and Insurance Board
WSIB Specialty Programs
WSIB Specialty Programs provide timely access to expert specialists for people with work-related injuries or illnesses. These programs specialize in recovery and achieving a healthy and safe return to work by conducting an assessment and providing interdisciplinary treatment for more complex injuries and illnesses. Source: Workplace Safety and Insurance Board
September 29, 2023: Diagnosis and management of work-related injuries and illnesses
Didactic presentation: Diagnosis and management of work-related injuries and illnesses
In this presentation, Dr. Anil Adisesh discusses how to define an occupational illness and occupational injury, evaluate a patient for a suspected occupational or environmental illness/injury, and outline a return-to-work plan
Download the PDF(280.35 KB)
Occupational History Recording Tool (OHRT)
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.
Download the tool(199.36 KB)
WSIB Operational Policy: Chronic Mental Stress
The purpose of this policy is to provide entitlement guidelines for claims for chronic mental stress. Source: Workplace Safety and Insurance Board
WSIB Operational Policy: Posttraumatic Stress Disorder in First Responders and Other Designated Workers
The purpose of this policy is to outline the circumstances under which PTSD in first responders and other designated workers is presumed to be work-related. Source: Workplace Safety and Insurance Board
September 22, 2023: 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.
Download the PDF(1.56 MB)
Occupational History Recording Tool (OHRT)
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.
Download the tool(199.36 KB)
CAN/CSAZ1003 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
Guarding minds at work
Guarding Minds at Work (Guarding Minds) is a tool for employers to effectively assess and address the psychosocial factors known to have an impact on organizational health, the health of individual employees, and the financial bottom line. It was used as a reference for the National Standard of Canada on Psychological Health and Safety in the Workplace. Source: Workplace Strategies for Mental Health
The National Standard of Canada for Psychological Health and Safety in the Workplace
The National Standard of Canada for Psychological Health and Safety in the Workplace (the Standard) – the first of its kind in the world, is a set of voluntary guidelines, tools and resources intended to guide organizations in promoting mental health and preventing psychological harm at work. Source: Mental Health Commission of Canada
UK Health and Safety (HSE) Executive Indicator Tool
The HSE Management Standards Indicator Tool should be used in conjunction with the HSE Management Standards Indicator Tool User Manual. The HSE Management Standards Indicator Tool is also available in a number of different languages on HSE's Management Standards website. Source: UK government Health and Safety Executive
UK Health and Safety Executive (HSE) Management Standards
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
WSIB Operational Polic: Chronic Mental Stress
The purpose of this policy is to provide entitlement guidelines for claims for chronic mental stress. Source: Workplace Safety and Insurance Board
July 15, 2022: Engaging with relevant workplace parties
Didactic presentation: Engaging with relevant workplace parties
In this presentation, Dr. Sol Sax discusses when, why, and how health care practitioners should engage with workplace parties.
Download the PDF(349.73 KB)
Human Rights at Work 2008 - Third Edition: IV. 9. More about disability-related accommodation
Accommodating the needs of persons with disabilities is one of the most common human rights issues in the workplace... This section highlights specific issues that employers may face when responding to requests for accommodation made by employees with disabilities. Source: Ontario Human Rights Commission
The Flag System
An article on the flag system to identify different barriers to recovery. Source: Physiopedia
National Occupational Classification (NOC) Career Handbook - 8431.0 – General farm workers
The National Occupational Classification (NOC) is Canada’s national system for describing occupations. You can search the NOC to find where an occupation is classified or to learn about its main duties, educational requirements or other useful information. The Career Handbook is the counselling component of the National Occupational Classification (NOC) system. Source: Government of Canada
WSIB Operational Policy: Posttraumatic Stress Disorder in First Responders and Other Designated Workers
The purpose of this policy is to outline the circumstances under which PTSD in first responders and other designated workers is presumed to be work-related. Source: Workplace Safety and Insurance Board
WSIB: Work-related mental stress injuries
Sometimes work can be stressful, but when that stress contributes to a mental stress injury, you may need more support to recover. A work-related mental stress injury is a psychological injury or illness caused by one or more substantial sources of stress at a person’s work or by one or more work-related traumatic events. Source: Workplace Safety and Insurance Board
July 8, 2022: Ethics and legal issues in occupational medicine
Ethics and Legal Issues in Occupational Medicine: Some Resources to Consider
A list of resources curated by didactic presenter Dr. Nik Rajaram to support decision making around ethical and legal issues in practice.
Download the PDF(104.18 KB)
Occupational Medicine Interest Group Forum - College of Family Physicians of Canada
College of Family Physicians of Canada's Occupational Medicine Interest Group Forum is a place for family physicians to discuss occupational medicine-related practice issues with other members. Information on how to register for the Member Interest Groups Section (MIGS) can be found under What’s new, ‘How do I join the Member Interest Groups Section?’ Additional information can be found under FAQ. Source: College of Family Physicians of Canada
A guide to programs and services for seniors in Ontario
Find information on resources available for seniors in Ontario, including tax credits, health, caregiving, housing, transportation and staying safe. Source: Government of Ontario
Home and Community Care Support Services - Guelph–Puslinch
Health care services offered at home, at school, and in the community, as well as access to supported living programs and long-term care, are coordinated by Home and Community Care Support Services to ensure people of all ages can make informed choices about their care, when and where they need it. Source: Healthline.ca
Home and Community Care Support Services - Waterloo Wellington
Home and Community Care Support Services Waterloo Wellington is one of 14 Home and Community Care Support Services organizations in Ontario with a focused mandate to deliver local health care services such as home and community care, access to community services and long-term care home placement. Source: Home and Community Care Support Services
Hypertension Management Program for Primary Care - Patient self-management resources
Patient self-management resources from the Hypertension Management Program Toolkit. The toolkit helps primary care organizations assess where they are with respect to hypertension management, and provides practical resources for implementing real change to meet chronic disease prevention and management approaches to support their patients. Built on the knowledge of the Hypertension Management Initiative study and years of the Hypertension Management Program (HMP) running as a Ministry of Health and Long Term Care funded program, this toolkit enables broader audiences to advance their approach to hypertension management. Source: CorHealth Ontario
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
Ontario Ministry for Seniors and Accessibility
Helping seniors and people with disabilities stay independent, active, and socially connected. We are also helping seniors stay safe and making Ontario more accessible for everyone and promoting the benefits of age-diverse, accessible workplaces and communities where everyone is able to participate. Source: Government of Ontario
Policy and guidelines on discrimination because of family status: VI. The Duty to Accommodate
In the context of family status, accommodation is usually associated with caregiving needs. Accommodation is central to overcoming the disadvantages experienced by caregivers, particularly in the areas of employment and services. Most of us will be both providers and recipients of care over the course of our lifetimes, so that accommodation of caregiving needs benefits us all. Source: Ontario Human Rights Commission
June 24, 2022: 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.
Download the PDF(800.12 KB)
Primary care physicians' learning needs in returning ill or injured workers to work: a scoping review
Furlan AD, Harbin S, Vieira FF, Irvin E, Severin CN, Nowrouzi-Kia B, Tiong M, Adisesh A. Primary care physicians' learning needs in returning ill or injured workers to work. A scoping review. J Occup Rehabil. 2022 May 5. doi: 10.1007/s10926-022-10043-w.
Buprenorphine and Methadone Maintenance Treatment: Influence of Aspects of Cognitive and Memory Performance
Giacomuzzi, S.M., Thill, C., Riemer, Y., Garber, K., Ertl, M., Buprenorphine and Methadone Maintenance Treatment: Influence of Aspects of Cognitive and Memory Performance. The Open Addiction Journal 2008, I(I):5-6. DOI: 10.2174/1874941000801010005
Canada: Mental Health At Work: An Employer's Duty To Inquire
This blog is part three of a three-part blog series outlining the essential points of an employer's duty to accommodate employees with mental disabilities. Source: Mondaq
Clinically Organized Relevant Exam (CORE) Back Tool
This tool will guide the family physician and/or nurse practitioner to recognize common mechanical back pain syndromes and screen for other conditions where management may include investigations, referrals and specific medications. This is a focused examination for clinical decision-making in primary care. Source: Centre for Effective Practice (CEP)
Cognitive Functioning in Opioid-Dependent Patients Treated with Buprenorphine, Methadone and Other Psychoactive Medications: Stability and Correlates
Rapeli P, Fabritius C, Kalska H, Alho H. Cognitive functioning in opioid-dependent patients treated with buprenorphine, methadone, and other psychoactive medications: stability and correlates. BMC Clin Pharmacol. 2011 Aug 21;11:13. doi: 10.1186/1472-6904-11-13
Methadone vs. Buprenorphine During Early Opioid Substitution Treatment: A Naturalistic Comparison of Cognitive Performance Related to Health Controls
Rapeli P, Fabritius C, Alho H, Salaspuro M, Wahlbeck K, Kalska H. Methadone vs. buprenorphine/naloxone during early opioid substitution treatment: a naturalistic comparison of cognitive performance relative to healthy controls. BMC Clin Pharmacol. 2007 Jun 12;7:5. doi: 10.1186/1472-6904-7-5.
Neuropsychological Functioning of Opiate-Dependent Patients: A Nonrandomized Comparison of Patients Preferring either Buprenorphine or Methadone Maintenance Treatment
Sabine Loeber, Anja Kniest, Alexander Diehl, Karl Mann & Bernhard Croissant (2008) Neuropsychological Functioning of Opiate-Dependent Patients: A Nonrandomized Comparison of Patients Preferring either Buprenorphine or Methadone Maintenance Treatment, The American Journal of Drug and Alcohol Abuse, 34:5, 584-593, DOI: 10.1080/00952990802308239
June 17, 2022: Engaging with the WSIB/insurance systems 2
Didactic presentation: Engaging with WSIB/Insurance Systems 2
In this presentation, Dr. Aaron Thompson discusses the life of a WSIB claim, health care programs provided by the WSIB, and how return to work services function at the WSIB.
Download the PDF(1.2 MB)
WSIB By the Numbers: 2020 Statistical Report
This report highlights health and safety trends in Ontario, including injuries, fatalities and return-to-work results. Health and safety partners can use the information available in By the Numbers to focus their efforts to improve workplace safety. Source: Workplace Safety and Insurance Board
Online Self-Management Program
The online self-management program is for individuals across Ontario who are living with one or more chronic conditions such as diabetes, arthritis, respiratory disease, kidney disease, chronic pain, cancer, or any type of long-term physical or mental health issue. Family, friends, and caregivers of someone who has a chronic condition are also welcome. Source: Living Healthy Champlain
Ontario Structured Psychotherapy Program
The Ontario Structured Psychotherapy program is a structured CBT-oriented Psychotherapy service that delivers virtual or in-person therapy for individuals who have been diagnosed with anxiety or mood disorders. Source: Ontario Health
BounceBack
BounceBack is a free, guided self-help program managed by the Canadian Mental Health Association (CMHA) that is effective in helping people aged 15 and up who are experiencing mild-to-moderate anxiety or depression, or may be feeling low, stressed, worried, irritable or angry. Participants receive telephone coaching, skill-building workbooks and online videos to help them overcome these symptoms and gain new skills to regain positive mental health. Source: BounceBack Ontario
Living a Healthy Life with Chronic Conditions
Living a Healthy Life with Chronic Conditions is a six week workshop for anyone with a chronic health condition as well as their family members and/or caregivers. Anyone can register themselves for a workshop; no referral from a health care professional is needed. Source: Healthy Living Champlain
Ontario Pharmacy Health Program
The program aims to lower emotional, social and economic costs associated with psychiatric disorders, substance use and or emotional disorders for registrants of the Ontario College of Pharmacists and their families. Source: Lifemark
Self-Management: A Comprehensive Approach to Management of Chronic Conditions
Grady PA, Gough LL. Self-management: a comprehensive approach to management of chronic conditions. Am J Public Health. 2014 Aug;104(8):e25-31. doi: 10.2105/AJPH.2014.302041.
WSIB Operational Policy Manual - Chronic Mental Stress
The purpose of this policy is to provide entitlement guidelines for claims for chronic mental stress. Source: Workplace Safety and Insurance Board
June 10, 2022: Musculoskeletal conditions and chronic pain among working patients
Didactic presentation: Musculoskeletal conditions and chronic pain among working patients
In this session, Dr. Andrea Furlan discusses an approach to examining a person with musculoskeletal problems, explains the indications of opioids for nociceptive, neuropathic and nociplastic chronic pain, cites evidence-based treatments for low back pain, and discusses the impact of working with chronic pain on the person. Lynn Cooper, BES, brings the lived experience of persistent pain from a work injury to the didactic presentation.
Download the PDF(1.83 MB)
Pre-return-to-work medical consultation for low back pain workers. Good practice recommendations based on systematic review and expert consensus
See the description of the flag system which was discussed in the didactic presentation (section 3.2). Source: Musculoskeletal Key
Canadian National Institute for the Blind (CNIB) Foundation
Founded in 1918, the CNIB Foundation is a non-profit organization driven to change what it is to be blind today by delivering innovative programs and powerful advocacy that empowers people impacted by blindness to live their dreams and tear down barriers to inclusion. This work as a blind foundation is powered by a network of volunteers, donors and partners from coast to coast to coast. Source: CNIB
Occupational Therapy and Vision Rehabilitation Network
Occupational Therapy and Vision Rehabilitation Network (OTVRN) is a network within the Canadian Association of Occupational Therapists (CAOT) dedicated to advocating for equal access to quality occupational therapy services among those with visual impairments. Source: Occupational Therapy and Vision Rehabilitation Network
The Effect of Decreased Near Visual Acuity on Ishihara's Test for Color Blindness
Chen AA. The Effect of Decreased Near Visual Acuity on Ishihara's Test for Color Blindness. Invest. Ophthalmol. Vis. Sci. 2011;52(14):3869.
Vision Loss Rehabilitation Canada
Vision Loss Rehabilitation Canada (VLRC) is a not-for-profit national healthcare organization and the leading provider of rehabilitation therapy and healthcare services for individuals with vision loss. Source: Vision Loss Rehabilitation Canada
June 3, 2022: Recognizing occupational and environmental hazards
Didactic presentation: Recognizing occupational and environmental hazards
In this presentation, Dr. Victoria Arrandale discusses common types of occupational hazards, exposure limits that may apply to an individual worker's job, and questions that can help you understand a worker’s occupational exposures.
Download the PDF(1.04 MB)
Community Legal Clinics in Ontario
Community legal clinics provide information, advice, and representation on various legal issues, including social assistance, housing, refugee and immigration law, employment law, human rights, workers' compensation, consumer law, and the Canada Pension Plan. Some legal clinics do not handle all of these issues, but staff may be able to refer you to someone who can help. Source: Community Legal Education Ontario
Community Legal Clinics in Toronto
A map of legal clinics in Toronto. Available in various languages. Source: City of Toronto
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
Generalized Anxiety Disorder 7-item (GAD 7)
Developed to screen for and diagnose Generalized Anxiety Disorder. Often used as a general screener for anxiety. Source: GAD 7 Anxiety
Human Rights at Work 2008 - Third Edition: IV. 8. Meeting the accommodation needs of employees on the job
This resource can be helpful in gaining an understanding of the type of information that can be shared with the employer to accommodate an employee. Source: Ontario Human Rights Commission
Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0)
This manual summarizes the methodology used to develop WHODAS 2.0 and the findings obtained when the schedule was applied to certain areas of general health, including mental and neurological disorders. The manual will be useful to any researcher or clinician wishing to use WHODAS 2.0 in their practice. Source: World Health Organization
OCF-3 Disability Certificate
OCF-3 disability forms are auto Insurance claim forms commonly used by motor vehicle insurance companies in Ontario. Source: Financial Services Commission of Ontario
Patient Health Questionnaire (PHQ-9)
A good screening tool for Major Depressive Disorder. Source: PHQ-9
PTSD Checklist for DSM-5 (PCL-5)
A good self-report measure for screening for PTSD. Source: National Center for PTSD
World Health Organization Disability Assessment Schedule 2.0
The WHO Disability Assessment Schedule (WHODAS) is a self-report tool that helps clients report on their abilities and limitations in multiple functional domains. This tool is available in the public domain and in multiple languages. Source: World Health Organization
WSIB Forms
All WSIB forms can be found here. Source: Workplace Safety and Insurance Board
WSIB Functional Abilities Form (FAF)
The Functional Abilities Form is primarily a communication tool for the workplace parties. It is completed by the treating health professional, and provides the employer and the injured/ill worker with a common frame of reference about the worker's functional abilities to identify jobs that are suitable for the worker. Source: Workplace Safety and Insurance Board
WSIB Health Professional's Report (Form 8)
The Health Professional's Report should be used by a health professional when a patient states that a physical injury or illness is related to his or her work or when the health professional believes that it is. Source: Workplace Safety and Insurance Board
May 27, 2022: Mental health and work 2
Didactic presentation: Mental health and work 2
In this presentation, Dr. Nadia Aleem discusses the components of an occupational mental health assessment and strategies and tools that can be used to perform this assessment.
Download the PDF(362.33 KB)
Guideline for concussion/mild traumatic brain injury & prolonged symptoms: 3rd edition for adults over 18 years of age
The content of the Guideline for Concussion/mTBI & Prolonged Symptoms, 3rd Edition: for Adults over 18 years, is based on the status of scientific knowledge available at the time of their finalization (2017) as well as on the consensus of the experts who participated in the guideline development. Source: Ontario Neurotrauma Foundation
Guideline for concussion/mild traumatic brain injury & prolonged symptoms: Sleep wake disturbances
The content of the Guideline for Concussion/mTBI & Prolonged Symptoms, 3rd Edition: for Adults over 18 years, is based on the status of scientific knowledge available at the time of their finalization (2017) as well as on the consensus of the experts who participated in the guideline development. Source: Ontario Neurotrauma Foundation
Integration of a return-to-work module in cognitive behavioral therapy in patients with major depressive disorder and long-term sick leave: a feasibility study
Winter L, Geldmacher J, Plücker-Boss K, Kahl KG. Integration of a return-to-work module in cognitive behavioral therapy in patients with major depressive disorder and long-term sick leave: a feasibility study. Front Psychiatry. 2020 Jun 3;11:512. doi: 10.3389/fpsyt.2020.00512.
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.
Download the PDF(701.3 KB)
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.
Download the PDF(2.03 MB)
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.
Download the tool(207.26 KB)
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
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.
Download the PDF(1.08 MB)
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.
Download the PDF(2.13 MB)
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.
Download the PDF(1.45 MB)
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.
Download the PDF(1.3 MB)
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.
Download the PDF(1.08 MB)
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.
Download the PDF(1.47 MB)
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
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
Download the PDF(1.04 MB)
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.
Download the PDF(1.46 MB)
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.
Download the PDF(1.32 MB)
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).
Download the report(5.56 MB)
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.