Session resources

October 22, 2021: Mental health and work 2

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 session, 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 session, Behdin Nowrouzi-Kia, OT Reg. (Ont.), PhD 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 session, Dr. Vincent Spilchuk discusses the define 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 session 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 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 session Dr. Anil Adisesh talks about 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.