Skip to main content

Table 1 The participatory supportive RTW program

From: A participatory supportive return to work program for workers without an employment contract, sick-listed due to a common mental disorder: an economic evaluation alongside a randomized controlled trial

Examination of sickness benefit claim and medical problem analysis – within two weeks after allocation to the intervention team
- The RTW coordinator examines the sickness benefit claim, conform usual care
- The insurance physician makes a medical problem analysis, conform usual care
Integrated care – directly after the medical problem analysis
- The insurance physician contacts the healthcare provider(s) of the sick-listed worker by telephone to agree upon treatment and RTW, and to stimulate cooperation during the vocational rehabilitation process
Participatory approach – within two weeks after the medical problem analysis
- The labor expert supports the sick-listed worker and the RTW coordinator separately in identifying and prioritizing obstacles for RTW
- The sick-listed worker and the RTW coordinator jointly search for solutions to overcome the main obstacles for RTW, and discuss suitable work
- The labor expert tries to reach consensus between the sick-listed worker and the RTW coordinator, and summarizes the consensus-based solutions and suggestions for suitable work in a RTW action plan
- The insurance physician makes adjustments to the RTW action plan, if necessary
- The labor expert sends the final action plan to all stakeholders involved, and underlines the sick-listed worker’s own responsibility to implement the action plan
Direct placement in a competitive job – within four weeks after making a RTW action plan
- The RTW coordinator refers the sick-listed worker to a vocational rehabilitation agency to facilitate the job search
- The vocational rehabilitation agency offers the sick-listed worker at least two suitable competitive workplaces with a minimum contract period of 3 months, matching the RTW action plan
- The sick-listed worker is placed in a suitable competitive workplace
Evaluation – within four weeks after making a RTW action plan
- The RTW coordinator contacts the sick-listed worker to evaluate the implementation of the RTW action plan
- The RTW coordinator contacts the vocational rehabilitation agency to inquire if the sick-listed worker has been placed in a suitable workplace
- The sick-listed worker is referred to two other vocational rehabilitation agencies for additional vocational support, if necessary