Return to work, accommodation and support
IWH has a long history of conducting research on practices, policies and processes that help workers sustainably return to work after an illness or an injury. This page pulls together IWH research and resources on employer supports, job accommodations and modifications, as well as other related issues such as disclosure of disability.
Featured

IWH Speaker Series
On mental health, remote work and shared accountability: Complex and evolving perspectives on workplace support and accommodation
Published: September 29, 2026
Research Highlights
Nearly half of workers with disabilities hide impact of health condition on work
The decision to not disclose and the decision to actively hide information about the impact of a health condition on work are distinct. This study explores how often people hide health information at the workplace, who is likely to do so, or what the impacts may be.
Published: August 5, 2026
Journal article
Journal article
Opioid use among injured workers: pain and the return-to-work experience
Published: Occupational and Environmental Medicine, February 2025
IWH in the media
Why return-to-work ‘isn’t one-size-fits-all’
The mental health of injured workers isn’t a one-size-fits-all. A study by IWH highlights how workers with physical injuries often struggle with mental health challenges that affect their recovery and ability to return to work. The findings carry critical implications for workplace safety professionals, employers, and compensation boards, writes Shane Mercer.
Published: Canadian Occupational Safety, January 2025
IWH Speaker Series
IWH Speaker Series
The mental health of injured workers with a physically disabling injury
Mental health is often thought of as the presence or absence of a mental health condition such as depression or an anxiety disorder. However, the complete mental health model suggests that mental health is also comprised of one’s level of emotional, psychological and social wellbeing. How does this holistic way of framing mental health help us understand the return-to-work experiences of injured workers? In this presentation, Dr. Kathleen Dobson shares results from a recent study examining various mental health profiles among a group of physically injured workers in Ontario. She discusses why it is important to define “mental health” in occupational research, how this framework helps highlight the diverse mental health experiences that injured workers have and how these experiences may impact their return to work.
Published: January 2025
Journal article
Journal article
The relationship between meeting workplace accommodation needs and job disruptions among Canadians working with disabilities: a cross-sectional analysis
Published: Journal of Occupational and Environmental Medicine, January 2025
Journal article
Journal article
Double trouble! Do workplace supports mitigate lost productivity for young workers with both severe rheumatic diseases and depressive symptoms?
Published: Journal of Occupational Rehabilitation, January 2025
Journal article
Journal article
Engaging workers with disabilities in the financial sector: exploring promising practices through key informant interviews and a rapid literature review
Published: Equality, Diversity and Inclusion, January 2025
Journal article
Journal article
A scoping review to examine health care professionals' experiences as family caregivers
Published: PLoS ONE, January 2025
Tools and guides
Decision-support for Communicating about Invisible Disabilities that are Episodic (DCIDE)
Decision-Support for Communicating about Invisible Disabilities that are Episodic (DCIDE) is a free tool that aims to help workers consider whether or not to share some personal health information with others at work.
Published: December 2024
At Work article
A new tool to help workers make health disclosure decision
Workers with chronic or episodic health conditions may face the decision of whether to disclose their health information at work. But many find this decision challenging and stressful. A worker may need supports due to their condition but may worry that sharing health information could impact their reputation or job security. A new IWH tool, called DCIDE, was developed to help workers make these hard decisions.
Published: December 2024
IWH Speaker Series
IWH Speaker Series
Deciding whether to share health information at work: A new evidence-based tool for workers with chronic conditions
Workers with chronic and episodic physical and mental health conditions often struggle when deciding whether to seek support from their workplace. In making decisions, they weigh risks like the loss of privacy or reputation if they disclose their needs, versus concerns about job difficulties and work performance if they don’t receive support.
In this presentation, Dr. Monique Gignac focuses on the challenges inherent in the decision-making process. She also describes a new decision-support tool called DCIDE that aims to help workers navigate the complexity of disclosure decisions. Developed as part of a large research partnership with input from researchers, people with lived experiences, and health charities, DCIDE is an online, interactive tool that guides users through disclosure decisions and links them with additional resources to support their disclosure and privacy preferences.
In this presentation, Dr. Monique Gignac focuses on the challenges inherent in the decision-making process. She also describes a new decision-support tool called DCIDE that aims to help workers navigate the complexity of disclosure decisions. Developed as part of a large research partnership with input from researchers, people with lived experiences, and health charities, DCIDE is an online, interactive tool that guides users through disclosure decisions and links them with additional resources to support their disclosure and privacy preferences.
Published: November 2024