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
At Work article
Inclusive employment strategies, resources showcased at symposium
Published: November 12, 2025
Impact case study
Word spreads about IWH tools, thanks to stakeholders' support
Since the release of two tools designed to support the sustained employment of people with chronic and episodic conditions, word has spread quickly, thanks to organizations that promoted the tools and helped them reach the hands of workers, employers and post-secondary students.
Published: October 16, 2025
Research Highlights
Examining the link between job insecurity, work limitations and persistent symptoms among young adults with rheumatic disease
Young adults with rheumatic disease who reported high work activity limitations were also more likely to report persistent high levels of pain, fatigue and active rheumatic disease symptoms. Those who experienced job insecurity were more likely to report persistent pain and active disease symptoms. That's according to an IWH follow-up study conducted over 27 months.
Published: August 2022
Research Highlights
Getting the message right: strategies to improve return-to-work communication
Communication is central to disability management—especially in large and complex organizations where multiple parties are involved in the return-to-work process and inconsistent practices can add to communication challenges. Workplace stakeholders in large and complex organizations use key strategies to effectively communicate about RTW. They include communicating messages of support, correctly timing RTW communication, carefully wording messages, framing messages and tailoring messages for individual workers.
Published: July 2022
Journal article
Journal article
Impact of persistent pain symptoms on work absence, health status and employment 18 months following disabling work-related injury or illness
Published: Occupational and Environmental Medicine, July 2022
Project report
Project report
Strategies to ensure young persons with disabilities are included in the future of work
Researchers at the Institute for Work & Health are looking for concrete ways to ensure youth and young adults with disabilities are included in the future of work. In the summer of 2021, a research team conducted an online survey with a wide range of people across Canada. This report summarizes six key areas in the future of work that survey participants indicated could both pose difficulties and offer opportunities to young people with disabilities. The report also presents the solutions that participants suggested to address the barriers and take advantage of the opportunities.
Published: May 2022
Journal article
Journal article
Primary care physicians' learning needs in returning ill or injured workers to work. A scoping review
Published: Journal of Occupational Rehabilitation, May 2022
IWH Speaker Series
IWH Speaker Series
The employment quality of persons with disabilities: findings from a national survey
Persons with disabilities face persisting inequities in the labour market arising from stigma, discrimination, and other structural barriers to employment. It is widely accepted that greater integration into the labour market could serve to promote the social and economic inclusion of persons with disabilities. But what happens when they are successful at integrating into the labour market? What kind of jobs do they get? In this presentation, Dr. Faraz Vahid Shahidi shares findings from a recent nationwide survey examining the employment quality of persons with disabilities in Canada. He documents the nature and extent of employment inequities experienced by persons with disabilities, as well as the consequences of these inequities for support and accommodation in the workplace.
Published: April 2022
At Work article
Poor interactions with case managers linked with risk of mental illness later on
A new Ontario study finds face higher risks of serious psychological distress among injured workers who report not being treated with respect or not given the information they need in their interactions with case managers.
Published: March 2022
IWH in the media
Employees, leaders differ on mental health supports
Despite lots of talk around the importance of good mental health while on the job, the supports for workers are still lacking. John Dujay interviews Institute for Work & Health Scientist Dr. Dwayne Van Eerd on his study examining mental health supports, from the perspectives of workers and managers.
Published: Canadian HR Reporter, February 2022
Research Highlights
Workers’ and managers’ perspectives on workplace supports for depression
In a survey of workers with depression and those who manage them, nearly one out of four said no supports were available. Asked about the most helpful type of support, survey respondents with lived experience of depression most often indicated employee assistance programs (EAPs) and other supports external to the workplace. As for barriers to implementing practices, participants noted unsupportive managers, lack of knowledge about mental health in the workplace, and lack of training for managers.
Published: January 2022
Journal article
Journal article
Rheumatic disease disclosure at the early career phase and its impact on the relationship between workplace supports and presenteeism
Published: Arthritis Care & Research, January 2022