How to address psychosocial barriers to returning to work
As a GP, it's important to identify and address psychosocial issues that may present a barrier to returning to work.
While many patients recover quickly and return to work, others may face a range of social or psychological issues that delay recovery. It's important to address psychosocial issues as they come up. Below are a number of intervention tactics to consider if your patient is facing psychosocial barriers to returning to work.
During GP consultations
- Educate and reassure your patients about the normal course of injury and address the unhelpful beliefs below (for example, pain catastrophising)
- Communicate expectations for recovery and work e.g. "I expect that in four weeks you will have returned to your previous work capacity".
- Talk about the health benefits of good work
- Contact the employer / case manager to understand the employer's ability to accommodate a gradual recovery at work
- Request a case conference with the case manager and other key stakeholders to discuss any support or intervention required to assist with recovery and return to work
Other professional intervention
- Early engagement of a workplace rehabilitation provider – this can be requested by ticking the box on the certificate of capacity
- Consider whether a short-term referral for clinical psychology treatment would be beneficial
- Early and continued communication with the case manager and employer to manage return to work
- Request a case conference with the case manager, employer and other key stakeholders
- Referral for assessment with an occupational physician
- Referral for assessment with a psychiatrist or pain management specialist
Both of these referrals can be made in the certificate of capacity. You can highlight bio-psychosocial factors in the certificate of capacity under the ‘Factors Delaying Recovery’ section of the ‘Capacity for Employment’.
This will assist the case manager in identifying where and when additional supports can be provided to the worker.
How to complete the certificate of capacity
If you have concerns about your patient’s recovery, you're encouraged to contact the case manager to discuss other possible strategies that may assist in managing their injury.
Addressing unhelpful beliefs
Everyone has their own beliefs and expectations about their own health and work. These don’t always align to the evidence and might be detrimental for your patient’s health and recovery.
As a GP, your role is crucial in helping dispel these unhelpful beliefs and guiding your patient to the best outcome for their long-term health and recovery.
Below are some of the common misconceptions about the health benefits of good work, and some evidence-based responses you can use to dispel these misconceptions:
|Worker misconceptions||Evidence-based response|
|My injury or illness will be made worse by work.||
|My injury or illness is the result of underlying damage or disease.||
|My injury or illness will be cured by medical intervention and treatment alone.||
|My injury or illness will improve or be cured with rest, that is I cannot return to work until I am completely better.||
|I will lose my job if I have a work related injury/claim.||
*Johnson D, Fry T. Factors Affecting Return to Work after Injury: A study for the Victorian SIRA Authority. Melbourne: Melbourne Institute of Applied Economic and Social Research; 2002.
** Section 248 of the Workers Compensation Act 1987
*** Section 48(1) of the Workplace Injury Management and Workers Compensation Act 1998