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
Using cannabis to manage symptoms of work-related injuries: Experiences of injured workers in Ontario
Published: February 24, 2026
At Work article
Inclusive employment strategies, resources showcased at symposium
Published: November 12, 2025
IWH in the media
Share health info or not? Free tool helps workers decide
A new online tool from Canada’s Institute for Work and Health is intended to help people consider whether to disclose personal health information at work. The free Decision-Support for Communicating about Invisible Disabilities that are Episodic (DCIDE) provides personalized guidance for people grappling with disclosure questions.
Published: Safety+Health, August 2025
Journal article
Journal article
Working informal caregivers and risk of long-term sickness absence and unemployment: a Danish nationwide cohort study of effect modification by psychosocial working conditions
Published: Journal of Public Health, August 2025
Impact case study
Being part of an IWH research partnership helped health charities meet their communities’ needs
The seven-year partnership project, titled Accommodating and Communicating about Episodic Disabilities (ACED), showcases the role partner organizations can play in developing user-friendly research products and in disseminating these products more widely. The partnership enhanced both the quality of the research and the partners’ ability to serve their clients.
Published: August 2025
Journal article
Journal article
Why are disclosure decisions so difficult? Understanding factors that encourage and discourage workers with a chronic disabling condition from disclosing health information at work
Published: Journal of Occupational Rehabilitation, August 2025
Research Highlights
Telementoring program addresses return-to-work challenges for Ontario health-care providers
An IWH study has found that Ontario health-care providers face a range of challenges when treating workers with a work-related injury or illness and helping them return to work—from communication issues with compensation boards to the complexities of working with multiple parties. The researchers also found that a telementoring program called ECHO Occupational Environmental Medicine helped providers overcome some of these challenges.
Published: July 2025
Tools and guides
Tools and guides
Evidence-informed workplace practices for the prevention of PTSI work disability: A summary of study findings
First responders commonly experience occupational injuries, particularly post-traumatic stress injuries (PTSIs), which encompass symptoms of anxiety-, mood- or trauma-related disorders. PTSI can negatively affect the lives of first responders, including reducing work performance; increasing absence at work; raising the likelihood of burnout, sleep difficulties, poorer relationships with others, feelings of hopelessness, self-harm and suicidal behaviors; and leading to higher risks of disability and early mortality. This summary is based on an Institute for Work & Health study that focused on organizational policies and practices in first responder organizations that can help prevent PTSI work disability.
Published: June 2025
Journal article
Journal article
Workplace programs to reduce post-traumatic stress injuries work disability: first responder experiences
Published: Journal of Occupational Rehabilitation, May 2025
At Work article
Injured workers face mental health challenges beyond diagnosable conditions
Workers with a work-related physical injury that takes them off the job can have a wide range of mental health experiences, beyond diagnosable conditions. That’s according to an IWH study which also found that differences in workers’ mental health after an injury were linked to return-to-work outcomes. Those reporting both a mental health condition and the poorest wellbeing had longer, more expensive compensation claims.
Published: April 2025
Research Highlights
Examining four types of job disruptions due to a health condition, and the differences expected when workplace support needs are met
Job disruptions are common among workers living with chronic physical and/or mental health conditions, an IWH study has found. The study investigated the effects of workplace supports had on four types of job disruptions.
Published: March 2025
IWH in the media
Study: Pain levels drive workers’ opioid use after injuries
Severe pain is the main factor associated with opioid use after a work-related injury, regardless of the employee’s return-to-work timeline, a recent study out of Canada suggests. Findings show that 35.6 per cent of the workers used opioids more than once in the past year. However, those who experienced severe post-injury pain were nearly three times more likely to use opioids than the participants who had mild or zero pain.
Published: Safety+Health, March 2025