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 Speaker Series
IWH Speaker Series
Persistent pain: its role in work absence, health, and employment after a disabling work-related injury
Among working-aged adults, one of every six injuries that need medical attention are caused by work exposures, with over a third of these injuries leading to periods of work absence or disability. Chronic or persistent pain may occur after an injury. It is currently unclear how many workers experience persistent pain and how it impacts worker health and function, return to work and disability benefit expenditures. In this presentation, Dr. Kathleen Dobson shares findings from a study of Ontario workers experiencing a work-related injury or illness focusing on the prevalence of persistent pain, and its association with return-to-work outcomes.
Published: November 2022
IWH in the media
Study finds long-term pain an issue for many injured workers
A recent study of injured workers in Ontario “reinforces the importance of modified duties (if necessary) and return-to-work planning,” researcher say after results showed 70% experienced persistent pain 18 months after being injured.
Published: Safety+Health, November 2022
IWH in the media
7 in 10 injured workers still experience pain 18 months later
Seven in 10 workers who were injured on the job in Ontario still experience pain 18 months after the incident, Jim Wilson reports on findings from an IWH study.
Published: Canadian HR Reporter, November 2022
At Work article
Older workers not prone to ask for employer support, citing ageism and other issues
Many older workers are in no hurry to retire, but they may have support needs they're reluctant to divulge. An IWH team explores the reasons and suggests ways workplaces can provide support despite the absence of disclosure.
Published: November 2022
IWH Speaker Series
IWH Speaker Series
Return to work in Ontario police services: Current experiences and practices
What challenges do members of police services, both sworn officers and civilian staff, face in their recovery and return to work after a work injury? In this presentation, IWH Scientist Dr. Dwayne Van Eerd shares what he heard from police members—those who were injured as well as those supporting return-to-work— in a qualitative study on return to work in Ontario police services. Using quotes and examples, he also offers suggestions on policies and practices that emerged from the data and that police services can implement to improve the return-to-work process.
Published: October 2022
Tools and guides
RTW in policing: time to ACT
This summary of an IWH research project outlines challenges in return to work within police services related to three key themes: accommodation, communication and trust-building, all within the culture and context of policing.
Published: October 2022
At Work article
IWH study finds 7 in 10 injured workers still experience pain more than a year after injury
A high proportion of injured workers in Ontario experience persistent pain for well over a year after their work-related injury. According to an IWH study of workers' compensation lost-time claimants, 70 per cent of workers experience pain 18 months after their work injury.
Published: September 2022
IWH Speaker Series
IWH Speaker Series
What do workplaces need to know to help older workers stay on the job? A qualitative study of older workers’ disclosure decisions
Historic labour shortages are affecting every Canadian job sector. Many workers aged 50 years or more want to work longer, often beyond the traditional retirement age. However, we understand little about the different workplace support needs they may have and whether workers choose to share their needs with others—especially given the negative stereotypes that often surround older workers. In this presentation, Dr. Monique Gignac shares insights from her study on older workers’ workplace support needs and disclosure decisions. She highlights how workplaces can help older workers stay on the job, regardless of whether they disclose their needs.
Published: September 2022
Project
Project
Inclusive Design for Employment Access (IDEA): Evidence synthesis
As part of the IDEA initiative, IWH is leading an evidence synthesis component to identify needs/challenges, knowledge gaps and existing evidence-informed tools and promising practices related to IDEA's objectives.
Status: Ongoing
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