School of Rehabilitation Therapy, Queen's University, Kingston, ON, K7L 3N6, Canada.
J Occup Rehabil. 2023 Dec;33(4):796-807. doi: 10.1007/s10926-023-10114-6. Epub 2023 Apr 6.
Public safety personnel (PSP) perform work that puts them at greater risk of psychological injury than the general public. PSP who subsequently develop posttraumatic stress disorder (PTSD) or other mental health conditions may need to take time off of work and use the workers compensation system. Very little is known about the experiences of PSP making this type of claim in Ontario to the Workplace Safety and Insurance Board (WSIB), or which healthcare professionals (HCP) PSP access as part of the treatment and return to work (RTW) process. This study captures the experiences of Ontario PSP in their RTW journeys, including with employers, WSIB, and HCPs.
A survey-based study was conducted, using email and social media platforms to distribute the survey to PSP across Ontario. Quantitative data were summarized using means and frequencies, and open text results were analyzed using qualitative framework analysis.
145 survey respondents met the inclusion criteria for the study. On a scale out of 5, PSP rated their experience with WSIB and employer support as poor on their first RTW attempt with an average rating of 2.93 and 2.46 respectively. The top three HCPs accessed by PSP were psychologists (61%), occupational therapists (OT; 60%) and general practitioners (GP; 44%). Respondents identified the cultural competence of HCPs in understanding their work demands and work culture as very important.
To improve RTW experiences for PSP who make a workers compensation claim for a psychological injury, an increase in HCP cultural competence related to PSP work is indicated, as well as improved RTW processes and workplace support.
公共安全人员(PSP)从事的工作使他们面临比公众更大的心理伤害风险。随后患上创伤后应激障碍(PTSD)或其他心理健康问题的 PSP 可能需要休假并使用工人赔偿系统。对于安大略省 PSP 向工作场所安全与保险委员会(WSIB)提出此类索赔的经历,以及 PSP 在治疗和重返工作(RTW)过程中会接触到哪些医疗保健专业人员(HCP),知之甚少。本研究记录了安大略省 PSP 在其 RTW 旅程中的经历,包括与雇主、WSIB 和 HCP 的互动。
采用基于调查的研究方法,通过电子邮件和社交媒体平台向安大略省的 PSP 分发调查。使用均值和频率对定量数据进行总结,对开放文本结果采用定性框架分析进行分析。
145 名符合研究纳入标准的调查受访者。在 5 分制的评分中, PSP 在首次 RTW 尝试时,对 WSIB 和雇主支持的体验评分较差,平均评分为 2.93 和 2.46。 PSP 接触最多的前三名 HCP 是心理学家(61%)、职业治疗师(OT;60%)和全科医生(GP;44%)。受访者认为 HCP 理解其工作要求和工作文化的文化能力非常重要。
为了改善因心理伤害而提出工人赔偿索赔的 PSP 的 RTW 体验,需要提高 HCP 与 PSP 工作相关的文化能力,并改善 RTW 流程和工作场所支持。