Canadian HR Reporter

February 2020 CAN

Canadian HR Reporter is the national journal of human resource management. It features the latest workplace news, HR best practices, employment law commentary and tools and tips for employers to get the most out of their workforce.

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12 N E W S What's causing the bottleneck in disability management? When it comes to disability management and return to work, communication is crucial. But often there are bottlenecks, and a new study cites case managers and front- line supervisors as big factors, finds Sarah Dobson WHILE it's long been known that communication is a crucial piece of the disability management puzzle, a new study pinpoints a big reason for any bottlenecks: disability case managers and front-line supervisors. Information gaps around these two roles can create ripple effects through the entire organizational work disability management system, say researchers from the Institute for Work "[It's about] focusing in on the positive aspects of what can this injured or ill person do to facilitate that return to work, in what's called a graduated return-to-work plan under modified duties or modified hours." Mental health conditions are also a challenge, as case managers were less comfortable dealing with these kinds of disabilities, says the IWH study "Work Disability Management Communication Bottlenecks Within Large and Complex Public Service Organizations: A Sociotechnical Systems Study" in the Journal of Occupational Rehabilitation. Front-line supervisors 'unprepared' As for the front-line supervisors, they were sometimes unaware of disability management policies and unprepared to engage with injured workers in these types of conversations, says Jetha. "There was a lack of exposure on the supervisor side in terms of what types & Health (IWH). In conducting interviews with 30 workers at three large municipal public services in Ontario, they found bottlenecks between the three core stakeholders: the disability management professionals, the frontline supervisors and the worker. "Oftentimes, a breakdown could have a trickle-down effect where things would then be inflated and maybe not gain the right amount [of ] information at one point in time [which] could result in what we call avoidable disability days… And that could result in a delay and access to care, access to accommodation planning, access to their conversations occurring at the right amount of time, so that things just move smoothly," says Arif Jetha, an IWH scientist and lead author of the study. Case manager challenges One challenge is case managers face barriers in their interactions with health-care providers, long-term disability insurers and workers' compensation representatives, such as the limitation forms or being out of the loop in certain interactions. Case managers also spoke of the challenges of navigating collective agreements and privacy legislation. "There's only certain amounts of information that are available for disability managers to use and incorporate into the return-to-work plan. While that's important for the worker because their rights and their information is protected, it creates a challenge obviously for someone who is trying to create accommodations and create … a plan to get someone back into their pre-job," says Jetha. Some organizations are clamouring to get that sort of information even though they don't need it, says Tyler Amell, chief relationship officer and chief medical officer at CoreHealth in Calgary. "[It's about] focusing in on the positive aspects of what can this injured or ill person do to facilitate that return to work." Tyler Amell, chief medical officer at CoreHealth ACCOMMODATION AT WORK More than one in three employees with disabilities required at least one accommodation to work. The most common type of accommodation is flexible work arrangements. The second most common type is workstation modification. Of those requiring accommodation, 59% had their needs met. of questions to ask, the sensitivity toward [workers], not understanding how to approach those types of conversations and then on the disability management in trying to co-ordinate everyone to plan." Some supervisors were very proactive and knew how to be empathetic and supportive, he says. "Others didn't really know the purpose of the program, were maybe less effective, maybe didn't realize that the words that they were using might have a negative impact on an injured worker's perceptions." Relying on supervisors doesn't really make sense because they haven't been trained in work disability management, Source: Statistics Canada

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