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Journal of Occupational Rehabilitation
Published in: Journal of Occupational Rehabilitation 1/2024

Open Access 21-09-2023

Return-to-Work Experiences in Ontario Policing: Injured But Not Broken

Authors: D. Van Eerd, M. Le Pouésard, B. Yanar, E. Irvin, M. A. M. Gignac, A. Jetha, T. Morose, E. Tompa

Published in: Journal of Occupational Rehabilitation | Issue 1/2024

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Abstract

Purpose

Police officers and others working in police services are exposed to challenging and traumatic situations that can result in physical and/or psychological injuries requiring time off work. Safely returning to work post-injury is critical, yet little is known about current return-to-work (RTW) practices in police services. This study examines RTW practices and experiences in police services from the perspective of RTW personnel and workers with physical and/or psychological health conditions.

Methods

We used a purposive sampling approach to recruit sworn and civilian members from several police services in Ontario, Canada. The recruited members had experienced RTW either as a person in a RTW support role or as a worker with a work-related injury/illness. We conducted and transcribed interviews for analysis and used qualitative research methods to identify themes in the data.

Results

Five overarching themes emerged. Two pointed to the context and culture of police services and included matters related to RTW processes, injury/illness complexity, the hierarchical nature of police organizations, and a culture of stoicism and stigma. The remaining three themes pointed to the RTW processes of accommodation, communication and trust-building. They included issues related to recovery from injury/illness, meaningful accommodation, timely and clear communication, malingering and trust.

Conclusions

Our findings point to potential areas for improving RTW practices in police services: greater flexibility, more clarity, stricter confidentiality and reduced stigma. More research is needed on RTW practices for managing psychological injuries to help inform policy and practice.
Appendix
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Literature
1.
Gray SE, Collie A. The nature and burden of occupational injury among first responder occupations: a retrospective cohort study in Australian workers. Injury. 2017;48(11):2470–2477.PubMedCrossRef
2.
Lyons K, Radburn C, Orr R, et al. A profile of injuries sustained by law enforcement officers: a critical review. Int J Environ Res Public Health. 2017;14(2):142.PubMedPubMedCentralCrossRef
3.
Van Eerd D, Irvin E, Harbin S, et al. Occupational exposure and post-traumatic stress disorder: a rapid review. Work. 2021;68(3):721–731.PubMedCrossRef
4.
Violanti JM, Fekedulegn D, Hartley TA, et al. Police work absence: an analysis of stress and resiliency. J Law Enforc Leadersh Ethics. 2014;1(1):49–67.PubMedPubMedCentral
5.
West C, Fekedulegn D, Andrew M, et al. On-duty nonfatal injury that lead to work absences among police officers and level of perceived stress. J Occup Environ Med. 2017;59(11):1084–1088.PubMedPubMedCentralCrossRef
6.
7.
Carleton RN, Afifi TO, Turner S, et al. Mental disorder symptoms among public safety personnel in Canada. Can J Psychiatr. 2018;63(1):54–64.CrossRef
8.
Di Nota PM, Kasurak E, Bahji A, et al. Coping among public safety personnel: a systematic review and meta-analysis. Stress Health. 2021;37(4):613–630.PubMedPubMedCentralCrossRef
9.
Ricciardelli R, Carleton RN, Mooney T, et al. “Playing the system”: structural factors potentiating mental health stigma, challenging awareness, and creating barriers to care for Canadian public safety personnel. Health (London, England: 1997). 2020;24(3):259–278.PubMedCrossRef
10.
Jones C, Bright K, Smith-MacDonald L, et al. Peers supporting reintegration after occupational stress injuries: a qualitative analysis of a workplace reintegration facilitator training program developed by municipal police for public safety personnel. Police J. 2022;95(1):152–169.CrossRef
11.
Klose G, Mooney C, McLeod D. Re-integration: a new standard in first responder peer support. J Commun Saf Well-Being. 2017;2(2):55–57.CrossRef
12.
Poirier S, Allard-Gaudreau N, Gendron P, et al. Health, safety, and wellness concerns among law enforcement officers: an inductive approach. Workplace Health Saf. 2023;71(1):34–42.PubMedCrossRef
13.
Martin M, Marchand A, Boyer R. Traumatic events in the workplace: impact on psychopathology and healthcare use of police officers. Int J Emerg Ment Health. 2009;11(3):165–176.PubMed
14.
Berger W, Coutinho ES, Figueira I, et al. Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Soc Psychiatr Psychiatr Epidemiol. 2012;47(6):1001–1011.CrossRef
15.
Maguen S, Metzler TJ, McCaslin SE, et al. Routine work environment stress and PTSD symptoms in police officers. J Nerv Ment Dis. 2009;197(10):754–760.PubMedPubMedCentralCrossRef
16.
Ménard KS, Arter ML. Stress, coping, alcohol use, and posttraumatic stress disorder among an international sample of police officers: does gender matter? Police Q. 2014;17(4):307–327.CrossRef
17.
Mumford EA, Taylor BG, Kubu B. Law enforcement officer safety and wellness. Police Q. 2015;18(2):111–133.CrossRef
18.
19.
Plat MC, Westerveld GJ, Hutter RC, et al. Return to work: police personnel and PTSD. Work. 2013;46(1):107–111.PubMedCrossRef
20.
Franche RL, Cullen K, Clarke J, et al. Workplace-based return-to-work interventions: a systematic review of the quantitative literature. J Occup Rehabil. 2005;15(4):607–631.PubMedCrossRef
21.
Furlan AD, Gnam WH, Carnide N, et al. Systematic review of intervention practices for depression in the workplace. J Occup Rehabil. 2012;22(3):312–321.PubMedCrossRef
22.
Iles RA, Davidson M, Taylor NF. Psychosocial predictors of failure to return to work in non-chronic non-specific low back pain: a systematic review. Occup Environ Med. 2008;65(8):507–517.PubMedCrossRef
23.
Laisné F, Lecomte C, Corbière M. Biopsychosocial predictors of prognosis in musculoskeletal disorders: a systematic review of the literature. Disabil Rehabil. 2012;34(5):355–382.PubMedCrossRef
24.
Mikkelsen MB, Rosholm M. Systematic review and meta-analysis of interventions aimed at enhancing return to work for sick-listed workers with common mental disorders, stress-related disorders, somatoform disorders and personality disorders. Occup Environ Med. 2018;75(9):675–686.PubMedCrossRef
25.
Nieuwenhuijsen K, Faber B, Verbeek JH, et al. Interventions to improve return to work in depressed people. Cochrane Database Syst Rev. 2014;12:cd006237.
26.
Nigatu YT, Liu Y, Uppal M, et al. Prognostic factors for return to work of employees with common mental disorders: a meta-analysis of cohort studies. Soc Psychiatr Psychiatr Epidemiol. 2017;52(10):1205–1215.CrossRef
27.
Pomaki G, Franche RL, Murray E, et al. Workplace-based work disability prevention interventions for workers with common mental health conditions: a review of the literature. J Occup Rehabil. 2012;22(2):182–195.PubMedCrossRef
28.
van Vilsteren M, van Oostrom SH, de Vet HC, et al. Workplace interventions to prevent work disability in workers on sick leave. Cochrane Database Syst Rev. 2015;2015(10):cd006955.PubMedPubMedCentral
29.
Vargas-Prada S, Demou E, Lalloo D, et al. Effectiveness of very early workplace interventions to reduce sickness absence: a systematic review of the literature and meta-analysis. Scand J Work Environ Health. 2016;42(4):261–272.PubMedCrossRef
30.
Vogel N, Schandelmaier S, Zumbrunn T, et al. Return-to-work coordination programmes for improving return to work in workers on sick leave. Cochrane Database Syst Rev. 2017;3(3):cd011618.PubMed
31.
Andersen MF, Nielsen KM, Brinkmann S. Meta-synthesis of qualitative research on return to work among employees with common mental disorders. Scand J Work Environ Health. 2012;38(2):93–104.PubMedCrossRef
32.
White MI, Wagner SL, Schultz IZ, et al. Non-modifiable worker and workplace risk factors contributing to workplace absence: a stakeholder-centred synthesis of systematic reviews. Work. 2015;52(2):353–373.PubMedCrossRef
33.
Black O, Keegel T, Sim MR, et al. The effect of self-efficacy on return-to-work outcomes for workers with psychological or upper-body musculoskeletal injuries: a review of the literature. J Occup Rehabil. 2018;28(1):16–27.PubMedCrossRef
34.
de Vries H, Fishta A, Weikert B, et al. Determinants of sickness absence and return to work among employees with common mental disorders: a scoping review. J Occup Rehabil. 2018;28(3):393–417.PubMedCrossRef
35.
Ervasti J, Joensuu M, Pentti J, et al. Prognostic factors for return to work after depression-related work disability: a systematic review and meta-analysis. J Psychiatr Res. 2017;95:28–36.PubMedCrossRef
36.
Kärkkäinen R, Saaranen T, Hiltunen S, et al. Systematic review: factors associated with return to work in burnout. Occup Med. 2017;67(6):461–468.CrossRef
37.
Lagerveld SE, Bültmann U, Franche RL, et al. Factors associated with work participation and work functioning in depressed workers: a systematic review. J Occup Rehabil. 2010;20(3):275–292.PubMedPubMedCentralCrossRef
38.
Edgelow M, Lewis M, Toope M, et al. Environmental scan of return to work programs for trauma-related mental health conditions. Occup Ther Ment Health. 2021;37(3):264–277.CrossRef
39.
Sutton A, Polaschek DL. Evaluating return-to-work programmes after critical incidents: a review of the evidence. J Police Crim Psychol. 2022;37(3):726–735.CrossRef
40.
41.
Ozegovic D, Carroll LJ, Cassidy JD. What influences positive return to work expectation? Examining associated factors in a population-based cohort of whiplash-associated disorders. Spine. 2010;35(15):E708-713.PubMedCrossRef
42.
43.
MacEachen E, Clarke J, Franche RL, et al. Systematic review of the qualitative literature on return to work after injury. Scand J Work Environ Health. 2006;32(4):257–269.PubMedCrossRef
44.
Bohatko-Naismith J, James C, Guest M, et al. The role of the Australian workplace return to work coordinator: essential qualities and attributes. J Occup Rehabil. 2015;25(1):65–73.PubMedCrossRef
45.
Dunstan DA, MacEachen E. Bearing the brunt: co-workers’ experiences of work reintegration processes. J Occup Rehabil. 2013;23(1):44–54.PubMedCrossRef
46.
Friesen MN, Yassi A, Cooper J. Return-to-work: the importance of human interactions and organizational structures. Work. 2001;17(1):11–22.PubMed
47.
Gensby U, Husted M. Inclusion through action: a participatory approach to return-to-work policy change processes in organisations. Int J Disabil Manag. 2013;8:e4.CrossRef
48.
Hoefsmit N, Houkes I, Nijhuis F. Environmental and personal factors that support early return-to-work: a qualitative study using the ICF as a framework. Work. 2014;48(2):203–215.PubMedCrossRef
49.
Kosny A, Brijnath B, Singh N, et al. Uncomfortable bedfellows: employer perspectives on general practitioners’ role in the return-to-work process. Policy Pract Health Saf. 2015;13(1):65–76.CrossRef
50.
Kosny A, Lifshen M, Pugliese D, et al. Buddies in bad times? the role of co-workers after a work-related injury. J Occup Rehabil. 2013;23(3):438–449.PubMedCrossRef
51.
Lysaght RM, Larmour-Trode S. An exploration of social support as a factor in the return-to-work process. Work. 2008;30(3):255–266.PubMed
52.
Nordqvist C, Holmqvist C, Alexanderson K. Views of laypersons on the role employers play in return to work when sick-listed. J Occup Rehabil. 2003;13(1):11–20.PubMedCrossRef
53.
Stochkendahl MJ, Myburgh C, Young AE, et al. Manager experiences with the return to work process in a large, publically funded, hospital setting: walking a fine line. J Occup Rehabil. 2015;25(4):752–762.PubMedCrossRef
54.
55.
Cullen KL, Irvin E, Collie A, et al. Effectiveness of workplace interventions in return-to-work for musculoskeletal, pain-related and mental health conditions: an update of the evidence and messages for practitioners. J Occup Rehabil. 2018;28(1):1–15.PubMedCrossRef
56.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
57.
Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qual Res Psychol. 2021;18(3):328–352.CrossRef
58.
Guest G, MacQueen KM, Namey EE. Applied thematic analysis. Los Angeles: Sage Publication; 2012.CrossRef
59.
Keown K, Van Eerd D, Irvin E. Stakeholder engagement opportunities in systematic reviews: knowledge transfer for policy and practice. J Contin Educ Health Prof. 2008;28(2):67–72.PubMedCrossRef
60.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–357.PubMedCrossRef
61.
Eakin JM, MacEachen E, Clarke J. ‘Playing it smart’with return to work: small workplace experience under Ontario’s policy of self-reliance and early return. Policy Pract Health Saf. 2003;1(2):19–41.CrossRef
62.
Corbière M, Mazaniello-Chézol M, Bastien MF, et al. Stakeholders’ role and actions in the return-to-work process of workers on sick-leave due to common mental disorders: a scoping review. J Occup Rehabil. 2020;30(3):381–419.PubMedCrossRef
63.
Lemieux P, Durand MJ, Hong QN. Supervisors’ perception of the factors influencing the return to work of workers with common mental disorders. J Occup Rehabil. 2011;21(3):293–303.PubMedCrossRef
64.
Holmgren K, Dahlin IS. Supervisors’ views on employer responsibility in the return to work process. A focus group study. J Occup Rehabil. 2007;17(1):93–106.PubMedCrossRef
65.
Tjulin A, Maceachen E, Ekberg K. Exploring workplace actors experiences of the social organization of return-to-work. J Occup Rehabil. 2010;20(3):311–321.PubMedCrossRef
66.
Ladekjær Larsen E, Labriola M, Vinther Nielsen C, et al. Betwixt and between: workplace perspectives on work reintegration in the eldercare sector in Denmark. Disabil Rehabil. 2015;37(20):1839–1848.PubMedCrossRef
67.
Maiwald K, de Rijk A, Guzman J, et al. Evaluation of a workplace disability prevention intervention in Canada: examining differing perceptions of stakeholders. J Occup Rehabil. 2011;21(2):179–189.PubMedCrossRef
68.
Seing I, MacEachen E, Ståhl C, et al. Early-return-to-work in the context of an intensification of working life and changing employment relationships. J Occup Rehabil. 2015;25(1):74–85.PubMedCrossRef
69.
Jetha A, Le Pouésard M, Mustard C, et al. Getting the message right: evidence-based insights to improve organizational return-to-work communication practices. J Occup Rehabil. 2021;31(3):652–663.PubMedPubMedCentralCrossRef
70.
Wynne-Jones G, Buck R, Porteous C, et al. What happens to work if you’re unwell? Beliefs and attitudes of managers and employees with musculoskeletal pain in a public sector setting. J Occup Rehabil. 2011;21(1):31–42.PubMedCrossRef
71.
Metadata
Title
Return-to-Work Experiences in Ontario Policing: Injured But Not Broken
Authors
D. Van Eerd
M. Le Pouésard
B. Yanar
E. Irvin
M. A. M. Gignac
A. Jetha
T. Morose
E. Tompa
Publication date
21-09-2023
Publisher
Springer US
Published in
Journal of Occupational Rehabilitation / Issue 1/2024
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-023-10135-1

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