Table 2 Brief overview of the WMR program
Module | Time | Setting | Professions | Content |
|---|---|---|---|---|
Additional work-related diagnostics | During admission to rehabilitation Total: at least 60 minutes Medical assessment: 15 minutes Psychological assessment: 15 minutes Test of functional capacity and performance: 30 minutes | Personal interaction with the patient | Physician Psychologist, psychotherapist Occupational therapist, physiotherapist | Assessment of work functioning and its restrictions related to body functions and structures as well as activities and participation Assessment of environmental and personal factors that impact work functioning positively as resources and skills or negatively as barriers Use of structured patient interviews and/or standardized assessment instruments as well as standardized tests of functional capacity evaluation, structured observations of non-standardized job tasks |
Multi-professional team meetings | After admission During the course of rehabilitation Before discharge | N/A | All professions associated with the WMR program | Individual case conference for each patient After admission: results of the work-related diagnostics, joint development of a treatment plan During the course of rehabilitation: development of the patient, adjustment of the treatment plan if needed Before discharge: evaluation of rehabilitation outcomes, return-to-work prognosis, additional measures to support return to work if needed |
Introductory session | After admission | Presentation in front of all WMR patients | Physician | Description of the aims of WMR, explanation of the program structure and each module, introduction of the rehabilitation team Inform, motivate and prepare the patient for the subsequent program Establish treatment collaboration |
Work-related functional capacity training | At least 360 minutes | Training in small groups or personal training | Occupational therapist, physiotherapist | Complex and multidimensional tasks to simulate realistic work-related demands and situations Integrated ergonomic and cognitive training |
Work-related psychological groups | At least 240 minutes | Seminars with small groups | Psychologist, psychotherapist | Seminars focusing on work-related stress and coping, work-related social competencies in communication, and planning the concrete return to work |
Intensified social counseling | At least 90 minutes: 60 minutes seminars 30 minutes personal counseling | Seminars with small groups or personal counseling | Social worker | Clarification of the problematic work-related situations and perspectives, information and consultation on social law-related topics as well as measures and benefits to support return to work, establish contact with employer and request further measures and benefits from the social or health services agencies if needed |