A Conceptual Definition of Vocational Rehabilitation Based on the ICF: Building a Shared Global Model

Background The International Classification of Functioning, Disability and Health (ICF) is a conceptual framework and classification system by the World Health Organization (WHO) to understand functioning. The objective of this discussion paper is to offer a conceptual definition for vocational rehabilitation (VR) based on the ICF. Method We presented the ICF as a model for application in VR and the rationale for the integration of the ICF. We also briefly reviewed other work disability models. Results Five essential elements of foci were found towards a conceptual definition of VR: an engagement or re-engagement to work, along a work continuum, involved health conditions or events leading to work disability, patient-centered and evidence-based, and is multi-professional or multidisciplinary. Conclusions VR refers to a multi-professional approach that is provided to individuals of working age with health-related impairments, limitations, or restrictions with work functioning and whose primary aim is to optimize work participation. We propose that the ICF and VR interface be explored further using empirical and qualitative works and encouraging stakeholders’ participation.

[1]  R. Blonk,et al.  Factors Associated with Work Participation and Work Functioning in Depressed Workers: A Systematic Review , 2010, Journal of Occupational Rehabilitation.

[2]  Robert Gatchel,et al.  Improving Return to Work Research , 2005, Journal of Occupational Rehabilitation.

[3]  K. Hammell Deviating from the Norm: A Sceptical Interrogation of the Classificatory Practices of the ICF , 2004 .

[4]  D. Tate,et al.  WORKERS' DISABILITY AND RETURN TO WORK , 1992, American journal of physical medicine & rehabilitation.

[5]  J. Ekholm,et al.  Developing a Core Set to Describe Functioning in Vocational Rehabilitation Using The International Classification of Functioning, Disability, and Health (ICF) , 2010, Journal of Occupational Rehabilitation.

[6]  M. Corbière,et al.  How Well Do Return-to-work Interventions for Musculoskeletal Conditions Address the Multicausality of Work Disability? , 2008, Journal of Occupational Rehabilitation.

[7]  D. Knol,et al.  Multidisciplinary Rehabilitation for Subacute Low Back Pain: Graded Activity or Workplace Intervention or Both?: A Randomized Controlled Trial , 2007, Spine.

[8]  H. D. de Vet,et al.  Economic Evaluation of a Multi-Stage Return to Work Program for Workers on Sick-Leave Due to Low Back Pain , 2006, Journal of Occupational Rehabilitation.

[9]  K. McPherson,et al.  Approaches to Vocational Rehabilitation After Traumatic Brain Injury: A Review of the Evidence , 2009, The Journal of head trauma rehabilitation.

[10]  I. Schultz,et al.  Psychosocial factors predictive of occupational low back disability: towards development of a return-to-work model , 2004, Pain.

[11]  M. T. J. Buñuales,et al.  La clasificación internacional del funcionamiento de la discapacidad y de la salud (CIF) 2001 , 2002 .

[12]  R. Imrie Demystifying disability: a review of the International Classification of Functioning, Disability and Health. , 2004, Sociology of health & illness.

[13]  Renee M. Williams,et al.  Perspectives on workplace disability management: a review of the literature. , 2002, Work.

[14]  G Kielhofner,et al.  A model of human occupation, part 1. Conceptual framework and content. , 1980, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[15]  N. Krause,et al.  Readiness for Return to Work Following Injury or Illness: Conceptualizing the Interpersonal Impact of Health Care, Workplace, and Insurance Factors , 2002, Journal of Occupational Rehabilitation.

[16]  J. Malec,et al.  Prospective Randomized Controlled Trial of Resource Facilitation on Community Participation and Vocational Outcome Following Brain Injury , 2010, The Journal of head trauma rehabilitation.

[17]  J. Marrone,et al.  If Work Makes People with Mental Illness Sick, What Do Unemployment, Poverty, and Social Isolation Cause? , 1999 .

[18]  D. Knol,et al.  Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life , 2010, BMJ : British Medical Journal.

[19]  Mental health in the workplace: Using the ICF to model the prospective associations between symptoms, activities, participation and environmental factors , 2008, Disability and rehabilitation.

[20]  M. Feuerstein A multidisciplinary approach to the prevention, evaluation, and management of work disability , 1991, Journal of Occupational Rehabilitation.

[21]  Agnieszka Pedrycz,et al.  THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH - ICF , 2013 .

[22]  R. Gatchel,et al.  Rehabilitation of Injured Workers with Chronic Pain: A Stage of Change Phenomenon , 2007, Journal of Occupational Rehabilitation.

[23]  R Simard,et al.  Management of occupational back pain: the Sherbrooke model. Results of a pilot and feasibility study. , 1994, Occupational and environmental medicine.

[24]  A. Young Return to work following disabling occupational injury--facilitators of employment continuation. , 2010, Scandinavian journal of work, environment & health.

[25]  J. Verbeek How Can Doctors Help Their Patients to Return to Work? , 2006, PLoS medicine.

[26]  L. Boden Running on empty: families, time, and workplace injuries. , 2005, American journal of public health.

[27]  J. Kuoppala,et al.  Rehabilitation and work ability: a systematic literature review. , 2008, Journal of rehabilitation medicine.

[28]  A. Cieza,et al.  The International Classification of Functioning, Disability and Health (ICF): a unifying model for the conceptual description of the rehabilitation strategy. , 2007, Journal of rehabilitation medicine.

[29]  Exploring experiences of “participation” among individuals living with chronic pain , 2006, Scandinavian journal of occupational therapy.

[30]  Jonathan Stubbs,et al.  When considering vocational rehabilitation: describing and comparing the Swedish and American systems and professions. , 2005, Work.

[31]  J. Anema,et al.  Measuring Return to Work , 2007, Journal of Occupational Rehabilitation.

[32]  E. S. Rogers,et al.  Unique Issues in Assessing Work Function Among Individuals with Psychiatric Disabilities , 2001, Journal of Occupational Rehabilitation.

[33]  I. Schultz Disentangling the Disability Quagmire in Psychological Injury: Part 1—Disability and Return to Work: Theories, Methods, and Applications , 2008 .

[34]  David B. Peterson,et al.  International Classification of Functioning, Disability and Health: An Introduction for Rehabilitation Psychologists. , 2005 .

[35]  J. Sandqvist,et al.  Work functioning: a conceptual framework. , 2004, Work.

[36]  G. L. Engel The need for a new medical model: a challenge for biomedicine. , 2012, Psychodynamic psychiatry.

[37]  B. Kirsh,et al.  A Canadian model of work integration for persons with mental illnesses , 2010, Disability and rehabilitation.

[38]  Gary R Bond,et al.  Supported employment: evidence for an evidence-based practice. , 2004, Psychiatric rehabilitation journal.

[39]  M. Meade,et al.  The impact of Spinal Cord Injury on the employment of family caregivers , 2006 .

[40]  R. Oostendorp,et al.  The use of the ICF to describe work related factors influencing the health of employees , 2004, Disability and rehabilitation.

[41]  Johannes R. Anema,et al.  A Developmental Conceptualization of Return to Work , 2005, Journal of Occupational Rehabilitation.

[42]  C. Li-Tsang,et al.  Psychosocial Aspects of Injured Workers’ Returning to Work (RTW) in Hong Kong , 2007, Journal of Occupational Rehabilitation.

[43]  R. Parker Rehabilitation Counseling: Basics and Beyond , 1992 .

[44]  R. Gatchel,et al.  Models of Return to Work for Musculoskeletal Disorders , 2007, Journal of Occupational Rehabilitation.

[45]  J. Selander Unemployed sick-leavers and vocational rehabilitation : a person-level study based on a national social insurance material , 1999 .