Proactive Occupational Health Services (POHS) is a division of Proactive Wellness and Prevention that offers numerous programs to assist clients for a safe and successful return to work. The POHS team consists of Occupational Therapists, Physiotherapists, and Kinesiologists that work together to develop individual programs and return to work plans.
POHS takes pride in providing care to clients who have been involved in motor vehicle or workplace accidents from initial injury until return to work. The POHS team works closely with our other Physiotherapists and Massage therapists to transition our clients from a passive therapy approach to more of an active based therapy approach to help clients regain pre injury function and ability. We do this through a variety of programs:
Clinic Based Occupational Rehabilitation Program (CBOR)
The CBOR program is an exercise-based program,which focuses on strengthening an injury in a gym setting under the supervision of a qualified therapist. Programs are active based and consist of stretches and strengthening exercises with attendance typically two to three times per week. The goal of the cbor program is to improve clients’ functional abilities to a pre-injury status. When applicable the goal may be to prepare an individual for return to work. A baseline functional assessment takes place at the start and end of the program.
Work Site Occupational Rehabilitation (WSOR)
The WSOR program, or Return to Work program, focuses on assisting individuals with the return to work process. A baseline functional assessment will be completed and a progressive return to work plan will be developed and monitored to ensure the person returns to work within their safe functional abilities.
Functional Capacity Evaluation (FCE)
A FCE is a functional assessment that assists to determine an
individual’s overall functional capabilities and restrictions. A FCE will determine if an individual is capable of work in any capacity and provide rehabilitation recommendations as required. The FCE will assess overall body movements and function (not injury specific). A FCE is beneficial for multiple injuries, barriers to return to work or pre-injury status, and if non-compensable issues are present.
Functional Assessment (FA)
A FA is an injury specific functional assessment. An FA will determine if an individual is capable of work in any capacity and provide rehabilitation recommendations as required. The difference between a FCE and FA is the FCE will assess overall body function and movement (in addition to the injured body part) and the FA will only assess the injured aspect of the body to determine functional abilities.
Job Site Analysis (JSA)
A JSA is an objective assessment in which the OT will go to an individual’s workplace and assess the functional abilities of each job demand. A JSA is beneficial to determine if an individual is safe and suitable to return to the physical demands of a job.
Workstation Review (WSR)
A WSR is a workplace evaluation consists of the OT going to the workplace to review individuals’ ergonomic workstation setup. Ergonomic equipment and correct ergonomic postures and the benefits of stretching are covered.
Another important program that our POHS staff offer is the PGAP program:
The Progressive Goal Attainment Program (PGAP)
- An evidence-based treatment program for reducing disability associated with pain, depression, cancer, and other chronic health conditions
Each year, hundreds of thousands of people become disabled due to injury or illness. Whether addressed in relation to personal, social or health care costs, chronic disability remains one of the most expensive health problems facing modern society. PGAP® was designed to prevent or reduce the severity of disability that can arise following injury or illness.
Reducing Psychosocial Barriers to Rehabilitation Progress
The primary goals of PGAP are to reduce psychosocial barriers to rehabilitation progress, promote re-integration into life-role activities, increase quality of life, and facilitate return-to-work. These goals are achieved through targeted treatment of psychosocial risk factors, structured activity scheduling, graded-activity involvement, goal-setting, problem-solving, and motivational enhancement.
The Process of Treatment
In the initial weeks of the Program, the focus is on developing a structured activity schedule to assist the client in resuming activities that have been adversely impacted by injury or illness. Activity goals are established in order to promote resumption of family, social and occupational roles. Intervention techniques are invoked to target specific obstacles to rehabilitation progress (e.g. fear of symptom exacerbation, catastrophic thinking, perceived injustice and disability beliefs). In the final stages of the program, the intervention focuses on activities that will facilitate re-integration into the workplace.
What is Unique about PGAP
The PGAP program is the first disability prevention program specifically designed to target psychological risk factors for disability. Psychosocial factors were chosen as targets of the intervention on the basis of emerging research supporting their relevance to return-to-work outcomes and their amenability to change through intervention. PGAP is a life-role re-integration program that has been tailored to meet the rehabilitation need of individuals who are struggling to overcome the challenges associated with a wide range of debilitating health and mental health conditions. PGAP is a standardized community-based intervention delivered by our occupational therapists.
Essential Features of PGAP
An initial screening determines whether a client is a suitable candidate for PGAP. During the first session of PGAP, clients are invited to view one of four PGAP information videos. Different videos have been developed to address factors specific to different disabling conditions. Clients are also provided with a copy of the PGAP Client Workbook which serves to maximize fidelity to treatment protocol.
Impact of PGAP
PGAP has produced positive results for individuals suffering from musculoskeletal conditions, depression, cancer, and other debilitating health conditions. Recent clinical trials have supported the use of PGAP as a cost effective intervention for reducing disability associated with persistent pain. Ongoing clinical trials are assessing the efficacy of PGAP for the management of disability associated with depression and in cancer survivors. One study showed that in PGAP increased the probability of return to work following whiplash injury by more than 50% (Physical Therapy, Vol 86, Jan 2006). Findings to date, suggest that PGAP can be a cost-effective means of improving function and facilitating return to work in individuals at risk for prolonged disability