Case Management after Long-term Absence from Work in China: A Case Report

• Published in: Journal of occupational rehabilitation 2011-03, Vol.21 (Suppl 1), p.55-61
• Main Authors: Tang, Dan, Yu, Ignatius Tak Sun, Luo, Xiaoyuan, Liang, Youxin, He, Yonghua
• Format: Article
• Language: English
• Subjects: Adjustment; Burns; Burns - psychology; Burns - rehabilitation; Case Management; Case reports; China; Clinical Psychology; Communication; Disability; Disability Evaluation; Employment; Environmental Health; Follow-Up Studies; Group therapy; Health Psychology; Hospitals; Humans; Injuries; Injury Severity Score; Intervention; Interviews; Male; Medicine; Medicine & Public Health; Motivation; Occupational accidents; Occupational health; Occupational Medicine/Industrial Medicine; Occupational safety; Orthopedics; Patient Care Team; Professional-Patient Relations; Public health; Rehabilitation; Rehabilitation, Vocational; Skills; Time Factors; Vocational rehabilitation; Work Capacity Evaluation; Work-related injuries; Workers; Young Adult
• ISSN: 1053-0487; 1573-3688
• DOI: 10.1007/s10926-010-9280-2

Introduction Return-to-work (RTW) after occupational injuries is an important and challenging issue. Case managers are expected to play a vital role in successful RTW. In China, RTW intervention is in its early phase and requires further research and practice. Objectives This case report describes Mr. H’s RTW process for illustrating the work of a case management team in China. Suggestions on developing and optimizing the process in China are given. Methods After 9 years of absence from work due to severe burn injuries at work, Mr. H was referred for RTW interventions. Mr. H received social and occupational rehabilitation services of 3 months, and the following workplace visits and work trials. After the job placement, the case manager continued the liaison with the worker and employer. Results Mr. H showed positive changes in occupational and social adjustment after the case management interventions. This was reflected from the shift from the contemplation to action stage on the Lam Assessment of Stages of Employment Readiness. Despite he did not show significant changes on functional capacity and fear avoidance beliefs, Mr. H passed the job credential test and was offered a maintenance technician position at a new company. Both the worker and the employer were satisfied with the outcome of the case management. Conclusions The RTW interventions carried out by the case managers appeared to be effective within the Chinese system. The results suggested that professional training of case managers, RTW-related policies and technological standards, early integrated interventions should be further developed in China. Disability Adjustment Group Therapy and RTW Support Groups perhaps are useful approaches in workers’ returning to work.