PT  - JOURNAL ARTICLE
AU  - Kelvin Choi
AU  - Esther T Maas
AU  - Mieke Koehoorn
AU  - Christopher B McLeod
TI  - Time to return to work following workplace violence among direct healthcare and social workers
AID  - 10.1136/oemed-2019-106211
DP  - 2020 Mar 01
TA  - Occupational and Environmental Medicine
PG  - 160--167
VI  - 77
IP  - 3
4099  - http://oem.bmj.com/content/77/3/160.short
4100  - http://oem.bmj.com/content/77/3/160.full
SO  - Occup Environ Med2020 Mar 01; 77
AB  - Objectives This study examined time to return-to-work (RTW) among direct healthcare and social workers with violence-related incidents compared with these workers with non-violence-related incidents in British Columbia, Canada.Methods Accepted workers’ compensation lost-time claims were extracted between 2010 and 2014. Workers with violence-related incidents and with non-violence-related incidents were matched using coarsened exact matching (n=5762). The outcome was days until RTW within 1 year after the first day of time loss, estimated with Cox regression using piecewise models, stratified by injury type, occupation, care setting and shift type.Results Workers with violence-related incidents, compared with workers with non-violence-related incidents, were more likely to RTW within 30 days postinjury, less likely within 61–180 days, and were no different after 181 days. Workers with psychological injuries resulting from a violence-related incident had a lower likelihood to RTW during the year postinjury (HR 0.61, 95% CI 0.43 to 0.86). Workers with violence-related incidents in counselling and social work occupations were less likely to RTW within 90 days postinjury (HR 31–60 days: 0.67, 95% CI 0.48 to 0.95 and HR 61–90 days: 0.46, 95% CI 0.30 to 0.69). Workers with violence-related incidents in long-term care and residential social services were less likely to RTW within 91–180 days postinjury.Conclusions Workers with psychological injuries, and those in counselling and social work occupations and in long-term care and residential social services, took longer to RTW following a violence-related incident than workers with non-violence-related incidents. Future research should focus on identifying risk factors to reduce the burden of violence and facilitate RTW.