Re-integration Therapy

Re-integration

The primary role of reintegration therapy is to assist first responder employees back to work who have experienced or witnessed critical incidents, including those in which they are the victim. As well as employees who are returning to work after long term absence due to a psychological or physical injury. The purpose of this therapy is to confront distressing fears and thoughts to alleviate anxieties around returning to work. These symptoms are of course different for everyone and each individual will have a plan tailored specifically to their needs.

The process begins with an assessment of the clients needs to determine what treatment may be required before reintegration can take place. With consent from the client the employer is engaged to determine their level of commitment to their employees recovery and return to work.

Prolonged Exposure (PE) Therapy is central to reintegration. Many times the individual requires a number of PE sessions before in vivo exposures can begin. Following initial imaginal exposure a number of in vivo exposures are organized with their employer, at the comfort level of the client. Employer participation may vary from being aware the in vivo exposures are taking place on the property or using company owned equipment to providing an employee to supervise the exposures. This is often the case when firearms are part of the clients trauma related symptoms. In these situations willing employers provide a qualified firearms instructor on the range with the client and the therapist.

Employers and WSIB are typically involved in reintegration and often require a registered psychologist to approve the employees return to work. With consent of the client, all his or her team can communicate openly regarding the employee/clients treatment options and plans. This includes the clients reintegration therapist, psychologist, psychiatrist, occupational therapist, case workers and the employer’s disability coordinator. This communication is vital to the clients success however it is also important for clients to know they control the pace and involvement of their employer at any time throughout the process. It is important to reiterate that the purpose of reintegration therapy is to prepare individuals to return to work at their own comfort level. Decisions made regarding permission to return to work is made by employers in conjunction with a registered psychologist. Recommendations about the clients progress can be made upon request from the employer with the permission of the client.

Upon a decision to return to work the employer is strongly encouraged to closely monitor work load issues and engage their employee with a trusted peer and/or wellness member who is familiar with the individuals history and triggers. Reintegration clients are also encouraged to maintain contact with their therapist or a supportive member of the mental health care community for follow up.