Evidence map›Paper›PMID 41062787›Full record

ArticleJournal of occupational rehabilitation2025

Return-to-Work Outcomes Following Mental Health Treatment Among Public Safety Personnel Disabled by Post-Traumatic Stress Disorder.

Cameron A Mustard, Kathleen G Dobson, Yu-Chun Chien, Walter P Wodchis, Peter M Smith

Abstract read
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Article in Journal of occupational rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cameron A MustardInstitute for Work & Health, Suite 1800 400 University Ave, Toronto, M5G 1S5, Canada. cmustard@iwh.on.ca.ORCID http://orcid.org/0000-0002-0747-8870
Kathleen G DobsonInstitute for Work & Health, Suite 1800 400 University Ave, Toronto, M5G 1S5, Canada.ORCID http://orcid.org/0000-0003-4504-0148
Yu-Chun ChienInstitute for Work & Health, Suite 1800 400 University Ave, Toronto, M5G 1S5, Canada.
Walter P WodchisDalla Lana School of Public Health, University of Toronto, Toronto, Canada.ORCID http://orcid.org/0000-0003-2494-7031
Peter M SmithInstitute for Work & Health, Suite 1800 400 University Ave, Toronto, M5G 1S5, Canada.ORCID http://orcid.org/0000-0001-8286-4563

Funding

Workplace Safety and Insurance Board MUST2022
6 · The paper itself

Abstract

objectiveTo evaluate the influence of a mental health treatment program for public safety personnel (PSP) disabled by post-traumatic stress disorder (PTSD) on return-to-work outcomes.

methodsA mental health treatment program established exclusively for PSPs disabled by work-related PTSD received 582 referrals over the period November 2021 to June 2023. Return-to-work outcomes were defined as the cessation of workers' compensation wage replacement benefits over an 18-36 month period following referral. Outcomes among the referral cohort were compared to PSPs not referred to treatment who also had an accepted workers' compensation claim for PTSD. Referrals were matched to non-referrals on age, sex, occupation and date of injury.

resultsAmong the 472 referrals to the treatment program eligible for inclusion in the study, 54.4% initiated treatment. There was no difference in return-to-work outcomes over the follow-up period between the referrals who initiated treatment (29.9%) and the 215 referrals not initiating treatment (32.5%, p = 0.612). In contrast, return-to-work outcomes were more positive among the matched non-referral comparison group (41.9%, p < 0.001, all referrals vs the matched non-referral comparison group).

conclusionIn this large cohort of PSPs disabled by PTSD, there was no evidence of a positive treatment effect on return-to-work outcomes. The prognosis for return-to-work among public safety personnel with long durations of recovery from PTSD is poor. The implications of this study point to the importance of the development and testing of novel evidence-based treatments and opportunities to support employers' commitment and capacity to provide suitable accommodation as strategies to improve return-to-work outcomes among public safety personnel disabled by PTSD.

Indexed as

Occupational HealthRehabilitationReturn-to-WorkWorker’s Compensation

Identifiers

PMID41062787

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.