Churn and Burn in Rehab

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I conducted an (informal) experiment recently, and I want to share the results with you. Let's talk about churn and burn in our industry. You might be aware of the Life Insurance Training we offer for Rehabilitation Professionals. We've trained well over a hundred people at this point - and it was time to follow up with attendees to ask if they'd like to attend our advanced training being held later this year. I received A LOT of bounceback emails. Nearly 15% of the people who attended our … [Read more...]

10 Myths About Rehab and Return to Work

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I wonder if you are like me and have an ever-growing list of the types of myths that clients and customers of Occupational or Workplace-based rehabilitation services tend to arrive with. I do understand that we live in a day and age where we are encouraged to do more with less and where effectiveness trumps efficiency – however there are some MYTHS that keep turning up that need to be busted. So I asked Team Purple Co what they heard as common Myths that they need to bust on a frequent … [Read more...]

Overcoming Objections in Rehab: Let’s Try Something Different…

For any client, there are countless reasons why work is "not a good idea". Every client has their own objections about getting back into work, but the thing is, these barriers might not be the same as the barriers that they readily talk to us about. For example, we might be working with a client up to a point where we feel like their work capacity is in order, their psychosocial functioning is going well, and we know the physical and psychological demands of a given job are appropriate.... … [Read more...]

Case Study: Why Working at Purple Co is GOOD For Your Health

To wrap up the series on the health benefits of work, I think it's time for us to explore how our own work environments impact our health as consultants. After all, how can we expect our clients to see work as good when we don't think so ourselves? So... it's time to bring out a guinea pig for this case study: Purple Co! We have worked really hard at Purple Co to create a work environment that supports the health and wellbeing of our team. But - we do it differently. Most health and … [Read more...]

Rehab: Why Are We Offering Transaction but Asking for Transformation?

There is always a lot of discussion around how we help people who have experienced a health event in their lives recover, rehabilitate and return to work (RTW). There are some common themes that arise whenever I read social media thread, a blog post or when I speak at conferences…. and that is: how do we motivate people to want to participate? Motivating our clients is somewhat easier when you have a big stick you can “motivate” them with. The threat of losing one’s financial security if one … [Read more...]

When Your Rehab Client Says, “I’m Out”

"I don't want to participate anymore." Have you heard this from a client before? What happens when our assumptions as rehabilitation professionals don’t align with the realities of our clients? You have spent time reading through a client’s file, developing rapport, taking a lot of notes, gaining an understanding of their condition, you research the evidence-based functional expectations of their recovery process, and in your mind you’ve started mapping out the process for recovery and … [Read more...]

What Our Clients Are Really Afraid of

Fear. This word has come up for me a lot lately in my work as a Rehabilitation Consultant. So many of our clients are driven by fear. Fear of failure. Fear of loss. Fear of judgement, of exile, of never being the same as they used to be before they got sick. Being able to identify fear in our clients is important. But identifying what's really driving that fear... Well, it takes time. It takes more questions. And it requires an understanding of what makes us behave the way we do. So … [Read more...]

Dear Dr Google

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Continuing on the topic of medical information, opinion, and recovery, I want to talk about the medical information our clients get from a different kind of doctor. Dr. Google. Our clients are more informed and curious than ever before. Millions of resources about their condition or illness are available with one quick internet search. How many of us have worked with a client (or several) who bring their own research to meetings with us? How do you approach this? I'd argue that the … [Read more...]

Why Medical Certification of Capacity Rarely Leads to Change

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In last week's post I wrote about how uncertainty around change (and an absence of planning for change) makes many of our clients feel stuck. Stuck in their injury, illness or disability and worried that this is how it's always going to be. I want to explore how we still chase down medical certification as a way of bringing about change and helping our clients improve their function. Do you ever wonder why it rarely works? Why do many of our clients with a certified capacity for work … [Read more...]

Why Flare-Up Management is Crucial for Good Rehab

In my series of posts on the evolution of rehab, I explored how various approaches lead to very different outcomes for our clients. In particular, in my 20 years' experience, prescriptive rehab that focuses on very rapid outcomes tends to have higher rates of recidivism. Obviously, this is no good for anyone involved. Poor flare-up management is at the core of this problem. The illnesses that our clients present with are now more chronic in nature, often with a natural pattern of … [Read more...]




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