abstract: 'Rates of return to work (RTW) after burn injury vary. A 2012 systematic

  review of the burn literature reported that nearly 28\% of all adult

  burn survivors never return to any form of employment. These authors

  called for interventions designed to assist survivors'' ability to

  function in an employed capacity. In 2010, our burn center outpatient

  clinic instituted an intervention aimed to return injured workers to

  employment within 90 days of their insurance claims. The interventions

  include patient/family education focused on recovery rather than

  disability, employer contact and education by the vocational

  rehabilitation (VR) counselor, physician recommendations for work

  accommodations, provision of employee status letters, and Activity

  Prescription Forms (APFs). The purpose of this study is to report on the

  effectiveness of these interventions. Following institutional review

  board (IRB) approval, medical records of adults with occupation-related

  burn injuries and receiving care at a single regional burn center from

  June 2010 to July 2015 were reviewed. Data on patient and injury

  characteristics and outpatient VR services provided were collected. The

  primary outcome of interest was the percentage of patients who RTW; 338

  individuals met study entry criteria. The VR counselor evaluated all

  patients. All patients received an employer letter(s) and APF

  documentation. Workplace accommodations were provided to more than 30\%

  of patients. RTW rate was 93\%, with an average of 24 days from injury

  to RTW. In an intervention bundle involving the patient, employer,

  Workers'' compensation, and the burn clinic staff, injured workers

  achieved a high rate of RTW. Although we cannot correlate individual

  bundle components to outcome, we postulate that the combination of

  employer/employee/insurer engagement and flexibility contributed to the

  success of this program.'
affiliation: 'Carrougher, GJ (Corresponding Author), Harborview Med Ctr, UW Med Reg
  Burn Ctr, Dept Surg, 325 9th Ave,Box 359796, Seattle, WA 98104 USA.

  Carrougher, Gretchen J.; Pham, Tam N.; Mandell, Samuel P.; Gibran, Nicole S., Univ
  Washington, Dept Surg, Seattle, WA 98195 USA.

  Brych, Sabina B., Univ Washington, Dept Burn \& Plast Surg, Outpatient Clin, Seattle,
  WA 98195 USA.'
author: Carrougher, Gretchen J. and Brych, Sabina B. and Pham, Tam N. and Mandell,
  Samuel P. and Gibran, Nicole S.
author-email: carrough@uw.edu
author_list:
- family: Carrougher
  given: Gretchen J.
- family: Brych
  given: Sabina B.
- family: Pham
  given: Tam N.
- family: Mandell
  given: Samuel P.
- family: Gibran
  given: Nicole S.
da: '2023-09-28'
doi: 10.1097/BCR.0000000000000410
eissn: 1559-0488
files: []
issn: 1559-047X
journal: JOURNAL OF BURN CARE \& RESEARCH
keywords-plus: QUALITY-OF-LIFE; FUNCTIONAL OUTCOMES; EMPLOYMENT; BARRIERS; HEALTH;
  LONG
language: English
month: JAN-FEB
number: '1'
number-of-cited-references: '31'
orcid-numbers: 'Mandell, Samuel/0000-0002-8426-4518

  '
pages: E70-E78
papis_id: 6f13f09ee443877608e3a2a2d3cebacd
ref: Carrougher2017interventionbundle
researcherid-numbers: 'Mandell, Samuel/JDC-6762-2023

  Mandell, Samuel/AAM-4647-2021'
times-cited: '16'
title: 'An Intervention Bundle to Facilitate Return to Work for Burn-Injured Workers:
  Report From a Burn Model System Investigation'
type: Article
unique-id: WOS:000391867500011
usage-count-last-180-days: '0'
usage-count-since-2013: '7'
volume: '38'
web-of-science-categories: Critical Care Medicine; Dermatology; Surgery
year: '2017'