Barriers to Return-to-Work for Linguistic Minorities in Ontario: An Analysis of Narratives from Appeal Decisions.

Purpose Previous research has shown that linguistic minorities have inferior workers' compensation experiences and outcomes; however little information exists on the structural barriers they face in relation to return-to-work (RTW). We sought to address this gap by describing barriers to RTW for lin...

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Publicado en:Journal of Occupational Rehabilitation Vol. 25; no. 2; pp. 357 - 368
Autor principal: Premji, Stephanie
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2015
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Barriers to Return-to-Work for Linguistic Minorities in Ontario: An Analysis of Narratives from Appeal Decisions.
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        au: Premji, Stephanie
        affil: Department of Health, Aging and Society, School of Labour Studies, McMaster University, 1280 Main Street West, Kenneth Taylor Hall, Room 701 Hamilton L8S 4M4 Canada
      sug:
        subj:
          Job Re-Entry
          Linguistic Minorities
          Ontario
          Worker's Compensation
          Communication Barriers
          Health Services Accessibility
          English as a Second Language
          Knowledge
          Job Description
          Prospective Studies
          Human
          Funding Source
      ab: Purpose Previous research has shown that linguistic minorities have inferior workers' compensation experiences and outcomes; however little information exists on the structural barriers they face in relation to return-to-work (RTW). We sought to address this gap by describing barriers to RTW for linguistic minorities in Ontario using narratives from appeal decisions. Methods We examined decisions by the Ontario Workplace Safety and Insurance Appeals Tribunal. We searched the full text of decisions rendered between October 1, 2010 and September 30, 2011 for the keyword 'English'. A total of 378 decisions were generated. After eliminating decisions that did not involve linguistic minorities we retained half (189) for analysis. We summarized the issues around language for each decision and identified broad themes across decisions. Results We found that linguistic minorities' limitations with regards to communication and power left them vulnerable to abuse, incomprehension and misperception by employers, care providers and adjudicators. In addition, specific RTW policies and practices failed to properly consider or mitigate their lack of English proficiency. These interpersonal and structural barriers negatively impacted linguistic minorities' eligibility to benefits and services and the appropriateness thereof, as well as their eventual return to work. Conclusions Our research highlights the need to move beyond efforts to improve the linguistic competence of compensation boards to target the structural factors that impede equal access at every stage of the process.
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