Across Australia, return-to-work rates have declined in recent years, particularly for workers with psychological injuries and complex presentations. While many workers still return after injury, fewer are returning to full duties, and more are experiencing extended time away from the workforce.
This has significant financial, human and organisational consequences.

Why Return-to-Work Outcomes Are Declining
Several systemic trends are contributing to slipping outcomes:
- Increased prevalence of psychological injury
- Delayed access to rehabilitation services
- Prolonged medical treatment without vocational focus
- Inconsistent employer engagement
- Poorly structured suitable duties
- Fear-based avoidance of the workplace
- Breakdown in workplace relationships post-injury
Return to work is no longer a linear “injury-treat-resume” process for many injured workers. It is now a dynamic, biopsychosocial recovery pathway.
The Cost of Poor Return-to-Work Outcomes
When return-to-work is delayed or unsuccessful, the impacts extend beyond the claim:
- Increased claim duration and scheme costs
- Workforce instability and loss of skilled employees
- Reduced worker confidence and employability
- Higher risk of long-term work disability
- Greater reliance on income support systems
- Escalation of mental health conditions
Importantly, workers who do not return to work within the first 6–12 months are statistically far less likely to ever return to their pre-injury employment.
What Improves Return-to-Work Outcomes?
Research consistently shows that strong outcomes are linked to:
- Early rehabilitation involvement
- Active employer engagement
- Meaningful, structured suitable duties
- Clear, functional medical guidance
- Psychosocial risk management
- Vocational goal setting
- Regular communication between all parties
Return to work works best when it is planned, supported and progressively built, not rushed or avoided.
The Role of Occupational Rehabilitation Providers
A modern occupational rehabilitation provider supports:
- Functional and vocational capacity assessment
- Graded return-to-work planning
- Employer education and workplace adjustment support
- Psychosocial screening and early intervention
- Medical and stakeholder coordination
- Worker confidence and work readiness restoration
At ELEV8, return to work is treated as a therapeutic intervention in its own right, carefully aligned with medical capacity and psychosocial readiness.
Struggling with delayed or failed return-to-work outcomes?
ELEV8 partners with employers, insurers and injured workers to stabilise claims and restore sustainable work participation.
Speak with our rehabilitation team today.
References
- Safe Work Australia – National Return to Work Survey
- HWCA – Scheme Performance Reporting
- Comcare – Return to Work and Rehabilitation Guidance
- Institute for Safety, Compensation and Recovery Research (ISCRR)



