At Green Tree Rehabilitation, we work with individuals affected by injury or illness remain in work or return to work in a timely and safe manner. Our Occupational Therapists help to increase an individual’s independence and function by considering their psychosocial, social and physical challenges to help them overcome barriers to work…


Work Function Assessment (WFA)/Worksite Assessment

  • For situation when a client has not returned to work yet, a GTR clinician will visit and evaluate the client’s worksite and critical job demands, consult and involve the client’s employer about return to work options and collaborate on a return to work plan.
  • For situations where a client is at work and experiencing symptom aggravation, occupational performance barriers, is unable to progress in the Return-to-Work plan, or is unable to perform job duties satisfactorily, the WFA will identify and troubleshoot issues and problem areas. Interventions to follow entail job coaching, implementing practical solutions and strategies, tailored accommodations, education on and on applying ergonomics, and symptom management strategies.

Work Function Intervention and Job Coaching

  • Work function intervention and job coaching usually occurs during the return to work process and/ or after to support a worker and their employer through a return to work. Through work function intervention and job coaching, our Occupational Therapists can with work with employers to provide supports onsite, improve work effectiveness and efficiencies, train individuals and make accommodations and recommendations. These recommendations may be based on recurring symptoms, medications or any other issues that may interfere with an individual’s job performance. Work function intervention and job coaching can help clients beyond the workplace and with their daily activities of living.

Pre-Return-To-Work services

  • Occupational Therapy Occupational Performance Activation (OTOPA) is a dynamic 10 to 12 week program designed for persons with ADHD, PTSD, OCD, chronic pain, depression, and/or anxiety. OTOPA aims to enable productive occupational performance through participation in functional and daily activities.
  • Progressive Goal Attainment Program: a 10 week program program, which prevents or lessens the impact of injury or illness by reducing psychosocial barriers through treatment of psychosocial risk factors, reintegration into life-role activities and facilitating return-to-work.
    • Structured activity scheduling
    • Graded-activity involvement to help individuals get back to everyday life
    • Goal setting, problem solving, and motivational interviewing
  • Graduated Return-to-Work Planning
    • An initial assessment will identify return to work barriers. Then solutions with be devised and implemented to ease and facilitate a successful return to work.

Work hardening/ simulation

  • For when a client is not at work and would benefit from a short-term program preparing the person for the critical physical, cognitive and/or psychosocial job demands needed to facilitate a seamless transition back to work. Work conditioning programs are tailored programs based on such job demands a client must perform. Like a muscle, these cognitive, psychosocial and physical job duties are simulated in just-right challenges and the client is progressed through a graded program to meet basic demands of competitive employment such as tolerating full workdays and daily job attendance.
  • These programs generally take place after OT initial evaluation or after the client has completed rehabilitation programming that optimizes their functional status (cognitive, physical and/or mental health) to prepare for a return to work. Work hardening programs can also occur after functional capacity evaluations where barriers to a client's return to his or her pre-injury job are identified and then worked on. Work hardening prepares the client for and eases the transition back to work better enabling the client to experience return to work success.
  • Depending on the type of work hardening, these programs generally take place in the clinic and/or at the client's work place. Work hardening program basically engages the client in work-simulated activities over a specified time period.

Worksite Assessment

  • Assess and remove accessibility barriers to promote a barrier free workplace.

Post Offer Functional Testing

  • For physically demanding jobs, the Post-Offer Functional Testing service offered by Green Tree Rehabilitation will help employers determine whether an applicant will be able to perform the physical demands essential to that job to reduce workplace injury. This type of screening helps to protect workers from preventable injuries and employers from preventable costs by helping employers select employees who will be physically qualified for a job.
  • To screen the employee, the Post-Offer Functional Test includes a physical examination, review of medical documentation, standardized objective tests, physical demands analysis, acceptable criteria needed for the job and job specific tests.

Return-to-Work Assessment

  • Components of a Return-to-Work program include the policies, procedures and forms that an employer has in place for their employees. The policies and procedures will be assessed by our occupational therapists to see if the program needs to be improved. One component of the assessment is Return-To-Work plans for an individual employee. During the assessment, our Occupational Therapists will evaluate the client to identify factors contributing to impairment, functional limitation and/or disability. This assessment helps to manage how injury or illness impacts a client in the workplace.

Job Demands Analysis (Physical and/or Cognitive)

  • The Jobs Demand Analysis (JDA) is a used to identify specific physical, psychosocial and environmental demands of a job.
  • Results from the JDA can be used by our Occupational Therapists to develop a graduated return to work plan, to guide treatment plans after an injury or illness, to determine recommendations for job accommodations, and to see if a client realistically matches the job demands required of them. JDAs help to reduce injuries in the workplace and create appropriate and individualized treatment and rehabilitation plans.

Job Coaching

  • Usually after guiding and supporting a worker and their employer through a return to work, our Occupational Therapists can provide job coaching. Through job coaching, our Occupational Therapists can with work with employers to train individuals and make accommodations and recommendations. These recommendations may be based on recurring symptoms, medications or any other issues that may interfere with an individual’s job performance. Job coaching can help clients beyond the workplace and with their daily activities of living.

Case Management

  • Case management involves assessing, planning, implementing, coordinating, monitoring and evaluating services to meet an individual’s needs through resources that are cost-effective and give positive outcomes.
  • For work-related injuries or injuries that affect a client’s ability to work, our Occupational Therapists can assess the demands of different jobs and match those with the client’s current capabilities. More specifically our Occupational Therapists can identify barriers to recovery or autonomy so that they can coordinate services to work on and monitor these barriers so that we can move the client forward in their rehab in the most cost-effective and efficient way.

Ergonomic/Consultation and Risk Analysis (office/industrial)

  • When a client is experiencing pain and discomfort in the workplace, an ergonomics assessment is often recommended. During the assessment, our Occupational Therapists will identify risk factors to determine the causes of discomfort and pain so that recommendations can be made. Ergonomic assessments benefit employers and employees by increasing worker efficiency and safety in an environment that is suited for the client’s needs.
  • Recommendations may include changing body positioning, prescribing assistive devices and equipment, product design and altering workplaces to prevent injury.

Vocational Evaluation

  • Job search
  • Resume
  • Transferrable Skills Analysis