Box 2.

RTW barriers, from the perspective of workers with CMDs

A. Inadequate or insufficient work adjustments

A1. Non-fitting work content (tasks not challenging, person-job misfit)

A2. Non-fitting work context (workload, working hours

A3. No suitable work accommodations: no structural solutions

B. Inadequate management and/or policy

B1. Having to start-up too fast, no accommodations arranged

B2. Higher workload than agreed on, extra work

B3. Insufficient guidance/supervision: lack of clarity of RTW process

B4. Experienced injustice/no appreciation/lack of trust

B5. Person-organization misfit: related to work culture and worker’s norms and values

C. Poor relationship with supervisors and/or colleagues

C1. Lack of support, lack of understanding, inadequate communication, not approachable supervisor

C2. Lack of support and interest/empathy/understanding of colleagues

C3. Pressure from supervisor, bullying

C4. Experienced injustice/no appreciation

D. Workers’ motivation and emotions

D1. Lack of motivation to return to work

D2. Feeling insecure, fear of returning, fear of negative responses at work

D3. Feelings of shame or guilt

E. Workers’ thoughts and behaviour

E1. Not able to set limits

E2. High sense of responsibility

E3. Lack of self-insight

E4. Non-assertiveness

F. Complaints

F1. Physical complaints

F2. Emotional complaints

G. Private life context

G1. Tensions/stress in private life

G2. Lack of understanding from close others

H. Professional guidance

H1. Long waiting lists in treatment paths and setting diagnosis

I. Societal factors

I1. Legal arrangements: accommodations only possible after sickness notice