ACTive Recovery Solutions (ARS) has been designed specifically to meet the needs of this group. With a comprehensive psychological assessment along with evidence based functional activation and physical conditioning, that begins in the individual’s home and then moves to shorter office based counselling sessions, both the duration and the costs are significantly reduced. Our goal is to help these individuals to get their lives back, by increasing their ability to engage in valued and meaningful activities despite the presence of their symptoms. In order to be able to afford to engage in valued and meaningful activities in one’s life, MOST people have to work. As well, work is generally good for physical and mental health, and promotes well-being (AFOEM, 2011; ACOEM, 2006; Waddell and Burton, 2006). It is also a key factor in a person’s self-worth and identity (Black, 2008). Thus, it represents an appropriate counselling goal.
Evidence-based approaches give our patients the best possible opportunity to increase their functioning and get their life back. We utilize 3rd generation CBT approaches including Behavioural Activation (BA), Acceptance and Commitment Therapy (ACT) and elements of Dialectical Behaviour Therapy (DBT). In addition, we use goal oriented activity plans for increasing physical conditioning and overall functional activation. Research has shown that return to work is critical to the recovery process and should be used as rehabilitation to enhance recovery, increase activity and function, and optimize successful and sustained employment (ACOEM, 2006). Our Rehabilitation Counsellors provide return to work coordination in order to facilitate and support the successful transition to gainful employment.
The ARS psychological assessment is conducted by a Registered Psychologist along with one of our Rehabilitation Counsellors. The home based counselling is provided by a Rehabilitation Counsellor under the supervision of the Registered Psychologist. The office-based rehabilitation counselling is provided by the Rehabilitation Counsellor who has access to the Registered Psychologist for consultation on an as needed basis.
Our Rehabilitation Counsellors have been trained in the use of all forms of CBT by Registered Psychologists. They receive ongoing training, supervision and consultation from the Registered Psychologist in addition to participating in external training events. They are all licensed health care providers with either the College of Registered Psychotherapists of Ontario or the College of Kinesiologists of Ontario.
American College of Occupational and Environmental Medicine (2006). ACOEM Guideline – Preventing needless work disability by helping people stay employed. Retrieved 14 December 2011. http://www. acoem.org/PreventingNeedlessWorkDisability.aspx
Australasian Faculty of Occupational and Environmental Medicine (2011). Australian and New Zealand Consensus Statement on the Health Benefits of Work: Realising the Health Benefits of Work. October/ November. www.racp.edu.au
Black, C (2008). Working for a healthier tomorrow: Dame Carol Black’s review of the health of Britain’s working age population. London: The Stationary Office, 17 March.
Waddell, G and Burton AK (2006). Is Work Good for Your Health and Well-being? London: The Stationary Office.