International Back and Neck Pain Forum 2016 Working with Pain: is harnessing social support a new tool for the biopsychosocial box?

Background Across the EU, 44m workers have MSDs Costs to the EU each year = 2%GDP Account for half of all absences from work, 60% permanent work incapacity 21% of disabilities worldwide are due to MSDs

The ‘obstacles’ approach Psychosocial Flags framework Person - psychosocial factors associated with unfavourable clinical outcomes and the transition to persistent pain and disability Workplace - stem largely from perceptions about the relationship between work and health, and are associated with reduced ability to work and prolonged absence Context - in which the person functions; includes relevant people, systems and policies. These may operate at a societal level, or in the workplace. They are especially important since they may help or hinder the recovery process.  biopsychosocial approach

Where is the ‘social’? Presenting the evidence Kim Burton – background Pernille Fredericksen – review of ‘black flags’ Haitze de Vries – family Michiel Reneman – healthcare Bill Shaw/Chris Main - workplace Evidence base Implementation Evaluation

Workshop objectives Assets vs obstacles Assets approach allows us to identify those factors that prevent individuals moving toward disability Focuses on utilising people’s resources to maintain their own health – ‘salutogenesis’ (factors operating at an individual, group, community, population and institutional level that are protective or health promoting) Represents a ‘shift’ towards ‘all key players’ working together

Family, healthcare, workplace and benefit system

Interactive discussion