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

2. 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

3. 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

4. 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

5. 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

6. Family, healthcare, workplace and benefit system

7. Interactive discussion