NAPSDMGet help nowSign the charter
Two hospital staff in scrubs in conversation at a nursing station, one leaning on the counter, the other standing facing her

Everyone deserves a safe way back to work.

A Canadian federal not-for-profit

NAPSDM sets the standard for ethical, evidence-informed, psychologically safe disability management in Canada. The charter marks your commitment to it.

Five people are in every return to work.

A return involves a worker, a supervisor, an employer, a practitioner and a clinician, and each of them sees a different part of it. There is a page for each, written from where they stand.

A man wearing a forearm brace standing at his workbench in a warehouse aisle, looking down at it without working, a flattened cardboard box still lying in the walkway beside him

The system assesses the diagnosis. It does not assess the workplace.

Canada’s disability system decides whether a person is fit to return to work through a medical lens: diagnosis, functional capacity, clinical checkboxes. It does not assess the workplace the person is returning to, and that omission is the error.

A psychologically unsafe workplace halts healing. When the receiving workplace is unsafe, a return does not heal. It harms.

A workplace is never neutral in a recovery. It is either part of the injury or part of the recovery.

Many workers are navigating two things at once: an illness or injury, and the psychological impact of how their organization responded to it. Recovery is shaped by leadership behaviour, organizational culture, communication, procedural fairness, and exposure to workplace psychological hazards, none of which appear on a functional capacity form.

“Successful and sustainable return to work depends on the interaction of health, workplace conditions, psychologically safe practices, and effective disability management.”The board-agreed framing line

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Provinces and territories put the duty to re-employ an injured worker in the workers’ compensation statute itself. Four leave it to human rights law, where it is enforced by a different body on a different timeline.

Where the duty lives, province by province

This is not a small problem, and it is not only a human one.

$180B

The annual cost of poor mental health in Canada, up from an inflation-adjusted $67B in 2011.

$110B

Carried by employers: disability claims, wage replacement, benefits, overtime, accommodations, turnover and compliance.

$600B

Projected annual cost by 2050 if nothing changes, close to a fifth of the country's projected economy.

SourceMorawczynski, Dobson and Howatt, The Economic Cost of Mental Health in Canada, CSA Public Policy Centre, 2026.

Employers carry the larger share of a cost that is driven by the very thing the system does not measure.

Two colleagues working late at a long table covered with printed research papers, one page between them marked heavily by hand, lit by a single desk lamp

To make disability management in Canada ethical, evidence-informed, and biopsychosocial.

Grounded in the finding that recovery and sustainable return to work depend on the interaction of health, workplace conditions, leadership, and disability management processes.

Psychological safety is a foundational condition for healing, resilience, and sustainable return to work. The workplace, its leaders and supervisors, and the systems that support return to work all play decisive, and too often ignored, roles in recovery.

Free for the people we serve. Public for everyone.

Every claim we publish traces to a source you can check. Workers and claimants are never charged for anything we make. No fee, no proof asked, ever.

Read it today

What comes next

A free guide for workers navigating recovery and return to work.In revision
A free conversation kit for supervisors supporting a returning colleague.In revision
A free, public, evidence-informed standard of practice, written in the open with lived-experience voices at the table, for anyone in Canada to adopt.In drafting
Guidance on preventing avoidable psychological injury, and on keeping a recovery from being prolonged by how the workplace responds.Not started
An annual public report on the state of psychologically safe disability management in Canada.Not started
Public comment on the standard, free and open to everyone, always.Not started

Money buys standing. It never buys a voice in what the standard says.

A care worker in scrubs alone on her break in a staff room, reading a stapled printed booklet open on the table beside her lunch container
A supervisor and a worker in a high-visibility vest standing in conversation on a loading dock, the supervisor's clipboard lowered to his side rather than held between them

Disability management, psychological safety, trauma-informed practice, and lived experience, at the same table.

Every director has signed the charter. They committed to it before asking anyone else to.

Independence here is a rule, not a claim. No one advises an organization and then assesses it. Advise or assess, never both. It is written into our conflict-of-interest policy, and the standard and our annual report are never sponsored.

Some carriers are already moving this way. They are not the problem, they are the proof, and they are who we build with.

NAPSDM is a federal not-for-profit corporation, incorporated in 2026 under the Canada Not-for-profit Corporations Act, Corporation No. 1808118-2, with its registered office in Hamilton, Ontario.

Not blame. A standard.

Meet the board, and how we stay independent

If you want the standard to exist, help make it.

The charter is public and so is the evidence under it. Nothing here is behind a login, and workers are never charged for anything we make.

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people have already signed

Read the register

In crisis? You do not have to wait for any of this.

If you are in immediate danger, call 911. To talk to someone now, call or text 9-8-8, Canada’s Suicide Crisis Helpline, any time, in English or French.

Provincial and territorial crisis lines, including Indigenous-specific lines, are on our crisis page.

All crisis lines, including Indigenous-specific lines