Official Disability Guidelines (ODG) Return-To-Work Pathways
Senile and Presenile Organic Psychotic Conditions (see original guideline document for International Classification of Diseases, Ninth Revision [ICD-9] codes for this and other diagnoses)
Not severe, medical treatment: 0 days
Severe, specially designed, limited modified work: 7 days
Severe, regular work: indefinite
Senile Dementia with Delusional or Depressive Features
Severe, specially designed, limited modified work: 7 days
Severe, affecting fellow worker productivity & safety: indefinite
Severe, regular work: indefinite
Alcohol Withdrawal Delirium
Without hospitalization: 1 to 7 days
Including rehab, substance abuse professional (SAP) evaluation: 28 days
Including rehab, SAP evaluation, job safety issues: 42 days
Drug Withdrawal Syndrome
Without hospitalization: 0 to 5 days
With hospitalization, without suicidal ideation: 7 days
With hospitalization, with suicidal ideation: 21 days
Paranoid and/or Hallucinatory States Induced by Drugs
Without hospitalization: 1 to 3 days
With hospitalization, without threat of harm: 7 days
With hospitalization, with threat of harm: 21 days
Transient Organic Psychotic Conditions
14 days
Paranoid Type
Without hospitalization, no job safety issues: 0 to 7 days
With hospitalization: 42 days or by report
Unspecified Schizophrenia
Without hospitalization, no job safety issues: 0 to 7 days
With hospitalization: 16 to 42 days
Major Depressive Disorder, Single Episode
Rule out impaired mood/personality disorder: 0 days
Outpatient therapy, without symptoms affecting work: 0 to 7 days
Outpatient therapy, with symptoms interfering with work: 21 to 42 days
With hospitalization, non-cognitive/modified work: 21 days
With hospitalization, cognitive work: 42 days
Major Depressive Disorder, Recurrent Episode
Outpatient therapy, without symptoms affecting work: 0 to 7 days
Outpatient therapy, with symptoms interfering with work: 14 to 28 days
With hospitalization, non-cognitive/modified work: 21 days
With hospitalization, cognitive work: 42 days
Bipolar Affective Disorder, Depressed
Rule out impaired mood/personality disorder: 0 days
Without hospitalization: 0 to 21 days
With hospitalization: 21 to 42 days
Bipolar Affective Disorder, Mixed
Without hospitalization: 0 to 14 days
With hospitalization: 21 to 42 days
Paranoia
Without hospitalization: 0 to 14 days
With hospitalization: 14 to 21 days
Depressive Type Psychosis
Without hospitalization: 0 to 56 days
With hospitalization: 21 to 64 days
Anxiety States
Rule out impaired mood/personality disorder: 0 days
Without hospitalization: 0 to 7 days
With hospitalization: 14 to 21 days
Panic Disorder
1 to 14 days
Generalized Anxiety Disorder
14 to 21 days
Hysteria
Without hospitalization: 0 days
With hospitalization: 7 to 14 days
Obsessive-Compulsive Disorders
Without hospitalization: 0 days
With hospitalization: 10 days
Personality Disorders
0 days
Alcohol Dependence Syndrome
Without hospitalization: 1 day
Without hospitalization, considering fellow worker danger & morale: 7 to 14 days
With hospitalization, including rehab: 14 to 28 days
Safety sensitive position: as determined by the SAP
Acute Alcoholic Intoxication
1 to 2 days
Also treated as rule violation absence
Opioid Type Dependence
Without hospitalization: 0 days
Without hospitalization, considering fellow worker danger & morale: 7 to 14 days
With hospitalization, including rehab: 14 to 38 days (10 days post-discharge)
Safety sensitive position: as determined by the SAP
Barbiturate and Similarly Acting Sedative or Hypnotic Dependence
Without hospitalization: 0 days
Without hospitalization, considering fellow worker danger & morale: 7 to 14 days
With hospitalization: 21 days
With hospitalization, plus rehab: 28 days
Safety sensitive position: as determined by the SAP
Cocaine Dependence
Without hospitalization: 0 days
Without hospitalization, considering fellow worker danger & morale: 7 to 14 days
With hospitalization: 28 days
Safety sensitive position: as determined by the SAP
Cannabis Dependence
0 to 2 days
Amphetamine and Other Psychostimulant Dependence
Without hospitalization: 0 days
Without hospitalization, considering fellow worker danger & morale: 7 to 14 days
With hospitalization: 14 days
With hospitalization, plus rehab: 28 days
Safety sensitive position: as determined by the SAP
Hallucinogen Dependence
Without hospitalization: 0 days
Without hospitalization, considering fellow worker danger & morale: 7 to 14 days
With hospitalization: 10 days
With hospitalization, plus rehab: 28 days
Safety sensitive position: as determined by the SAP
Alcohol Abuse
1 day
Cocaine Abuse
Without hospitalization: 0 to 1 days
With hospitalization: 10 days
With hospitalization, plus rehab: 28 days
Amphetamine or Related Acting Sympathomimetic Abuse
Without hospitalization: 1 day
With hospitalization: 14 days
With hospitalization, plus rehab: 28 days
Acute Reaction to Stress
Without hospitalization (on-going counseling/drug therapy): 1 day
With hospitalization: 10 days
Unspecified Acute Reaction to Stress, Post-traumatic Stress Disorder
Without hospitalization (on-going counseling): 1 day
With hospitalization: 10 days
Chemical dependence comorbidity: 28 days
Adjustment Reaction
Without hospitalization: 1 to 6 days
Outpatient care: 1 to 6 days
With inpatient hospitalization: 14 to 28 days
Postconcussion Syndrome
Mild: 1 day
Severe: by report
Depressive Disorder, not Elsewhere Classified
Rule out impaired mood/personality disorder: 0 days
Outpatient therapy, without symptoms affecting work or other job issues: 0 to 7 days
Outpatient therapy, with symptoms interfering with work: 21 days
Outpatient therapy, with serious job satisfaction issues: 28 to 42 days
With hospitalization, non-cognitive/modified work: 28 days
With hospitalization, cognitive work: 42 to 56 days
Attention Deficit Disorder
1 day
(See ODG Capabilities & Activity Modifications for Restricted Work under "Work" in the Procedure Summary of the original guideline document)
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