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This article focuses on the risk that work disability policies lock people into work disability rather than promote durable health and return to work. We outline the concept of a work disability trap as a heuristic device to explore this policy paradox inherent in the design of most social insurance systems. This is a conceptual paper drawing on examples from existing research. We identify three manifestations of the disability trap: not overcoming disability; underperforming; and returning to work prematurely. The causes of these manifestations are identified as structural rather than based on malingering clients, while negative consequences are identified both on client and system levels. We emphasize the need for systems built on trust and reasonable expectations, and the need for providing rehabilitation support independently of economic compensation. Universal basic income is introduced as a potential tool to ameliorate some of the consequences of the disability trap. Compensation systems focusing too prominently on early return to work may have counter-productive effects on rehabilitation. Overly suspicious assessment systems nurture a view of people as malingerers. Rehabilitation professionals need to be attentive to system-generated effects which may prevent overcoming work disability. [ABSTRACT FROM AUTHOR]

Refugee women are often unable to secure meaningful employment on arrival to Canada. As a result, the uptake of social assistance is common among new arrivals as a temporary provision of income whilst attending programs or upgrading skills. This study explored the factors that contribute to the use of social assistance among refugee women with a focus on the women's views and experience with the current welfare state as a tool for social protection. A modified grounded theory analysis guided our study which consisted of interviews with 20 recent refugee women and 9 settlement agency staff. The women described issues with the design and administration of social assistance which, at times, did not align with their needs. Some contrasted the conundrum of working in precarious jobs and receiving reduced social assistance payments as a consequence. Findings question prior assumptions on the use of social assistance among refugee groups. In particular, the refugee women appeared eager to work but were not afforded the same opportunities as other immigrant groups suggesting the need for social assistance schemes to adapt to the particular circumstances of refugee women to facilitate employment integration. [ABSTRACT FROM AUTHOR]