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Since their inception in the late 1970s, work-hardening and work-conditioning programs have undergone metamorphoses. They have become less distinct and now offer more diverse services. This is primarily due to the ever-changing environment of health care, and the need to adapt to new consumer needs. Insurance demands, reimbursement issues, health care service trends, the adoption of disability management practices, and employee-employer relations are just a few variables influencing the practices of work-hardening and work-conditioning programs.

I am honored to be chosen from among the many professionals in the insurance industry of the United States of America to clarify why we are involved in the whole process of “rehabilitation of brain damaged people.”