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Objective: This paper presents a summary of web-based data collection, impact evaluation, and user evaluations of an Internet-based peer support program for Menieres disease (MD). Design: The program is written in html-form. The data are stored in a MySQL database and uses machine learning in the diagnosis of MD. The program works interactively with the user and assesses the participants disorder profile in various dimensions (i.e., symptoms, impact, personal traits, and positive attitude). The inference engine uses a database to compare the impact with 50 referents, and provides regular feedback to the user. Data were analysed using descriptive statistics and regression analysis. Study sample: The impact evaluation was based on 740 cases and the user evaluation on a sample of 75 cases of MD respectively. Results: The web-based system was useful in data collection and impact evaluation of people with MD. Among those with a recent onset of MD, 78% rated the program as useful or very useful, whereas those with chronic MD rated the program 55%. Conclusions: We suggest that a web-based data collection and impact evaluation for peer support can be helpful while formulating the rehabilitation goals of building the self-confidence needed for coping and increasing social participation., Funding Agencies|Finnish Slot Machine Association, RAY

Flexible consumption in the household sector concerns individuals daily choices and the routines that develop in their households. Targeting household-level energy consumption therefore requires an understanding of energy consumption in relation to individual household members activity patterns. Individual time-diaries reveal when, for how long and where energy-related activities occur, permitting discussions of the temporal flexibility of these activities. Using multiple time-diaries (n=6477) from a population reveals differences in activity patterns in larger groups and permits recorded activities to be clustered. Few explorative studies perform cluster analyses of energy-consuming activities in order to examine when and for how long these activities occur. When clustering is done, it is usually based on socio-economic factors, and not on the activities performed in sequence. This paper reports a time-geographically inspired cluster analysis based on when and for how long some activities requiring electricity are performed in the home by individuals in a population. The presented cluster analysis based on activities gives a new perspective to the discussion of flexible users and provides a basis for deeper analyses, for example, of whether activities are moveable in time for individuals, complementing cluster analysis based on other variables., Funding Agencies|Swedish Energy Agency [37511-1]

Introduction: Internet-supported and therapist-guided cognitive behaviour therapy (ICBT) is effective for a range of problems in the short run, but less is known about the long-term effects with follow-ups of two years or longer.Areas covered: This paper reviews studies in which the long-term effects of guided ICBT were investigated. Following literature searches in PubMed and other sources meta-analytic statistics were calculated for 14 studies involving a total of 902 participants, and an average follow-up period of three years. Studies were from Sweden (n=11) or the Netherlands (n=3). Long-term outcome studies were found for panic disorder, social anxiety disorder, generalized anxiety disorder, depression, mixed anxiety and depression, obsessive-compulsive disorder, pathological gambling, stress and chronic fatigue. The duration of the treatments was usually short (8-15weeks). The pre-to follow-up effect size was Hedges g=1.52, but with a significant heterogeneity. The average symptom improvement across studies was 50%. Treatment seeking in the follow-up period was not documented and few studies mentioned negative effects.Expert commentary: While effects may be overestimated, it is likely that therapist-supported ICBT can have enduring effects. Long-term follow-up data should be collected for more conditions and new technologies like smartphone-delivered treatments., Funding Agencies|Linkopings Universitet

The continuous submission and scaling-up of Nationally Determined Contributions (NDCs) constitutes a key feature of the Paris Agreement. In their NDCs, states propose governance mechanisms for implementation of climate action, in turn distinguishing appropriate roles for the state in climate governance. Clarity on Parties suggested roles for the state makes explicit assumptions on the premise of climate policy, in turn contributing to enhanced transparency in negotiations on the scaling-up of NDCs. This also speaks to ongoing debates on roles for the state in climate governance literature. This article identifies the governance mechanisms proposed by states in their NDCs and the roles for the state envisioned by those governance mechanisms, and also examines how cross-national patterns of roles for the state break or converge with conventional patterns of international politics. The analysis shows that states propose a plurality of roles, which to different extents may be complementary or conflictual. We conclude that income, region, and the Annexes under the United Nations Framework Convention on Climate Change (UNFCCC) are important for understanding suggested roles for the state, but that there are nuances to be further explored. We argue that this paper has three key findings: i) a majority of states rely on market mechanisms to implement their NDCs while rules on implementation and assessment of market mechanisms are still an outstanding issue in the negotiations, meaning that resolving this issue will be essential; ii) the process for evaluating and assessing qualitative governance mechanisms needs to be specified; and iii) increased awareness of differing views on the states roles makes explicit different perspectives on what constitutes an ambitious and legitimate contribution to combating climate change. Key policy insights A majority of states (amp;gt; 75%) envision the state as regulator (creating and strengthening legislation), market facilitator (creati, Funding Agencies|Swedish Research Council Formas through the project A Global Potluck: Cross-national patterns of state engagement and performance in the new landscape of international climate cooperation [2015-00871]; Swedish Foundation for Strategic Environmental Research -Mistra through the research programme Mistra Geopolitics [2016/11, 5]

The continuous submission and scaling-up of Nationally Determined Contributions (NDCs) constitutes a key feature of the Paris Agreement. In their NDCs, states propose governance mechanisms for implementation of climate action, in turn distinguishing appropriate roles for the state in climate governance. Clarity on Parties suggested roles for the state makes explicit assumptions on the premise of climate policy, in turn contributing to enhanced transparency in negotiations on the scaling-up of NDCs. This also speaks to ongoing debates on roles for the state in climate governance literature. This article identifies the governance mechanisms proposed by states in their NDCs and the roles for the state envisioned by those governance mechanisms, and also examines how cross-national patterns of roles for the state break or converge with conventional patterns of international politics. The analysis shows that states propose a plurality of roles, which to different extents may be complementary or conflictual. We conclude that income, region, and the Annexes under the United Nations Framework Convention on Climate Change (UNFCCC) are important for understanding suggested roles for the state, but that there are nuances to be further explored. We argue that this paper has three key findings: i) a majority of states rely on market mechanisms to implement their NDCs while rules on implementation and assessment of market mechanisms are still an outstanding issue in the negotiations, meaning that resolving this issue will be essential; ii) the process for evaluating and assessing qualitative governance mechanisms needs to be specified; and iii) increased awareness of differing views on the states roles makes explicit different perspectives on what constitutes an ambitious and legitimate contribution to combating climate change. Key policy insights A majority of states (amp;gt; 75%) envision the state as regulator (creating and strengthening legislation), market facilitator (creati, Funding Agencies|Swedish Research Council Formas through the project A Global Potluck: Cross-national patterns of state engagement and performance in the new landscape of international climate cooperation [2015-00871]; Swedish Foundation for Strategic Environmental Research -Mistra through the research programme Mistra Geopolitics [2016/11, 5]

The continuous submission and scaling-up of Nationally Determined Contributions (NDCs) constitutes a key feature of the Paris Agreement. In their NDCs, states propose governance mechanisms for implementation of climate action, in turn distinguishing appropriate roles for the state in climate governance. Clarity on Parties suggested roles for the state makes explicit assumptions on the premise of climate policy, in turn contributing to enhanced transparency in negotiations on the scaling-up of NDCs. This also speaks to ongoing debates on roles for the state in climate governance literature. This article identifies the governance mechanisms proposed by states in their NDCs and the roles for the state envisioned by those governance mechanisms, and also examines how cross-national patterns of roles for the state break or converge with conventional patterns of international politics. The analysis shows that states propose a plurality of roles, which to different extents may be complementary or conflictual. We conclude that income, region, and the Annexes under the United Nations Framework Convention on Climate Change (UNFCCC) are important for understanding suggested roles for the state, but that there are nuances to be further explored. We argue that this paper has three key findings: i) a majority of states rely on market mechanisms to implement their NDCs while rules on implementation and assessment of market mechanisms are still an outstanding issue in the negotiations, meaning that resolving this issue will be essential; ii) the process for evaluating and assessing qualitative governance mechanisms needs to be specified; and iii) increased awareness of differing views on the states roles makes explicit different perspectives on what constitutes an ambitious and legitimate contribution to combating climate change. Key policy insights A majority of states (amp;gt; 75%) envision the state as regulator (creating and strengthening legislation), market facilitator (creati, Funding Agencies|Swedish Research Council Formas through the project A Global Potluck: Cross-national patterns of state engagement and performance in the new landscape of international climate cooperation [2015-00871]; Swedish Foundation for Strategic Environmental Research -Mistra through the research programme Mistra Geopolitics [2016/11, 5]

The continuous submission and scaling-up of Nationally Determined Contributions (NDCs) constitutes a key feature of the Paris Agreement. In their NDCs, states propose governance mechanisms for implementation of climate action, in turn distinguishing appropriate roles for the state in climate governance. Clarity on Parties suggested roles for the state makes explicit assumptions on the premise of climate policy, in turn contributing to enhanced transparency in negotiations on the scaling-up of NDCs. This also speaks to ongoing debates on roles for the state in climate governance literature. This article identifies the governance mechanisms proposed by states in their NDCs and the roles for the state envisioned by those governance mechanisms, and also examines how cross-national patterns of roles for the state break or converge with conventional patterns of international politics. The analysis shows that states propose a plurality of roles, which to different extents may be complementary or conflictual. We conclude that income, region, and the Annexes under the United Nations Framework Convention on Climate Change (UNFCCC) are important for understanding suggested roles for the state, but that there are nuances to be further explored. We argue that this paper has three key findings: i) a majority of states rely on market mechanisms to implement their NDCs while rules on implementation and assessment of market mechanisms are still an outstanding issue in the negotiations, meaning that resolving this issue will be essential; ii) the process for evaluating and assessing qualitative governance mechanisms needs to be specified; and iii) increased awareness of differing views on the states roles makes explicit different perspectives on what constitutes an ambitious and legitimate contribution to combating climate change. Key policy insights A majority of states (amp;gt; 75%) envision the state as regulator (creating and strengthening legislation), market facilitator (creati, Funding Agencies|Swedish Research Council Formas through the project A Global Potluck: Cross-national patterns of state engagement and performance in the new landscape of international climate cooperation [2015-00871]; Swedish Foundation for Strategic Environmental Research -Mistra through the research programme Mistra Geopolitics [2016/11, 5]

The continuous submission and scaling-up of Nationally Determined Contributions (NDCs) constitutes a key feature of the Paris Agreement. In their NDCs, states propose governance mechanisms for implementation of climate action, in turn distinguishing appropriate roles for the state in climate governance. Clarity on Parties suggested roles for the state makes explicit assumptions on the premise of climate policy, in turn contributing to enhanced transparency in negotiations on the scaling-up of NDCs. This also speaks to ongoing debates on roles for the state in climate governance literature. This article identifies the governance mechanisms proposed by states in their NDCs and the roles for the state envisioned by those governance mechanisms, and also examines how cross-national patterns of roles for the state break or converge with conventional patterns of international politics. The analysis shows that states propose a plurality of roles, which to different extents may be complementary or conflictual. We conclude that income, region, and the Annexes under the United Nations Framework Convention on Climate Change (UNFCCC) are important for understanding suggested roles for the state, but that there are nuances to be further explored. We argue that this paper has three key findings: i) a majority of states rely on market mechanisms to implement their NDCs while rules on implementation and assessment of market mechanisms are still an outstanding issue in the negotiations, meaning that resolving this issue will be essential; ii) the process for evaluating and assessing qualitative governance mechanisms needs to be specified; and iii) increased awareness of differing views on the states roles makes explicit different perspectives on what constitutes an ambitious and legitimate contribution to combating climate change. Key policy insights A majority of states (amp;gt; 75%) envision the state as regulator (creating and strengthening legislation), market facilitator (creati, Funding Agencies|Swedish Research Council Formas through the project A Global Potluck: Cross-national patterns of state engagement and performance in the new landscape of international climate cooperation [2015-00871]; Swedish Foundation for Strategic Environmental Research -Mistra through the research programme Mistra Geopolitics [2016/11, 5]

The need to develop sustainable stormwater management is intensifying due to climate impacts and urban densification. Such complex planning processes require insights into disparate issues, connecting heterogeneous actors. While many decision-support tools are developed to facilitate such planning, research assessing their usefulness is requested. This study introduces and assesses one such ICT-tool; the Visual Water platform, aiming to support sustainable stormwater planning in Swedish municipalities. The study aims to identify critical points to consider for developers of related decision-support tools and to detangle requirements and tradeoffs in making them relevant and user-friendly, building on test-sessions with Swedish practitioners. Results show that the platform responds to challenges within municipal planning as outlined by Swedish practitioners. However, though the platform content is considered relevant, its application in real-world planning is perceived as somewhat unclear. The paper discusses ideas for how sustainability-related decision-support tools better can respond to user demands., Funding Agencies|Swedish Research Council Formas [2016-20090]; Svenskt Vatten [16-117]

The need to develop sustainable stormwater management is intensifying due to climate impacts and urban densification. Such complex planning processes require insights into disparate issues, connecting heterogeneous actors. While many decision-support tools are developed to facilitate such planning, research assessing their usefulness is requested. This study introduces and assesses one such ICT-tool; the Visual Water platform, aiming to support sustainable stormwater planning in Swedish municipalities. The study aims to identify critical points to consider for developers of related decision-support tools and to detangle requirements and tradeoffs in making them relevant and user-friendly, building on test-sessions with Swedish practitioners. Results show that the platform responds to challenges within municipal planning as outlined by Swedish practitioners. However, though the platform content is considered relevant, its application in real-world planning is perceived as somewhat unclear. The paper discusses ideas for how sustainability-related decision-support tools better can respond to user demands., Funding Agencies|Swedish Research Council Formas [2016-20090]; Svenskt Vatten [16-117]

The need to develop sustainable stormwater management is intensifying due to climate impacts and urban densification. Such complex planning processes require insights into disparate issues, connecting heterogeneous actors. While many decision-support tools are developed to facilitate such planning, research assessing their usefulness is requested. This study introduces and assesses one such ICT-tool; the Visual Water platform, aiming to support sustainable stormwater planning in Swedish municipalities. The study aims to identify critical points to consider for developers of related decision-support tools and to detangle requirements and tradeoffs in making them relevant and user-friendly, building on test-sessions with Swedish practitioners. Results show that the platform responds to challenges within municipal planning as outlined by Swedish practitioners. However, though the platform content is considered relevant, its application in real-world planning is perceived as somewhat unclear. The paper discusses ideas for how sustainability-related decision-support tools better can respond to user demands., Funding Agencies|Swedish Research Council Formas [2016-20090]; Svenskt Vatten [16-117]

The need to develop sustainable stormwater management is intensifying due to climate impacts and urban densification. Such complex planning processes require insights into disparate issues, connecting heterogeneous actors. While many decision-support tools are developed to facilitate such planning, research assessing their usefulness is requested. This study introduces and assesses one such ICT-tool; the Visual Water platform, aiming to support sustainable stormwater planning in Swedish municipalities. The study aims to identify critical points to consider for developers of related decision-support tools and to detangle requirements and tradeoffs in making them relevant and user-friendly, building on test-sessions with Swedish practitioners. Results show that the platform responds to challenges within municipal planning as outlined by Swedish practitioners. However, though the platform content is considered relevant, its application in real-world planning is perceived as somewhat unclear. The paper discusses ideas for how sustainability-related decision-support tools better can respond to user demands., Funding Agencies|Swedish Research Council Formas [2016-20090]; Svenskt Vatten [16-117]

The need to develop sustainable stormwater management is intensifying due to climate impacts and urban densification. Such complex planning processes require insights into disparate issues, connecting heterogeneous actors. While many decision-support tools are developed to facilitate such planning, research assessing their usefulness is requested. This study introduces and assesses one such ICT-tool; the Visual Water platform, aiming to support sustainable stormwater planning in Swedish municipalities. The study aims to identify critical points to consider for developers of related decision-support tools and to detangle requirements and tradeoffs in making them relevant and user-friendly, building on test-sessions with Swedish practitioners. Results show that the platform responds to challenges within municipal planning as outlined by Swedish practitioners. However, though the platform content is considered relevant, its application in real-world planning is perceived as somewhat unclear. The paper discusses ideas for how sustainability-related decision-support tools better can respond to user demands., Funding Agencies|Swedish Research Council Formas [2016-20090]; Svenskt Vatten [16-117]

MRP theory is a theoretical body treating production-inventory systems, in which produced items are made up of sets of produced or purchased sub-items, required to be available a lead-time before each product is completed. The hierarchical dependence between items is captured using input matrices from input-output-analysis, the necessary advanced timing by employing Laplace transform methodology, and the economic consequences by applying the net present value. Little attention has hitherto been given to aspects of a non-empty initial state, e.g. an initial inventory position. Since such states are common in industry, there is a strong need for this theory to include such aspects, in order to gain further practical acceptance. In this paper, theoretical consequences from having a non-empty initial state are investigated. A method for finding the Lot-for-Lot solution is developed using the concept of a truncated monotonically non-decreasing time function, generalising the approach of the generalised Leontief inverse and instrumental for designing plans meeting the necessary inner-corner requirement for optimality. Also the definition of inventory-related costs needs a modification for this concept to be consistent with NPV. These findings are applied in an extensive numerical example. Immediate future research concerns investigating principles for the optimal removal of initial backlogs.

The increasing fragmentation and the rising number of organizations in society create major challenges when implementing knowledge structures. In this article, we propose that the concept of metagovernance is useful when addressing these challenges. The enhancement of knowledge structures in the Swedish social services is our study object. Networks at national, regional and local levels have been organized and facilitated by national resources and agreements since 2003. The shifting of participants, switching assignments and ambiguity about the networks purposes created difficult conditions for successful implementation. In this paper, we argue that fragile top-down government and shifting local network organization provide limited opportunities to ensure that new knowledge structures will have an impact on social work practice. Research is based upon monitoring a national program that started in 2003, affecting five universities and their surrounding regions and municipalities. The article is also based upon observations and interviews among national and regional actors. Results show that national agencies are hands-off, but still in control by setting up legal and discursive frameworks for those networks. It is argued that this creates new challenges for participating organizations and professionals in social work.

This paper addresses an analytical gap in critical security studies related to the social construction, legitimation, and institutionalisation of referents objects, or the for whom of security. As it lays out, referent objects tend to be assessed based on pre-theoretical commitments that themselves fall outside of the scope of critical security analysis. This has important analytical and ethical consequences, which I heuristically illustrate in relation to the individual in both Copenhagen School securitisation theory and human-centred security. In one case, the individual is understood as an atomised Hobbesian figure at odds with the collective, and in the other, as a socially embedded figure representative of humanity. Incommensurate ontological baselines have on the one hand stymied fruitful dialogue between these two influential approaches. More importantly, however, fixed perspectives on the individual have also served to limit each approachs purview, even on their own terms. In highlighting the value of de-naturalising the individual, I lay out a broader argument for problematising referent objects more generally, as a more productive way of thinking about security that moves the conversation beyond practically endless articulations of potential danger. Overall, I argue that the intersubjective processes by which any referent object is constituted as a legitimate claimant to security, is as central to the critical study and ethical practice of security, as that of putative threats to it., Funding Agencies|Stiftelsen for Miljostrategisk Forskning (The Swedish Foundation for Strategic Environmental Research)

This paper addresses an analytical gap in critical security studies related to the social construction, legitimation, and institutionalisation of referents objects, or the for whom of security. As it lays out, referent objects tend to be assessed based on pre-theoretical commitments that themselves fall outside of the scope of critical security analysis. This has important analytical and ethical consequences, which I heuristically illustrate in relation to the individual in both Copenhagen School securitisation theory and human-centred security. In one case, the individual is understood as an atomised Hobbesian figure at odds with the collective, and in the other, as a socially embedded figure representative of humanity. Incommensurate ontological baselines have on the one hand stymied fruitful dialogue between these two influential approaches. More importantly, however, fixed perspectives on the individual have also served to limit each approachs purview, even on their own terms. In highlighting the value of de-naturalising the individual, I lay out a broader argument for problematising referent objects more generally, as a more productive way of thinking about security that moves the conversation beyond practically endless articulations of potential danger. Overall, I argue that the intersubjective processes by which any referent object is constituted as a legitimate claimant to security, is as central to the critical study and ethical practice of security, as that of putative threats to it., Funding Agencies|Stiftelsen for Miljostrategisk Forskning (The Swedish Foundation for Strategic Environmental Research)

This paper addresses an analytical gap in critical security studies related to the social construction, legitimation, and institutionalisation of referents objects, or the for whom of security. As it lays out, referent objects tend to be assessed based on pre-theoretical commitments that themselves fall outside of the scope of critical security analysis. This has important analytical and ethical consequences, which I heuristically illustrate in relation to the individual in both Copenhagen School securitisation theory and human-centred security. In one case, the individual is understood as an atomised Hobbesian figure at odds with the collective, and in the other, as a socially embedded figure representative of humanity. Incommensurate ontological baselines have on the one hand stymied fruitful dialogue between these two influential approaches. More importantly, however, fixed perspectives on the individual have also served to limit each approachs purview, even on their own terms. In highlighting the value of de-naturalising the individual, I lay out a broader argument for problematising referent objects more generally, as a more productive way of thinking about security that moves the conversation beyond practically endless articulations of potential danger. Overall, I argue that the intersubjective processes by which any referent object is constituted as a legitimate claimant to security, is as central to the critical study and ethical practice of security, as that of putative threats to it., Funding Agencies|Stiftelsen for Miljostrategisk Forskning (The Swedish Foundation for Strategic Environmental Research)

This paper addresses an analytical gap in critical security studies related to the social construction, legitimation, and institutionalisation of referents objects, or the for whom of security. As it lays out, referent objects tend to be assessed based on pre-theoretical commitments that themselves fall outside of the scope of critical security analysis. This has important analytical and ethical consequences, which I heuristically illustrate in relation to the individual in both Copenhagen School securitisation theory and human-centred security. In one case, the individual is understood as an atomised Hobbesian figure at odds with the collective, and in the other, as a socially embedded figure representative of humanity. Incommensurate ontological baselines have on the one hand stymied fruitful dialogue between these two influential approaches. More importantly, however, fixed perspectives on the individual have also served to limit each approachs purview, even on their own terms. In highlighting the value of de-naturalising the individual, I lay out a broader argument for problematising referent objects more generally, as a more productive way of thinking about security that moves the conversation beyond practically endless articulations of potential danger. Overall, I argue that the intersubjective processes by which any referent object is constituted as a legitimate claimant to security, is as central to the critical study and ethical practice of security, as that of putative threats to it., Funding Agencies|Stiftelsen for Miljostrategisk Forskning (The Swedish Foundation for Strategic Environmental Research)

This paper addresses an analytical gap in critical security studies related to the social construction, legitimation, and institutionalisation of referents objects, or the for whom of security. As it lays out, referent objects tend to be assessed based on pre-theoretical commitments that themselves fall outside of the scope of critical security analysis. This has important analytical and ethical consequences, which I heuristically illustrate in relation to the individual in both Copenhagen School securitisation theory and human-centred security. In one case, the individual is understood as an atomised Hobbesian figure at odds with the collective, and in the other, as a socially embedded figure representative of humanity. Incommensurate ontological baselines have on the one hand stymied fruitful dialogue between these two influential approaches. More importantly, however, fixed perspectives on the individual have also served to limit each approachs purview, even on their own terms. In highlighting the value of de-naturalising the individual, I lay out a broader argument for problematising referent objects more generally, as a more productive way of thinking about security that moves the conversation beyond practically endless articulations of potential danger. Overall, I argue that the intersubjective processes by which any referent object is constituted as a legitimate claimant to security, is as central to the critical study and ethical practice of security, as that of putative threats to it., Funding Agencies|Stiftelsen for Miljostrategisk Forskning (The Swedish Foundation for Strategic Environmental Research)

Purpose 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. Materials and methods This is a conceptual paper drawing on examples from existing research. Results 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. Conclusion 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.

Purpose 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. Materials and methods This is a conceptual paper drawing on examples from existing research. Results 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. Conclusion 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.

Purpose 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. Materials and methods This is a conceptual paper drawing on examples from existing research. Results 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. Conclusion 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.

Purpose 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. Materials and methods This is a conceptual paper drawing on examples from existing research. Results 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. Conclusion 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.

Purpose 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. Materials and methods This is a conceptual paper drawing on examples from existing research. Results 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. Conclusion 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.