Injured individuals experience social costs over and above the financial costs incurred by their employers, public and private insurers, and the health care system. There are emotional and health costs associated with not working, including higher rates of depression, social exclusion and illness. Anxiety and depression are prevalent among injured workers. Undue hardship aspect of human rights legislation that means that employers must accommodate the needs of a disabled worker unless the necessary modifications would lead to health and safety difficulties or present unsustainable economic or efficiency costs. The goals of disability management programs include promotion of safe workplaces; coordinated programming in health, rehabilitation, and accommodation interventions; and representation of all stakeholders, including workers, unions, management, government and insuring agencies. Disability management programs are most effective when developed and applied using a systems approach. Systems approach an approach to disability management that emphasizes the work and organizational context.