The sink or SWIM hypothesis; a roadmap from pathology to work instability.

The SWIM is arguably the first holistic model of work that is based on both the clinical realities of vocational rehabilitation, sociological research, and is born from analyzing the basis of practical measurements. Implications for Rehabilitation Work Instability   • Work instability has multiple causes many of which are amenable to intervention   • The model clarifies the measureable domains of vocational rehabilitation interventions, which is of particular benefit for services working with people with disability at work who are struggling to remain in work   • The model conceptualizes how the potential areas for intervention may be related based on evidence available in the literature.