Publications and Reports

The publications and resources on this page identify frameworks, solutions, and relevant research for comprehensive programs to improve worker safety, health, and well-being. The resources below include research findings and data that support using an integrated approach, practical solutions to occupational safety and health issues, and discussions on the characteristics of Total Worker Health® strategies.

Guiding Frameworks
  • Fundamentals of Total Worker Health®Approaches: Essential Elements for Advancing Worker Safety, Health, and Well-being
    This workbook prioritizes a hazard-free work environment and outlines the five defining elements of a Total Worker Health (TWH) approach.
  • The NationalTotal Worker Health® Agenda 
    This document is intended to define and prioritize occupational safety and health research, practice, and prevention activities related to TWH for 2016-2026. The document includes a variety of strategic goals, intermediate goals, and activity/output goals within the domains of Research, Practice, Policy, and Capacity-Building.
  • The NIOSH Worker Well-Being Questionnaire (WellBQ)
    The questionnaire measures “worker” well-being as a holistic construct rather than simply “workplace” or “work-related” well-being. The NIOSH WellBQ is intended to help researchers, employers, workers, practitioners, and policymakers understand the well-being of workers and target interventions to improve worker well-being, among other applications.
  • Edited Volume: Total Worker Heath
    The edited volume, Total Worker Health, provides an overview of the historical development of the concept and field of TWH. The 17-chapter volume summarizes the theory and research making the case for integrative workplace prevention strategies, highlighting the relationship between occupational risk factors and risks beyond the workplace.
  • U.S. Surgeon General’s Framework for Workplace Mental Health & Well-being
    This framework identifies five essentials that support workplaces as engines of well-being, with each essential based on two human needs. The framework will powerfully stimulate conversations and changes in organizations and workplaces. Worker voice and equity is central to the framework, highlighting the importance of worker engagement.
Workplace Solutions
Publications from the NIOSH Centers of Excellence for TWH

NIOSH funds academic Centers of Excellence for TWH (Centers), which are hubs for TWH-related research and practice. The Centers build the scientific evidence base needed to develop new solutions for complex occupational safety and health issues. Find publications from all of the centers here.

Select Publications Featuring TWH Authors

NIOSH researchers regularly work with partners to conduct and author research related to TWH. Below are a few examples of publications resulting from these partnerships that highlight the foundations of TWH approaches and address fundamental concepts of worker safety, health, and well-being.

Related Resources
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NIOSH Science Blog

Read TWH specific blogs and exchange ideas on various workplace safety and health topics with leading researchers from NIOSH.

Pile of books

Find publications, grant reports, documents, and journal articles relevant to the TWH approach in this searchable biographic database.

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Planning, Assessment, and Evaluation Resources

Discover tools to help your organization create and sustain a culture aligned with the TWH approach.