Key points
- The Total Worker Health approach recognizes the role that job-related factors have on well-being.
- NIOSH funds 10 academic Centers of Excellence for Total Worker Health across the U.S.
- Centers conduct multidisciplinary research to advance worker safety, health and well-being.

Background
The NIOSH Total Worker Health (TWH) approach brings together all aspects of work in integrated interventions. The goal is to collectively address worker safety, health, and well-being.
Traditionally, occupational safety and health programs have focused on ensuring work is safe. They protect workers from the harms that arise from work itself. TWH builds on this approach by recognizing that work is a social determinant of health. Job-related factors that affect well-being include wages, hours of work, workload, stress levels, workplace social interactions, and access to paid leave.
NIOSH funds 10 academic Centers of Excellence for Total Worker Health. The Centers are hubs for TWH-related research and practice. They build the scientific evidence base necessary to develop new solutions for complex occupational safety and health problems. Their research offers practical solutions that keep workers safe and healthy. It also helps employers build and retain a productive workforce.
The Centers use multidisciplinary research projects, including intervention-focused research, outreach and education. Evaluation activities help to improve our understanding of which solutions work. Centers' novel research has the potential to improve the safety and health of workers, employers, and communities.
Centers

at the University of California, San Francisco.
at the University of North Carolina at Chapel Hill.
at the Colorado School of Public Health.
at the University of Connecticut and University of Massachusetts Lowell.
at the University of Iowa. The Center is a collaboration among four universities and three organizations.
Center (POE Center) at Johns Hopkins University.
at the Oregon Health and Science University, Portland, Oregon
at Harvard University.
at University of Illinois at Chicago.
at the University of Utah.
Research priorities
The Centers' work advances a variety of issues relevant to the TWH approach. The following issues are current priorities:
- Opioid and other substance use disorders in the workplace
- TWH outreach, education, and training
- Measuring worker well-being
- Future of work
- Healthy work design and well-being
- Workplace mental health and worker well-being

- Total Worker Health® is a registered trademark of the U.S. Department of Health and Human Services (HHS).