Background. The mental health of injured workers has been relatively unexplored in the literature, though there is a suggestion that needs are substantive. Purpose. This study explored the experiences of injured workers to generate an understanding of their mental health needs. Methods. In-depth qualitative interviews were carried out on a purposeful sample of 4 injured workers living in the greater Toronto area. Data was analyzed inductively and four major themes emerged. Results. Themes related to the life changes that result from work injury, and the sense of alienation from society and abandonment by the compensation system. Injured workers reflected that continued involvement in meaningful occupations and encouragement from supportive others helped to promote positive well-being after the injury. All participants emphasized the need for systemic change. Practice Implications. Occupational therapists and other professionals working with the injured worker population can use findings from this study to promote positive mental health and well-being among injured workers and their families