is one of the most important papers WCRI has published in recent memory.
Authors Vennela Thumula PharmD and Sebastian Negrusa PhD have produced a comprehensive analysis of the subject, one every work comp manager, claims exec, regulator clinician and risk manager should have within easy reach.
Among the topics addressed are:
- How do you define behavioral health in the context of workers’ compensation?
- What are psychosocial factors and can they be a barrier to recovery following a work-related injury?
- How important is early screening for psychosocial factors and other mental health conditions?
- What non-medical and medical interventions exist to help those with behavioral health problems?
I’m working my way through the study; it has reinforced my belief that mental health/behavioral health issues/concerns are likely the primary barrier to recovery.
Chief among these are psychosocial factors that may impede recovery;
- poor recovery expectations
- fear of pain\catastrophizing
- perceived injustice
- general fearfulness
- job dissatisfaction
- lack of family/social support systems
Friend and colleague Bill Zachry has long noted that Adverse Childhood Events can be a key obstacle to recovery – in fact research indicates victims of abuse are more likely to be disabled during adulthood.
The paper also provides state-by-state details on coverage of mental stress and psychotherapy issues and the status of BH specialists as treating medical providers.
I’d be remiss if I didn’t note Carisk’s David Vittoria has been a persistent voice advocating for increased focus on BH issues. (Carisk is an HSA consulting client)
The study is free for WCRI members; there’s a nominal cost for non-members. Get yours here.
What does this mean for you?
Read this paper.