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Psychiatric Work Disability Assessment

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Newsletter Articles
Guides Newsletter (2022) 27 (2): 3–7.
Published: 01 March 2022
... and their effects and defined basic terms and models. The second article focused on improving the diagnosis and assessment of mental health disorders and psychiatric work disability. In this final article, we focus on iatrogenesis in diagnosing mental health work disability and argue for implementing...
Newsletter Articles
Guides Newsletter (2021) 26 (6): 15–18.
Published: 01 November 2021
...-assessments. Even having established an accurate diagnosis, evaluating psychiatric work disability is complicated by its multifactorial nature. Among the different causes of impairment in addition to the individual's health condition, social condition, relationships, conflicts with colleagues...
Newsletter Articles
Guides Newsletter (2021) 26 (4): 3–7.
Published: 01 July 2021
...Fabien Gagnon, MD, PsyD; Les Kertay, PhD Claims of occupational psychiatric disability have increased considerably over the past 20 years. To avoid psychiatric disability overdiagnosis, it is important to improve the clinical assessment of mental health work disability. This article discusses...
Newsletter Articles
Guides Newsletter (2022) 27 (4): 18–59.
Published: 01 July 2022
... and restrictions, as well as work accommodations; Impairment relating to the M&BD(s); Nature and extent of putative disability (partial/total, temporary/permanent); Workability/fitness-to-work (or fitness-to-practice for regulated professionals); Care and treatment (adequacy of past treatment...
Newsletter Articles
Guides Newsletter (2003) 8 (4): 1–11.
Published: 01 July 2003
... for a huge cost in health care utilization and loss in work productivity. In 1996, the United States spent more than $69 billion for the treatment of mental disorders and $13 billion for substance abuse interventions. 4 It has been documented that individuals with psychiatric illnesses use significantly...
Newsletter Articles
Guides Newsletter (1998) 3 (3): 1–3.
Published: 01 May 1998
... circumstances Work or work-like attempts Source: From pages 294-295, 301 of the Guides. Assessment of psychiatric impairment and prognosis requires the examiner to explore the interactions among vulnerability, 14 coping resources (eg, temperament), premorbid achievement, and external...
Newsletter Articles
Guides Newsletter (2020) 25 (2): 3–8.
Published: 01 March 2020
... of at least 20% permanent impairment (this is not the same as a WPI assessment from the AMA Guides and is determined by a set of tables for the “rating of work-related impairment”) and an inability to work for at least 30 hours a week at full wages or be retrained for such work for at least the next 2 years...
Newsletter Articles
Guides Newsletter (2017) 22 (3): 6–13, 16.
Published: 01 May 2017
.... , & Romana , C. ( 2012 ). Psychiatric disability and work: assessment of a group of patients examined at the occupational medicine outpatient department of the Turin University in the period of 2000–2012 . G Italian Med Lav Ergon , 34 ( 3 ), 229 – 231 . Hadjistavropoulos , T. & Bieling...
Newsletter Articles
Guides Newsletter (2008) 13 (6): 8.
Published: 01 November 2008
..., the Global Assessment of Function, and the Brief Psychiatric Rating Scale—after careful review of a wide variety of indices. The AMA Guides remains a work in progress, but the authors of the M&BD chapter have taken an important step toward providing a reasonable method for estimating impairment. © 2008...
Newsletter Articles
Guides Newsletter (2016) 21 (1): 3–10.
Published: 01 January 2016
... do not prevent people from working by mechanical failure. Rather, people are incapacitated by a variety of unbearable sensations when they try to work.” 18 Assessing disability in the pain patient is thus a challenging endeavor. While some individuals present with a clear and direct connection...
Newsletter Articles
Guides Newsletter (2006) 11 (6): 1–3, 8-11.
Published: 01 November 2006
...) Study . JAMA. 1990 ; 264 ( 19 ): 2511 – 8 . 19. Dersh J , Gatchel RJ , Polatin P , et al . Prevalence of psychiatric disorders in patients with chronic work-related musculoskeletal pain disability . J Occup Environ Med. 2002 ; 44 ( 5 ): 459 – 468 . 20. Mao , J...
Newsletter Articles
Guides Newsletter (2008) 13 (4): 6–14.
Published: 01 July 2008
... et al. Prevalence of psychiatric disorders in patients with chronic work-related musculoskeletal pain disability. J Occup Environ Med. 2002 : 44 : 459 - 468 . 32. Dvir Z , David G . Suboptimal muscular performance: Measuring isokinetic strength of knee extensors with new...
Newsletter Articles
Guides Newsletter (2007) 12 (6): 1–4, 8.
Published: 01 November 2007
... on a continuous scale of 1-100 was first developed by L. Luborsky in the Health-Sickness Rating Scale. 2 Spitzer and colleagues developed a revision of the Health-Sickness Rating Scale called the Global Assessment Scale (GAS). As mental health clinicians worked with the GAS, they recognized that functional...
Newsletter Articles
Guides Newsletter (2008) 13 (5): 1–6.
Published: 01 September 2008
... in concentration, persistence and pace are best noted from previous work attempts or from observations in worklike settings, such as day-treatment centers and incentive (supported) work programs. … Major impairments of these abilities can often be assessed through direct psychiatric examinations or psychological...
Newsletter Articles
Guides Newsletter (2020) 25 (6): 3–6.
Published: 01 November 2020
... assessment of function (GAF) rating will not always account for the accurate level of impairment in the functioning of the injured worker. It is sometimes best to specify work restriction and limitations (actual, even if self-imposed) and allow a vocational expert to determine a disability rating based...
Newsletter Articles
Guides Newsletter (2019) 24 (3): 3–9.
Published: 01 May 2019
...Garson Caruso, MD, MPH; Les Kertay, PhD The first part of this two-part series discusses psychological influences in delayed and failed recovery and resulting unnecessary work disability; the second part discusses theoretical and practical aspects of the issue, including evaluation and treatment...
Newsletter Articles
Guides Newsletter (2008) 13 (3): 14–18.
Published: 01 May 2008
..., including work, recreation or other social contacts. Failure to restore pre-injury function after a period of disability, such that the physical capacity is insufficient to pursue work, family, or recreational needs. Development of psychosocial sequelae after the initial incident, including anxiety...
Newsletter Articles
Guides Newsletter (2019) 24 (4): 3–14.
Published: 01 July 2019
... been independently tested. 49 Administer psychometric screening in claims that are not progressing as expected (early to middle claim stage). There are many screening instruments that can help predict at-risk claims, although no single tool assesses all phases of work disability or stakeholder...
Newsletter Articles
Guides Newsletter (2012) 17 (1): 1–12.
Published: 01 January 2012
... of disability. Abnormally long work absences may be an indicator of potential malingering, if medically unexplained. 60 Functional congruency for a given condition can at times be established via reviewing relevant literature. For example, although demonstrating reduced functioning in many activities...
Newsletter Articles
Guides Newsletter (2001) 6 (4): 8–11, 12.
Published: 01 July 2001
... assessments can be studied either by measuring overall ability to do work-related tasks or by specifically observing tasks described in the functional status instrument. Many patients with fibromyalgia do have significant work capacity; however, they may require pacing. In general, they have more difficulty...