Early systematic psychosocial matched care for
Foreword
Executive summary
Terminology used in this paper
Introduction and overview: Early systematic psychosocial matched care
About this guide
Structure of the guide
Importance of biopsychosocial management in workers' compensation
Benefits of early systematic psychosocial intervention
Benefits of successfully implemented psychosocial matched care
Evidence base showing improved outcomes
Work Injury Screening and Early Intervention (WISE) Study at NSW public hospitals
EMCAP study at Australia Post
Other arguments that support the case for early routine screening
Business considerations and implementation costs
Key factors affecting return on investment
Addressing concerns
The biomedical vs. the biopsychosocial model in workers' compensation
The biomedical model
The biopsychosocial model
Ethical considerations
Operational considerations
Provision of psychosocial counselling
Mental health claims and psychosocial matched care
Research program and long-term considerations
The need for evaluation
The 3-step system: Triage, assessment and matched intervention
Screening to identify those at elevated risk
Psychosocial screening in work injury management
Important elements of screening tool
Screening tools
Bespoke screening tools
When to do screening
Who should be screened?
Introducing the screening tool
Triaging based on the results of screening
For systems
How can screening questionnaires be implemented?
Next steps
Psychosocial assessment of an individual’s barriers
Advantage of self-report questionnaires
Key elements of psychosocial assessment
Useful questionnaires to aid psychosocial assessment
Assessment after service delivery
Next steps
Matched care interventions to address the identified psychosocial barriers
A different approach
Biopsychosocial counselling
Addressing key biopsychosocial factors
Important considerations
Workplace support in matched care
Healthcare support in matched care
Use of Injury Management Consultants (IMCs)
Use of case conferences with the treating doctor or practitioner
Implementation
Planning for implementation
Known implementation barriers
Piloting and/or staged implementation
Training, resources and stakeholder collaboration
Training for case managers in psychosocial matched care
RTW Coordinator training
Training for psychologists and psychosocial counsellors
A community of practice for implementation
Integration with existing systems
Executing the implementation
Data management and analysis
Technology integration
Monitoring and improving the protocol
Key Performance Indicators (KPIs)
Feedback mechanisms
Long-term considerations
Policy alignment and process mapping
Performance metrics alignment and service provider integration
Legal and compliance considerations
Summary
Implementation case studies
WISE Protocol
Early matched care at Australia Post (EMCAP study)
Navigator Support Program
Australia Post mental health early intervention case study
Abilita program for mental health conditions
Case studies of treatment provider approaches
Navigator Support Program as a provider
Service delivery infrastructure
Treatment delivery model
Scheme-specific adaptability
Implementation requirements for new clients
Participation and success factors
Innovative approaches to provider quality
Rehab Management program as a provider in the Allianz MyJourney program
Axis Premium Care as a provider
Abilita Program delivery models
LeapForward as a primarily digital provider
References
Supporting Implementation Resource