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A concern raised by some is that screening for psychosocial barriers might somehow increase the likelihood of secondary psychological conditions developing. This concern suggests that asking about psychological symptoms could plant ideas or create problems that were not there.

Evidence from multiple implementations shows that the opposite is true - early screening helps prevent secondary psychological conditions by:

•Identifying early warning signs before problems become entrenched

•Enabling targeted support when it is most effective

•Demonstrating to workers that their wellbeing is taken seriously

•Normalising discussions about psychological aspects of recovery

•Providing a structured way to address concerns before they escalate

Research and practical experience from implementations like the WISE study and EMCAP show no evidence of screening creating psychological problems. Rather, these programs demonstrate that early identification and support reduces the development of secondary psychological conditions.

This approach aligns with broader healthcare principles where early identification of risk factors is a well-established way to prevent more serious conditions developing.