General Guideline Principles for Personality / Psychological /
Psychosocial Clinical Evaluation for Pain Management
for workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Personality / Psychological / Psychosocial Clinical Evaluation for Pain Management.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Personality / Psychological / Psychosocial Clinical Evaluation for Pain Management of Non-Acute Pain

For patients with non-acute pain diagnoses, psychosocial considerations should determine whether additional psychosocial or behavioral interventions are necessary. Clinicians should have a greater grasp of the patient in his or her social context thanks to the explanation of the evaluation, enabling more successful rehabilitation.

Clinical Evaluation

A clinical assessment should be conducted by a psychiatrist and psychologist and should include:

  • Injury history. The patient’s words or language that is comparable should be used to describe the history of injury. Caution must be maintained when employing translator

    • Kind of damage.

    • Injury-related psychosocial situations.

    • Current symptoms

    • Extent of medical verification.

    • Results of the treatment received.

    • adherence to the course of action.

    • Catastrophizing, risk aversion, and realize locus of control are some coping mechanisms.

    • opinion of the healthcare system and the employer.

    • reaction to pharmaceutical drugs in the past.

  • Health Background

    • medical background.

    • Psychiatric background.

    • alcohol or drug misuse in the past.

    • routine daily activities.

    • Past injuries, including disabling, debilitating, and compensatory conditions

  • Psychosocial Background

    • History of childhood, including any abuse or neglect.

    • educational background.

    • Disability in the family tree.

    • History of marriage and other major actions and occasions during maturity.

    • Legal background, including court cases on both sides of the law.

    • working history.

    • military service.

    • exposure to severe trauma

    • signs of psychological dysfunction before the injury.

    • Current and historical interpersonal ties, support, living \situation.

    • financial background.

  • Examining your mental state for cognition, emotion, mood, and orientation

  • Considering and perceiving.

  • Evaluation of any risk to oneself or others.

  • Results of any psychological testing that was done.

  • Current psychiatric diagnosis: In line with the criteria of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association.

  • Pre-existing psychological disorders: Treating these disorders is necessary when they interfere with a patient’s ability to recover from non-acute pain.

  • Recommendations for treatment: Regarding objectives, frequency, timeframes, and anticipated results.

Tests of Psychological Functioning of Non-Acute Pain

Assessments of mental health, pain, and cognitive ability all benefit from psychometric testing. In order to help the doctor, create a more impressive treatment plan, vocational plan, and assess the efficacy of the treatment, psychometric testing is a valuable part of a consultation. Examples of regularly used psychometric tests are provided in Appendix B.

What our office can do if you have workers compensation injuries

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.

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I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.

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