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Work Cover Claims: The Psychologist’s role in assisting deaf employee’s
through the work cover process.
Ryan Teuma MAPS Psychologist
Vitalogy Consulting
Lets Talk About …Mental health and deaf Lets Talk About …Mental health and deaf people conference.people conference.
16-17 November 201516-17 November 2015
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What I want to give you today?
A clear explanation of the work cover process
The best supports required for a deaf employee
The disadvantages and barriers presented to deaf employees
How to overcome those barriers using your professional supports
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What is work cover? If you have a work related injury or illness,
you may be entitled to receive compensation from WorkCover
The injury can be a new injury or an aggravation of a pre-existing injury
You can be a permanent, full time or part time employee.
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What types of injuries or illnesses? Any type of injury or illness Back, shoulder, hand, leg or hip injury Broken bones, cuts or a head concussion Physical and Sexual assault Bullying, harassment or discrimination Anxiety, Depression, Psychological Trauma Infections, respiratory problems, various
viruses and cancers
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What do you need to do? Tell your employer within 30 days of
becoming aware of your injury (put it in writing)
Register the injury at work in the “Register of injuries” which must be kept at every work place
Your employer must let you know in writing they have been notified of your injury.
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Fill in the claim form? You must complete the WorkCover claim
form if you require time off work or medical treatment
Tell your Doctor and other Health Care Professionals (Psychologist, Physiotherapist, Osteopath or Chiropractor) of all of your symptoms
The claim form is available at Post Offices, WorkSafe Victoria branches, your union or your employer
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Claiming weekly payments If you loose income because of the injury
you are able to claim weekly payments based on your pre-injury weekly earnings
Provide your employer with a “Certificate of Capacity” – from your Doctor to cover the first 14 days
If after the 14 days you can not work you need further “Certificates of capacity” that cover 28 days at a time.
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Once you complete the claim form
Give the completed WorkCover claim form with your “Certificate of Capacity” to your employer as soon as you canFind out who is your WorkCover agent such as Allianz, QBE, Gallagher Bassett, Xchanging and CGU. Your WorkCover agent must assess your claim within 28 days
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While your claim is being assessed Discuss access to sick and annual leave
with your employer Seek ongoing medical and psychological
support, keep a log of all your treatments and your receipts
Speak to your family and friends who will form part of your support group, do not do this on your own
You may be required to attend an Independent Medical Examination (IME)..psychiatrist, specialist doctor etc
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If your claim is accepted You will be paid for your medical and
psychological services You will be paid a weekly pay based on a
percentage. This percentage of your preinjury pay will be determined by your WorkCover agent.
Focus on stabilising your injury, build good connections with your treating team (GP, Psychologist, Physio, Chiro etc)
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What your employer should be doing Acknowledge they have received your
claim Complete an Employer Injury Claim form Lodge the claim with WorkSafe in 10 days Appoint a return to work coordinator Plan your return to work with you and your
treating health practitioners (GP, Psychologist and Psychiatrist)
Stay in regular contact with you
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What your WorkCover agent should be doing Review your requests for treatment Manage your treatment program with you Assist you with a return to work plan Review suitable offers of employment
offered to you Arrange an occupational rehabilitation
provider Reimburse you for your costs of treatment
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The best supports required for a deaf employee on a WorkCover claim Interpreters will be paid for under
WorkCover, however this needs to be arranged through your work cover agent.
Ensure you have a good relationship with your GP as they will be providing you with the important “Certificates of Capacity”
Ensure you have all the medical and psychological supports in place for your recovery
Talk to your close family and friends and get support
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Barriers for deaf WorkCover clients Complicated written information is not
visual or deaf friendly. You may need to access interpreters for
sight translation for the documentation You must write or type all forms Interpreters- paid for by WorkCover
however, you can not choose a preferred interpreter
Reliability of booking the interpreter is an issue
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Barriers for deaf WorkCover clients Case managers working for the insurance
companies have no experience with deaf clients
Most contact will be through posted snail mail
Get the case managers email address and set up all correspondence electronically
Scan and send in all receipts, keep a log Don’t expect a reply for several days or
weeks as they are very slow in responding
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Barriers for deaf WorkCover clients Several appointments will be booked for
various doctors, psychologists, psychiatrists, pain specialists, independent medical experts…keep a diary so you don’t miss the appointment
Case managers change every 3 to 6 months, so then you have to start again building the relationship with them
You will have to explain you communication needs over and over
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How to overcome the barriers Keep a diary of your contact Keep a log of all of the receipts Put all your requests in writing and send
follow-up emails every few days Fight for what you need to help your
recovery, don’t take no for an answer! Work with your GP and Psychologist to
ensure you are getting what you need Don’t give up keep fighting for your needs
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How to overcome the barriers Attend all appointments as requested If you fail to attend appointments, your
weekly payments may be cut off Talk to your close friends and family and
share your experiences with them for support
Seek psychological support to deal with grief, loss of identity, anger, pain management, depression and anxiety.
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Psychological support of your wellbeing in practice requires Healthy self esteem. Do you like yourself?
Positive self image. Do you like what you present to others?
Self belief. Do you believe you can live an enjoyable life?
Confidence in yourself. Do you trust yourself to make good decisions for you?
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Practical lifestyle changes to promote psychological wellbeing Avoid isolating yourself and hiding from
others Avoid thinking you are the only one who
feels the way you do...you are not alone. Seek different perspectives from people
you respect Develop healthy lifestyle goals that
promote good health, diet, sleep, social inclusion, rest, relaxation and emotional security in your life.
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5 Questions for the audience What is your lived experience of a work cover
claim? What culturally appropriate resources are
available to help deaf people on WorkCover? Are there best practice procedural documents
available that WorkCover and the Insurance Agents need to be held accountable to?
What are the numbers of deaf people on work cover in Australia and do they return to work?
What are the expected mental health experiences of deaf people on work cover?
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Developing a Range of Responses
RE-BUILDING
RELATIONSHIPS
REPAIRING RELATIONSHIPS
UNIVERSALe.g. Social & Emotional Skills Programs
INTENSIVEe.g. Conferencing, Mediation
TARGETEDe.g. Classroom, Sm.Grp. & Indiv. Conferences
1-5% of population
Whole School
RE-AFFIRMINGRELATIONSHIPS
THROUGH DEVELOPING SOCIAL AND EMOTIONAL SKILLS