Psychological Rehabilitation

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IOH has consultants highly skilled in psychological claims caused by stress, bullying or other psychological trauma. IOH also maintain a team of Registered and Clinical Psychologists across the state who provide psychological treatment services and provide Organisational Psychology consultancy and training services.

When working on primary physical injury cases, IOH consultants are also aware that psychological and psycho-social factors can play just as big a role as the physical symptoms of the injury. Thus IOH consultants are constantly engaged in identifying flags that may require psychological intervention.

IOH Consultants are experienced in implementing evidence-based counselling interventions such as cognitive behavioural and guided questioning techniques in order to facilitate prompt RTW and complement formal treatment being delivered by the treating psychologist. IOH maintains regular communication with treating parties and will engage the treating psychologist to attend case conferences and/or workplace meetings. IOH also contacts the treating psychologist in regards to the likely stressors and triggers that have been identified as risk factors within the injured worker’s workplace. This allows for the development of a systematic and comprehensive RTW in conjunction with key parties and in line with medical recommendations.

If you believe psychological factors are affecting your return to work case then please contact IOH to discuss what options we have available.

Case Study - Psychological Injury Rehabilitition

IOH received a referral for a female child protection caseworker in her 30s who experienced a psychological injury after she was involved in a workplace investigation that determined she was guilty of alleged misconduct. The injured worker reported no knowledge of the described allegations. Subsequent workplace investigations revealed that the injured worker was not in fact involved in the misconduct and she was provided with a retraction letter clearing her of any wrong-doing. The injured worker reported high levels of depression, anxiety, and irritability since the incident and she was declared ‘unfit for work’ by her nominated treating doctor. IOH received the referral one month post date of injury. The injured worker had remained unfit for work during this time. IOH organised an initial and psychological workplace assessment and subsequently developed a case formulation model to guide the ongoing rehabilitation approach:

  • Vulnerabilities (pre-disposing factors): strong job identity; high level of interpersonal conflict with manager; perfectionist personality traits; excessive workload demands; duties emotionally demanding
  • Stressors/Triggers (precipitating factors): shamed and threatened her professional identity; public humiliation; wrongly accused and the subsequent retraction was poorly managed
  • Maintaining factors (perpetuating factors): employer did not provide follow-up on the incident; interpersonal conflict (and both parties were not agreeable to mediation); advice by her treating psychologist that she should change offices
  • Positive prognostic factors: strong dedication; motivated to return to work; employer was highly supportive
  • Negative prognostic factors: not agreeable to mediation; treating psychologist and NTD reporting not able to RTW at original location

IOH organised a case conference. The treating doctor indicated that it is in the injured worker’s best interest to commence a graded RTW in an alternate office. IOH negotiated with the employer a temporary placement at an alternate office and the injured worker resumed on pre-injury hours with no work-related restrictions. IOH monitored the injured worker as she completed a 3 month suitable duties placement and encouraged her to commit to psychological treatment. The injured worker was able to secure a new position with a different office via the usual intra-office job application processes. The injured worker experienced a marked reduction in symptoms and reported enjoying her new role. IOH attended a case conference and recommended the injured worker be issued a pre-injury duties medical certificate. The treating doctor was agreeable and issued a pre-injury duties certificate. IOH closed the case following liaison with key parties, the case duration was 149 days post date of referral and total case costs <$6000.