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Examining the Role of Rehabilitation in the South Australian Workers' Compensation System

Published online by Cambridge University Press:  23 February 2012

D. Christine Roberts-Yates*
Affiliation:
Flinders University, Australia
*
4/26 Rohsart Street, Parkside, Adelaide, South Australia 5063, Australia E-mail: acry1@msn.com
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Abstract

This paper will analyse the provision of rehabilitation to injured workers with a registered WorkCover claim in South Australia. It presents the comments of key parties on the practice of rehabilitation, approaches to service delivery, and contradictions and paradoxes of the reality of the practice. The comments of workers, employers, case managers, medical practitioners, and of the rehabilitation providers themselves give ample evidence of the complexity of the demands placed upon providers in this system. Emphasis is placed upon their role in presenting the realities of the situation honestly to the worker and in effectively communicating to other stakeholders the particular strategies needed to overcome barriers to successful return-to-work outcomes.

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Articles
Copyright
Copyright © Cambridge University Press 2003

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References

Abbott, P., & Meerabeau, L. (1998). Professionals, professionalisation and the caring professions. In Abbott, P. & Meerabeau, L. (Eds.), The sociology of the caring professions, (pp. 119). London: UCL Press.Google Scholar
Akabas, S., Gates, L., & Galvin, D. (1992). Disability management: A complete system to reduce costs, increase productivity and ensure legal compliance. New York: Amacon.Google Scholar
Anderson, J.M., (1996). Empowering patients, issues and strategies. Social Science and Medicine, 43(5): 697705.CrossRefGoogle ScholarPubMed
Antonovsky, A. (1987). Unravelling the mystery of health: How people manage stress and stay well. San Francisco: Jossey-Bass.Google Scholar
Argyle, M. (1991). Co-operation: The basis of sociability. London: Routledge.Google Scholar
Ashkanasy, N.M., & Tse, B. (2000). Transformational leadership as management of emotion: A conceptual review. In Ashkanasy, N.M., Hartel, C.E.J., & Zerbe, W.J. (Eds.), Emotions in the workplace. Westport, CT: Quorum Books.Google Scholar
Austin, M.J. (1997). Human services integration. New York: Haworth Press.Google Scholar
Australian Society of Rehabilitation Counsellors (ASORC). (1995). Core competencies for the profession of rehabilitation counselling. Brisbane, Australia: Author.Google Scholar
Bale, A. (1989). Medicine in the industrial battle: Early workers' compensation. Social Science Medicine, 28, 1131120.CrossRefGoogle ScholarPubMed
Barnes, C.A. (2000). A working society model? Disability, work and disability: Politics in the twenty-first century. Critical Social Policy, 20(4): 113120.CrossRefGoogle Scholar
Bemrose, C., MacKeith, J. (1996). Partnerships for progress: Good practice in the relationship between local government and voluntary organisations. Bristol, UK: The Policy Press.Google Scholar
Biggs, H.C., & Flett, R.A. (1995). Rehabilitation counsellor competency studies: A review of praxis in a human service profession. Australian Journal of Rehabilitation Counselling, 1, 113.CrossRefGoogle Scholar
Billett, S. (1999). Guided learning at work. In Boud, D. & Garrick, J. (Eds.). Understanding learning at work. London: Routledge.Google Scholar
Blackman, I. (2003). The perceived complexity of vocational workplace rehabilitation and its implications for supervisor development. International Education Journal, 4(1), 117.Google Scholar
Bloch, F.S., & Prins, R. (2001). Who returns to work and why? A six country study on work incapacity and reintegration. London: Transaction.Google Scholar
Bruhn, J.G., Levine, H.G., & Levine, P.L. (1993). Managing boundaries in the health professions. Springfield, USA: Charles C. Thomas.Google Scholar
BSRM. (2000). Vocational rehabilitation — the way forward: A working party report. London: Author.Google Scholar
Burry, H.C. (1990). Accident compensation: Gates and gatekeepers. Medical Journal of Australia, 152, 450451.CrossRefGoogle ScholarPubMed
Buys, N., & Kendall, E. (1998). Stress and burnout among rehabilitation counsellors within the context of insurance based rehabilitation: An institutional analysis. Australian Journal of Rehabilitation Counselling, 4, 112.CrossRefGoogle Scholar
Calzoni, T.(1997). The client perspective: The missing link in work injury and rehabilitation studies. Journal of Occupational Health and Safety of Australia and New Zealand, 13(1), 4757.Google Scholar
Cameron, S.J. (1996). Workers' compensation: What role the doctor? Medical Journal of Australia, 164, 2627.CrossRefGoogle ScholarPubMed
Carey, T.S., & Hadler, N.M. (1986). The role of the primary physician in disability determination for social security insurance and workers' compensation. Ann Intern Med, 104, 706710.CrossRefGoogle ScholarPubMed
Castellani, B., & Wear, D. (2000). Physician views on practising professionalism in the corporate age. Qualitative Health Research, 10(4), 490506.CrossRefGoogle Scholar
Casto, R.M., Julia, M.C., et al. (1994). Interprofessional care and collaborative practice. Pacific Grove, CA: Brooks/Cole.Google Scholar
Chan, E., Reid, D., Kasel, L., Roldan, G., Rahmi, M., Mpfou, E. (1997). Vocational assessment and evaluation of people with disabilities. Vocational Rehabilitation, 8(2), 311325.Google Scholar
Cohen, M., Nicholas, M., & Blanch, A. (2000). Medical assessment and management of work-related low back pain or neck/arm pain. Journal of Occupational Health and Safety, Australia/New Zealand, 16(4), 307317.Google Scholar
Collinson, C., Flett, R., Handy, J., Brook, J., & Alpass, F. (2000). Job satisfaction in rehabilitation case managers: The role of organisational commitment and climate, occupational self-efficacy and perceived competencies. Australian Journal of Rehabilitation Counselling, 6, 6777.CrossRefGoogle Scholar
Conti, R.M. (1999). The broker model of case management. In Cohen, E.L. & deBack, V. (Eds.), The outcomes mandate: Case management in health care today, (pp. 122-31). St Louis, MO: Mosby.Google Scholar
Corrigan, P., Lickey, S., Campion, J., & Rashid, F. (2000). A short course in leadership skills for the rehabilitation team. Journal of Rehabilitation, 66(2), 5658.Google Scholar
Crisp, R. (1987). Rehabilitation counselling: A profile. Australian Disability Review, 3, 2830.Google Scholar
Crisp, R. (2000). A qualitative study of the perceptions of individuals with disabilities concerning health and rehabilitation professionals. Disability and Society, 15(2), 355367.CrossRefGoogle Scholar
Ekberg, K. (1995). Workplace changes in successful rehabilitation. Journal of Occupational Rehabilitation, 5(4), 253269.CrossRefGoogle ScholarPubMed
Epstein, S. (1998). Constructive thinking: The key to emotional intelligence. Westport, CT: Praeger.Google Scholar
Feuerstein, M. (1991). A multidisciplinary approach to the prevention, evaluation and management of work disability. Journal of Occupational Rehabilitation, 1, 512.CrossRefGoogle Scholar
Field, D., & Taylor, S.E. (Eds.). (1998). Sociological perspectives on health, illness and health care. London: MPG Books.Google Scholar
Field, L. (1998). The challenge of ‘empowered learning’. Asia Pacific Journal of Human Resources, 36(1), 7285.CrossRefGoogle Scholar
Ford, L.H. (1995). Providing employment support for people with long term mental illness: Choices, resources and practical strategies. Baltimore, MD: Paul H. Brookes.Google Scholar
Gardner, J.A., (1991). Early referral and other factors affecting vocational rehabilitation outcome for the workers' compensation client. Rehabilitation Counselling Bulletin, 34(3), 197209.Google Scholar
Garske, G. (1999). The challenge of rehabilitation counsellors: Working with people with psychiatric disabilities. Journal of Rehabilitation, 2125.Google Scholar
Ganora, A., & Wright, G. (1987). Occupational rehabilitation: Costs and benefits. The Journal of Occupational Health and Safety, Australia/New Zealand, 3(4), 331351.Google Scholar
Ganster, D.C., Fusilier, M.R., & Mayes, B.T. (1986). Role of social support in the experience of stress at work. Journal of Applied Psychology, 71, 102110.CrossRefGoogle ScholarPubMed
Gerber, R. (2000). Experience, commonsense and expertise in workplace learning. In Gerber, R. & Lankshear, C. (Eds.). Training for a smart workforce. London: Routledge.Google Scholar
Hassett, S., & Austin, M.J. (1997). Service integration: Something old and something new. In Austin, M.J. (Ed.), Human Services Integration, (pp. 929). New York: Haworth Press.Google Scholar
Heenan, D. (2003). Does delivery matter? Users' perceptions of the significance of trust in the delivery of the personal advisor service in the new deal for disabled persons. Disability and Rehabilitation, 25(16), 883890.CrossRefGoogle ScholarPubMed
Holt, B.J. (2000). The practice of generalist case management. Needham Heights, MA: Allyn & Bacon.Google Scholar
House of Representatives Standing Committee on Employment and Workplace Relations (06, 2003). Bock on the job: Report into aspects of Australian workers' compensation schemes. Canberra, Australia: Commonwealth of Australia.Google Scholar
Imershein, A.W., Hill, A.S., & Reynolds, A.M. (1994). The workers' compensation system as a quality of life problem for workers' compensation claimants. Advances in Medical Sociology, 5, 1812000.Google Scholar
Kanateros, K. (2000). Engaging reluctant clients: A study of rehabilitation counsellors. The Australian Journal of Rehabilitation Counselling, 6, 2032.CrossRefGoogle Scholar
Kelly, C.R., & Amparo, J.M. (2000). A review of workers' compensation claims: The frequency of claim denial and medical treatment delay. Hawaii Medical Journal, 59, 1113.Google Scholar
Kenny, D. (1995). Barriers to occupational rehabilitation: An exploratory study of long-term injured employees. Journal of Occupational Health and Safety of Australia and New Zealand, 11(3), 249256.Google Scholar
Kenny, D.T. (1996). Factors influencing return to work following workplace injury. International Journal of Psychology, 31(3), 34.Google Scholar
Kenny, D.T. (1998a). The role of the rehabilitation provider in occupational rehabilitation: Providing for whom? Part 1: Self-perceptions. The Australian Journal of Rehabilitation Counselling, 4, 97110.CrossRefGoogle Scholar
Kenny, D.T. (1998b). The role of the rehabilitation provider in occupational rehabilitation: Providing for whom? Part 2: Perceptions of key stakeholders. Australian Journal of Rehabilitation Counselling, 4, 111122.CrossRefGoogle Scholar
Kenny, D.T. (1998c). Returning to work after workplace injury: Impact of worker and workplace factors. Journal of Applied Rehabilitation Counselling, 29(1), 1319.CrossRefGoogle Scholar
Kirschenbaum, A. (1999). The organisation of vocational rehabilitation: The structure of success. International Journal of Vocational Rehabilitation Research, 22, 215225.CrossRefGoogle ScholarPubMed
Klein, J.I. (2000). Corporate failure by design: Why organisations are built to fall. Westport, CT: Quorum Books.Google Scholar
Kyle, K. (1998). From fragmentation to coordination: Person centred rehabilitation within an adversarial system. Rehab Network, 50, 35.Google Scholar
Labonte, R. (1994). Health promotion and empowerment: Reflections on professional practice. Health Education Quarterly, 21 (2), 253268.CrossRefGoogle ScholarPubMed
Lesher, C.(1987). Rehabilitation practice in business and industry. Rehabilitation Education, 1, 119121.Google Scholar
Levine, K., Schieber, A., Benjamin, J., Halmosh, A.F. (1988). Emotional problems of the disabled worker who cannot return to his former occupation. The Journal of Occupational Health and Safety, Australia and New Zealand, 4(4), 313318.Google Scholar
Lu, L. (1997). Social support, reciprocity and wellbeing. Journal of Social Psychology, 137(5), 618628.CrossRefGoogle Scholar
McAnaney, D., Webster, B., Lohan, M., & Wynne, R. (2001). Disability management: A system of response or a response to a system? Australian Journal of Rehabilitation Counselling, 7(1), 239249.CrossRefGoogle Scholar
McAnaney, D.F. (2000). From fragmentation to co-ordination: Cost effective rehabilitation. Journalof Personal Injury Litigation, 2, 118127.Google Scholar
MacKenzie, E.L., Morris, J.A. Jr., Jurkovich, G.L., Yasui, Y., Cushing, B.M., Burgess, , et al. (1998). Return to work following injury: The role of economic, social and job related factors. American Journal of Public Health, 88(11), 16301637.CrossRefGoogle ScholarPubMed
Matthews, L.R. & Hawkins, T. (1995). Long-term unemployment and rehabilitation counselling: Problems faced and competencies required. The Australian Journal of Rehabilitation Counselling, 1, 118129.CrossRefGoogle Scholar
Medin, J., Bendtsen, P., & Ekberg, K. (2003). Health promotion and rehabilitation: A case study. Disability and Rehabilitation, 25(16), 908915.CrossRefGoogle ScholarPubMed
Mehr, J. (1995). Human services: Concepts and intervention strategies. Boston, MA: Allyn & Bacon.Google Scholar
Mitchel, A.J. (1997). Keeping the plate spinning: A qualitative study of job satisfaction and occupational stress experienced by South Australian rehabilitation counsellors. Australian Journal of Rehabilitation Counselling, 3, 8689.CrossRefGoogle Scholar
Pati, G.C. (1985). Economics of rehabilitation in the workplace. Journal of Rehabilitation, 51(4), 2230.Google Scholar
Power, P.W., & McKenna, M. (1994). Rehabilitation counselling: A perspective on an inter-disciplinary approach to vocational evaluation and assessment. Vocational Evaluation and Work Adjustment Bulletin, Winter, 128132.Google Scholar
Roberts-Yates, D.C. (2002a). Claims/injury management and rehabilitation for injured workers: Initial results of a partnership approach. Australian Journal of Rehabilitation Counselling, 8(1), 3950.CrossRefGoogle Scholar
Roberts-Yates, D.C. (2002b). The dilemma of the case manager in workers' compensation: Decisionmaker, system player, paralegal/medical specialist, mediator or enemy? Australian Journal of Rehabilitation Counselling, 8(2), 99113.CrossRefGoogle Scholar
Roberts-Yates, D.C. (2003). The concerns and issues of injured workers in relation to claims/injury management and rehabilitation: The need for new operational frameworks. Disability and Rehabilitation, 25(16), 898916.CrossRefGoogle ScholarPubMed
Roberts-Yates, D.C. (2004a). Perceptions of the employer as a major stakeholder in claims injury management and rehabilitation, Asia Pacific Journal of Human Resources, (in press).Google Scholar
Roberts-Yates, D.C. (2004b). Examining the role of treating medical practitioners practising in the South Australian workers' compensation system. Australian Journal of Rehabilitation Counselling 9(2) (in press).Google Scholar
Roessler, R.T. & Rubin, S.E. (1998). Case management and rehabilitation counselling: Procedures and techniques. Austin, TX: Pro-ed.Google Scholar
Royal Australian College of General Practitioners (RACGP), West Australian Research Unit. (2000). Stress, compensation and the general practitioner. Perth, Australia: Western Australia Workers' Compensation and Rehabilitation Commission.Google Scholar
Royal Australian College of Practitioners (RACP), Health Policy Unit. (2001). Compensable injuries and health outcomes. Sydney, Australia: Australian Faculty of Occupational Medicine.Google Scholar
Saunders, C. (2002). Compo too stressful. Medical Journal of Australia, 36, 61.Google Scholar
Scheff, T.J. (1995). Shame and related emotions: An overview. American Behavioural Scientist, 38(8), 697705.CrossRefGoogle Scholar
Schon, D. (1983). The reflective practitioner. New York: Basic Books.Google Scholar
Strunin, L., & Bodin, L. (1997, 10). The human costs of occupational injuries. Paper presented at the national occupational injury research symposium, Morgantown, WV.Google Scholar
Tate, D.G. (1992). Factors influencing injured employees return to work. Journal of Applied Rehabilitation Counselling, 23(2), 1720.CrossRefGoogle Scholar
Trotter, C. (1999). Working with involuntary clients: A guide to practice. Sydney, Australia: Allen & Unwin.Google Scholar
van der Sluis, C.K., Eisma, W.H., Groothoff, J.W., & ten Duis, H.J. (1998). Long term physical, psychological and social consequences of severe injuries. Injury, 29(4), 281285.CrossRefGoogle ScholarPubMed
Veerman, T.J., & Palmer, E. (2001). Work resumption and the role of interventions. In Bloch, F.S. & Prins, R., (Eds.), Who returns to work and why? London: Transaction.Google Scholar
Veiel, H., & Baumann, U. (1992). The many meanings of social support. In Veirl, H. & Baumann, U. (Eds.), The meaning and measurement of social support. New York: Hemisphere.Google Scholar
Walker, T.M. (1999). Continuity and change in Australian vocational rehabilitation in the new millennium. Australian Journal of Rehabilitation Counselling, 5, 115125.CrossRefGoogle Scholar
Walker, M.L., & Wiegmann, S.M. (1995). The future of rehabilitation counselling: Can we adapt to change? Australian Journal of Rehabilitation Counselling, 1, 1322.CrossRefGoogle Scholar
Weis, E.S., Anderson, R.M., & Lasker, R.D. (2002). Making the most of collaboration: Exploring the relationship between partnership synergy and partnership functioning, Health Education and Behaviour, 29(6), 2739.Google Scholar
Westmorland, M.G., & Williams, R. (2002). Employers and policy makers can make a difference to the employment of persons with disabilities. Disability and Rehabilitation, 24(15), 802809.CrossRefGoogle Scholar
Wood, G., Ying, E., Morrison, D., & Munrowd, , ?. (1999). The role of the GPs in the workers' compensation system. Journal of Occupational Health and Safety, Australia/New Zealand, 15(4), 311324.Google Scholar
WorkCover Corporation. (1998). Rehabilitation and return to work manual and guidelines (4th ed.). Adelaide, Australia: Author.Google Scholar
WorkCover Corporation. (2002). A guide to an earlier and safer return to work. Adelaide, Australia: Author.Google Scholar