Wise Edward A, Beck J Gayle
Mental Health Resources.
University of Memphis.
Psychol Trauma. 2015 Sep;7(5):500-6. doi: 10.1037/tra0000039.
The current review examines work-related traumatic events, with particular focus on posttraumatic stress disorder (PTSD) as a potential mental health outcome. Despite considerable empirical knowledge about trauma and PTSD, a gap exists with respect to laws undergirding Workers Compensation (WC) insurance coverage for work-related mental health injuries. In this article, state and federal WC statutes are examined with an eye toward coverage of PTSD following work-related trauma. Examples of differences between states, as well as state-specific idiosyncratic facets of WC laws, are discussed. Federal WC programs are also examined. Two policy issues are highlighted: (a) lack of parity between WC coverage for work-related physical versus mental health injuries and (b) lack of reliance on psychological science in scripting legislation and determining WC benefits. The cost of untreated PTSD following work-related trauma is examined, focusing on costs to the individual, the employer, and society at large. The authors provide 3 recommendations designed to address discrepancies related to compensable psychological injuries following work-related trauma exposure.
本综述探讨与工作相关的创伤事件，特别关注创伤后应激障碍（PTSD）这一潜在的心理健康后果。尽管关于创伤和PTSD已有大量实证知识，但在与工作相关的心理健康损伤的工伤保险覆盖范围相关法律方面仍存在空白。本文审视了州和联邦的工伤保险法规，着眼于与工作相关创伤后PTSD的覆盖范围。讨论了各州之间的差异示例以及工伤保险法律的特定州独特方面。还对联邦工伤保险计划进行了审视。突出了两个政策问题：（a）与工作相关的身体损伤和心理健康损伤在工伤保险覆盖方面缺乏平等性，以及（b）在制定立法和确定工伤保险福利时缺乏对心理学科学的依赖。研究了与工作相关创伤后未治疗的PTSD的成本，重点关注对个人、雇主和整个社会的成本。作者提出了3项建议，旨在解决与工作相关创伤暴露后可补偿心理损伤相关的差异。
