Arizona Employment &
Disability Partnership

2011 Work Disability Prevention Rounds - Mastering Tough Issues
in the Stay-at-Work, Return-to-Work and Start-Back-to-Work Process
to Preserve Patient Function, Protect Jobs & Prevent Worklessness

Session #6: Patient Management III:  Dealing With Psychiatric Overlay
August 10, 2011

Sponsored for CME by University of Arizona College of Medicine at the Arizona Health Sciences Center

Funded by the Arizona Employment & Disability Partnership administered by AHCCCS

Hosted by Dr. Jennifer Christian, MD, MPH and presented by Webility Corporation

Participation Information

Topic: 

Work Disability Prevention Rounds: "Patient Management III:  Dealing With Psychiatric Overlay"

Osler said "tell me about the patient who has the disease, not the disease that has the patient".  Since that time, research has confirmed that non medical psychosocial issues have a profound influence on outcomes.  In addition, however, unacknowledged or undertreated frank mental illness often accompanies and delays healing of physical conditions.  Patients often resist this message, and mental health services are often in short supply.  How can a front-line physician best handle these issues?

  • Addressing normal human reactions to illness, injury and work disability
  • How to recognize and deal with psychiatric co-morbidities
  • Simple techniques to help patients with low resilience and poor coping skills
  • Simple techniques to help patients with depression and anxiety
  • When to refer and to whom
  • What to do when "doing the right thing" seems impossible
  • Resources: Local people & web resources
Date:Wednesday, August 10, 2011
Time:12:00 to 1:30 pm Arizona time
Guests:Benjamin Bushman, PhD, Psychology, Tucson, AZ
Jennie Ellen, MD, Physical Medicine & Rehabilitation/Occupational Medicine, Concentra Health Systems, Tucson, AZ
Robert Orford, MD, MS, MPH, FACOEM Internal Medicine / Occupational Medicine, Mayo Clinic, Scottsdale, AZ

Presentation Materials

Presentation slides: WDP Rounds-Dealing with Psychiatric Overlay- August 10 finl.pdf

Handout (posted after session): Helping Patients Accept a Psychiatric Referral.htm (article by Harold Bursztajn, MD)

Faculty Disclosures

The faculty for the August 10, 2011 session of Work Disability Prevention Rounds have declared no financial interests that would constitute a conflict of interest with regard to the subject matter of the August 10, 2011 presentation.  See financial disclosure forms below.

Jennifer Christian MD - host

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