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Enhancing Mental Health Services for Injured Workers: Master’s-Level Therapists in Workers’ Compensation

Explore how master’s-level therapists can provide high-quality mental health services for injured workers in the workers’ compensation system. This project aims to identify their role, gather data, engage stakeholders, and implement new provider types. Project phases include research, stakeholder engagement, implementation, testing, and updating systems.

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Enhancing Mental Health Services for Injured Workers: Master’s-Level Therapists in Workers’ Compensation

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  1. Mental Health Services for Injured Workers: Update on Master’s-Level Therapists as Providers in the Workers’ Compensation System Vickie Kennedy, Assistant Director for Insurance Services

  2. Background • Within workers’ compensation, most injured and ill workers experience a physical injury or illness and recover fully without additional assistance related to behavioral or mental health issues. • L&I’s medical provider system • About 27,000 approved attending providers • More than 1,000 mental-health specialty providers (psychiatrists, psychiatric ARNPs and psychologists) • Currently, master’s-level therapists (MLT) not allowed to treat under a workers’ compensation claim. • L&I was asked to change its rules and policy (e.g., WAC 296-21-270).

  3. Vision • Identify appropriate role(s) for qualified master’s-level therapists to provide high-quality behavioral and mental health services focused on recovery and return-to-work for workers with a work-related injury or illness.

  4. Project Phases • Phase 1: Data gathering and stakeholder engagement(April 2018-August 2019) • Create project team and stakeholder group. • Research behavioral and mental health services in other jurisdictions; access gaps based on Washington geography, etc. • Research best practices in MLT services for workers’ compensation • Decide on implementation approach.

  5. Stakeholder Participants Vickie Kennedy Dustin Dailey John Boze Jane Dale Megan Soria Amira Whitehill Kandi Wesselius Amber Lewis Zach Gray Shannon Thompson Dr. Morgan Young Sara Stewart Karen Jost Melanie Stewart Cheri Ward Lindsey Grad Mike Ratko (optional) Laura Groshong Tammy Fellin (optional) Joe Kendo Dr. Michael Harris Lisa Vivian Dr. Stephen Thielke John Meier Dr. Paul Allen Tammie Hetrick Dr. Lindsey Nice Michael Temple (optional)

  6. Project Phases (cont.) • Phase 2: Implement or test new authorized provider types (October 2018-December 2019) • Identify scope and outcome measures. • Create new provider types. • Develop payment model, business rules and processes to ensure integration with L&I systems. • Develop internal and external training, communication, monitoring and report-out plan. • Update systems. • Write rules, as necessary.

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