The ACOEM Guidelines indicate (page 391) that the initial assessment of patents by the primary treating physician (“PTP”)
“…should screen for potentially serious psychiatric disorders , to asses the patient’s physical and psychosocial situation, and to
establish an effective treatment plan… The initial assessment is a critical tool for detecting potential emotional problems that
require the attention of a psychiatrist or other mental health professional.”
The ACOEM Guidelines (at page 114) asserts that, “Pain should be considered an experience, not a sensation, an injury or a
disease,” At page 315; “The physician should discuss the physical and psychological mechanisms of pain at each encounter.”
For the above reasons, per the ACOEM Guidelines, the psychological evaluation is a clinical requisite in cases involving pain
resulting from events of the work place injury.
The Applicant was referred by the primary treating physician pursuant to and in compliance with applicable ACOEM / AMA
Guidelines ( page 398, B, Referral)
Labor Code § 4604.5(c) establishes that ACOEM ''is presumptively correct on the issue of extent and scope of medical treatment''
Section 3600 of the Labor Code provides as a condition of compensation that an injury to an employee must arise out of his
employment. This requirement refers to a causal connection between the employment and the injury. ( Scott v. Pacific Coast Borax
Co. (1956) 140 Cal.App.2d 173, 178 [294 P.2d 1039].)
Therefore, treatment is reasonable and necessary and in accordance with the ACOEM/AMA guidelines.
“…should screen for potentially serious psychiatric disorders , to asses the patient’s physical and psychosocial situation, and to
establish an effective treatment plan… The initial assessment is a critical tool for detecting potential emotional problems that
require the attention of a psychiatrist or other mental health professional.”
The ACOEM Guidelines (at page 114) asserts that, “Pain should be considered an experience, not a sensation, an injury or a
disease,” At page 315; “The physician should discuss the physical and psychological mechanisms of pain at each encounter.”
For the above reasons, per the ACOEM Guidelines, the psychological evaluation is a clinical requisite in cases involving pain
resulting from events of the work place injury.
The Applicant was referred by the primary treating physician pursuant to and in compliance with applicable ACOEM / AMA
Guidelines ( page 398, B, Referral)
Labor Code § 4604.5(c) establishes that ACOEM ''is presumptively correct on the issue of extent and scope of medical treatment''
Section 3600 of the Labor Code provides as a condition of compensation that an injury to an employee must arise out of his
employment. This requirement refers to a causal connection between the employment and the injury. ( Scott v. Pacific Coast Borax
Co. (1956) 140 Cal.App.2d 173, 178 [294 P.2d 1039].)
Therefore, treatment is reasonable and necessary and in accordance with the ACOEM/AMA guidelines.
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