Mental Health Services

Required - Assessment using WHODAS 2.0 (effective October 23, 2015)

  • Use the 12-item WHODAS 2.0 at baseline and every 30 days to track and document the worker’s functional status.
  • The 36-item WHODAS 2.0 is also acceptable. (Due to scoring differentials, the provider must consistently use the same WHODAS 2.0 instrument.)
  • Score using the 0–4 method, described in the scoring templates on the WHODAS website. 
  • Include the WHODAS 2.0 results in required reports or comprehensive chart notes. Explain what the numerical results mean (submit a copy of the completed and scored form).
    • For the initial WHODAS 2.0, indicate the domain(s) impacted by the mental health condition and how treatment will be directed to improve these areas.
    • For subsequent WHODAS 2.0 results, describe the trend in the scores as they relate to the injured worker’s progress in attaining the identified goals.

For additional details on using the WHODAS 2.0 to assess workers, see Authorization and Reporting Requirements for Mental Health Specialists

How to use the WHODAS 2.0 (on World Health Organization classifications site)

Optional - Measurement of symptom severity using validated tools

Condition

Examples of Validated Tools

Depression

PHQ-9 (Patient Health Questionnaire) is a 9-question self-test created as a quick assessment of mood.

BDI (Beck Depression Inventory), a 21-question multiple-choice self-report inventory, is one of the most widely used psychometric tests for measuring the severity of depression.

CES-D (Center for Epidemiologic Studies Depression Scale)
GAIN-SS (Global Appraisal of Individual Needs Short Screener)

Anxiety

GAD-7 (Generalized Anxiety Disorder) is a 42-question self-assessment to help determine if symptoms are related to this disorder.

BAI (Beck Anxiety Index) is a 21-question, multiple-choice, self-report inventory used for measuring the severity of anxiety.
Post-Traumatic Stress Disorder (PTSD)

The PCL-5 is a 20-item self-report measure that now includes DSM-5 criteria for PTSD. The U.S. Department of Veteran Affairs updated the tool; it applies to civilians as well as military personnel.

Current or former Substance Use Disorder

CAGE-AID  Cut down, Annoyed, Guilty (adapted to include drugs)
AUDIT Alcohol Use Disorder Identification Test

Suicide Risk Columbia suicide severity rating scale

 

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