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The Legal System and Behavioral Health

  • Robert M. Aurbach
Chapter

Abstract

This exploration of the interaction between the legal system and behavioral health starts with a narrative description of the legal causes of action that are likely to involve behavioral health concerns, either as an issue in dispute or as a factor in the dispute resolution process. The discussion then turns to what does and does not work in the legal system in its interaction with behavioral health concerns. In particular, there is an examination of the various roles played by attorneys in the legal system and the often-unintended consequences of attorney involvement in behavioral health cases. The dynamics created by common mechanisms for attorney compensation, the stressful process of dispute resolution, and the system’s emphasis on monetary awards as a compensation for harm are examined. The chapter goes on to discuss the process of determination of current behavioral functioning in the legal system and the legal standards applicable to such determinations. These dynamics are complicated by issues of coordination of care, medicalization of conditions, perceptions concerning symptom magnification and malingering, attorney behavior during and after the case, and the impact of case outcome on behavioral health. The chapter closes with some suggestions for avoiding unintended consequences that contribute to unnecessary disability.

Behavioral health concerns arise in diverse legal contexts and under a variety of legal theories and specific laws. The effects of the legal system on persons experiencing the symptoms of behavioral health concerns vary according to the context in which they interact with the system, to the specific law governing the cause of action giving rise to their legal claim, and to their treatment by the lawyers on both sides of the dispute. Yet there are significant and recurring issues arising in the interaction between those experiencing behavioral health concerns and the legal system in which they sometimes find themselves. This chapter will focus on those issues and some possible systemic solutions.

References

  1. American Bar Association. (1993). Model rules of professional conduct. Retrieved from http://www.abanet.org/cpr/mrpc/mrpc_toc.html.
  2. American Medical Association. (2008a). Guides to the impairment of permanent disability (6th ed.). Chicago: American Medical Association.Google Scholar
  3. American Medical Association. (2008b). Guides to the evaluation of permanent impairment (Chapter 14) (6th ed.pp. 347–382). Chicago: American Medical Association.Google Scholar
  4. Annual Statistical Report on the Social Security Disability Insurance Program. (2015). Retrieved from http://www.ssa.gov/policy/docs/statcomps/ssi_asr/2007/index.html
  5. Aronoff, G. M., Mandel, S., Genovese, E., et al. (2007). Evaluating malingering in contested injury or illness. Pain Practice, 7(2), 178–204.CrossRefGoogle Scholar
  6. Aurbach, R. (2013). Suppose hippocrates had been a lawyer: A conceptual model of harm to litigants, parts 1 and 2. Psychological Injury and Law, 6(3), 217–237.Google Scholar
  7. Aurbach, R. (2015, January 7). Your biggest unmeasured cost, insurance thought leadership, Insurance Thought Leadership. http://insurancethoughtleadership.com/your-biggest-unmeasured-cost/
  8. Barsky, A. J., & Borus, J. F. (1996). Somatization and medicalization in the era of managed care. Journal of the American Medical Association, 274, 1931–1934.CrossRefGoogle Scholar
  9. Bartley, M. (1994). Unemployment and ill health: Understanding the relationship. Journal of Epidemiology and Community Health, 48(4), 333–337.CrossRefGoogle Scholar
  10. Bellamy, R. (1997). Compensation neurosis: Financial reward for illness as nocebo. Clinical Orthopaedics and Related Research, 336, 94–106.CrossRefGoogle Scholar
  11. Bernacki, E., & Tao, X. (2008). The relationship between attorney involvement, claim duration and workers’ compensation costs. Journal of Occupational and Environmental Medicine, 50(9), 1013–1018.CrossRefGoogle Scholar
  12. Biddle, J., Boden, L., & Reville, R. (2001). Permanent partial disability from occupational injuries, earnings losses and replacement in three states. Santa Monica, CA: Rand.Google Scholar
  13. Brigham, C. (2015). Living abled & health: Your guide to injury and illness recovery. Honolulu, HI: Healthy Living Publications.Google Scholar
  14. Bruns, D., & Disorbio, J. M. (2009). Assessment of biopsychosocial risk factors for medical treatment: A collaborative approach. Journal of Clinical Psychology in Medical Settings, 16, 127–147.  https://doi.org/10.1007/s10990-009-91-48-9 CrossRefPubMedGoogle Scholar
  15. Conroy, M. A., & Kwartner, P. P. (2006). Malingering. Applied Psychology in Criminal Justice, 2(3), 29–51.Google Scholar
  16. Duffau, H. (2006). Brain plasticity: From pathophysiological mechanisms to therapeutic applications. Journal of Clinical Neuroscience, 13(9), 885–897.CrossRefGoogle Scholar
  17. Fayad, F., Lefevre-Colau, M. M., Poiraudeau, S., et al. (2004). Chronicity, recurrence, and return to work in low back pain: Common prognostic factors. Annales de Réadaptation et de Médecine Physique, 47(4), 179–189.CrossRefGoogle Scholar
  18. Francis, A. (2012). DSM 5 is guide not bible—Ignore its ten worst changes, Psychology Today. https://www.psychologytoday.com/blog/dsm5-in-distress/201212/dsm-5-is-guide-not-bible-ignore-its-ten-worst-changes
  19. Gerdtham, U. G., & Johannesson, M. (2003). A note on the effect of unemployment on mortality. Journal of Health Economics, 22, 505–518.CrossRefGoogle Scholar
  20. Goldberg, J. (2013). Case law update: ADA Amendments Act of 2008. Washington, DC: U.S. Equal Employment Opportunity Commission. https://eeo.okstate.edu/sites/default/files/15-case%20law%20update.pdf Google Scholar
  21. Guirguis, S. (1999). Unemployment and health: Physicians’ role. International Archives of Occupational and Environmental Health, 72, S10–S13.PubMedGoogle Scholar
  22. Guthrie, R., & Monterosso, S. (2009). Preventing further harm to the harmed – Towards a therapeutic approach to workers’ compensation. Journal of the International Association of Industrial Accident Boards and Commissions, 46(1), 115–143.Google Scholar
  23. Harding, T. (2004). Psychiatric disability and clinical decision making: The impact of judgment error and bias. Clinical Psychology Review, 24, 707–729.CrossRefGoogle Scholar
  24. Harris, I., Multford, J., Solomon, M., van Gelder, J. M., & Young, J. (2005). Association between compensation status and outcome after surgery. JAMA, 293(13), 1644–1652.CrossRefGoogle Scholar
  25. Horwitz, A. V., & Wakefield, J. C. (2007). The loss of sadness: How psychiatry transformed normal sorrow into depressive disorder. New York: Oxford University Press.Google Scholar
  26. Jellema, P., van der Horst, H. E., Vlaeyen, J. W., et al. (2006). Predictors of outcome in patients with (sub)acute low back pain differ across treatment groups. Spine, 31(15), 1699–1705.CrossRefGoogle Scholar
  27. Jin, R. L., Shah, C. P., & Svoboda, T. J. (1995). The impact of unemployment on health: A review of the evidence. Canadian Medical Association Journal, 153(5), 529–540.PubMedPubMedCentralGoogle Scholar
  28. Johoda, M. (1983). Employment and unemployment. Cambridge: Cambridge University Press.Google Scholar
  29. Kilgour, E., Kosny, A., McKenzie, D., & Collie, A. (2015). Interactions between injured workers and insurers in workers’ compensation systems: A systematic review of qualitative research literature. Journal of Occupational Rehabilitation, 25(1), 160–181.CrossRefGoogle Scholar
  30. Kolb, B., & Whishaw, I. (1998). Brain plasticity and behavior. Annual Review of Psychology, 49, 43–64.CrossRefGoogle Scholar
  31. Lippel, K. (1999). Therapeutic and anti-therapeutic consequences of workers’ compensation. International Journal of Law and Psychiatry, 22(5–6), 521–546.CrossRefGoogle Scholar
  32. Main, C. J., Sullivan, M. J., & Watson, P. J. (Eds.). (2007). Pain management: Practical applications of the biopsychosocial perspective in clinical and occupational settings (2nd ed.). Edinburgh, Scotland: Churchill Livingstone.Google Scholar
  33. Martikainen, P. T., & Valkonen, T. (1998). The effects of differential unemployment rate increases of occupation groups on changes in mortality. American Journal of Public Health, 88, 1859–1861.CrossRefGoogle Scholar
  34. Mathers, C. D., & Schofield, D. J. (1998). The health consequences of unemployment: The evidence. The Medical Journal of Australia, 168, 178–182.PubMedGoogle Scholar
  35. McGill, C. M. (1968). Industrial back problems: A control program. Journal of Occupational Medicine, 10, 174–178.PubMedGoogle Scholar
  36. McKee-Ryan, F., Kinicki, A. J., Song, Z., & Wanberg, C. R. (2005). Psychological and physical well-being during unemployment: A meta-analytic study. Journal of Applied Psychology, 90(1), 53–76.CrossRefGoogle Scholar
  37. Melhorn, J. M., & Ackerman, W. E. (Eds.). (2008). Guides to the evaluation of disease and injury causation. Chicago: American Medical Association.Google Scholar
  38. Mittenberg, W., Patton, C., Canyock, E., & Condit, D. (2002). Base rates of malingering and symptom exaggeration. Journal of Clinical and Experimental Neuropsychology, 24(8), 1094–1102.CrossRefGoogle Scholar
  39. Nachemson, A. (1983). Work for all – For those with LBP as well. Clinical Orthopaedics and Related Research, 179, 77–85.CrossRefGoogle Scholar
  40. NHS Choices. (2013, August 15) News analysis: Controversial mental health guide DSM-5. National Health Service, UK. http://www.nhs.uk/news/2013/08August/Pages/controversy-mental-health-diagnosis-and-treatment-dsm5.aspx
  41. Oakley, D., & Halligan, P. (2009). Hypnotic suggestion and cognitive neuroscience. Trends in Cognitive Sciences, 13(6), 264–270.CrossRefGoogle Scholar
  42. Organisation for Economic Co-operation and Development – OECD (2009, May 14 – 15). Sickness, disability and work: Keeping on track in the economic downturn. Stockholm, Organisation for Economic Co-operation and Development.Google Scholar
  43. Reid, W. H. (2000). Malingering. Journal of Psychiatric Practice, 12(2), 116–118.CrossRefGoogle Scholar
  44. Sander, R., & Meyers, J. (1986). The relationship of disability to compensation status in railroad workers. Spine, 11, 141–143.CrossRefGoogle Scholar
  45. Schultz, I. Z., & Gatchel, R. J. (Eds.). (2005). Handbook of complex occupational disability claims. New York: Springer.Google Scholar
  46. Stewart, J. M. (2001). The impact of health status on the duration of unemployment spells and the implications for studies of the impact of unemployment on health status. Journal of Health Economics, 20, 781–796.CrossRefGoogle Scholar
  47. Strang, J. P. (1985). The chronic disability syndrome. In G. M. Aronoff (Ed.), Evaluation and treatment of chronic pain (pp. 247–258). Baltimore: Urban & Schwarzenberg.Google Scholar
  48. Swedlow, A. (2003). Attorney involvement in California workers’ compensation, 1993–2000. Oakland, CA: CWCI Research Notes.Google Scholar
  49. Talmage, J. B. (2007). Failure to communicate: How terminology and forms confuse the work ability/disability evaluation process. Journal of Insurance Medicine, 39, 192–198.PubMedPubMedCentralGoogle Scholar
  50. van der Windt, D., Hay, E., Jellema, P., & Main, C. (2008). Psychosocial interventions for low back pain in primary care: Lessons learned from recent trials. Spine, 33(1), 81–89.CrossRefGoogle Scholar
  51. Victor, R., Barth, P., & Neumark, D. (2005). The impact of provider choice on workers’ compensation costs and outcomes. Workers’ Compensation Research Institute, WC05-14.Google Scholar
  52. Warren, P. A. (2009). Behavioral health as a causation issue in workers’ compensation and disability claims. IAIABC Journal, 46(2), 17–57.Google Scholar
  53. Wegscheider-Cruse, S. (1989). Another chance: Hope and health for the alcoholic family (2nd ed.). Palo Alto, CA: Science and Behavior Books.Google Scholar
  54. Wollschlager, C. (1998). Exploring global landscapes of litigation rates. Cited in Kritzer, H.(2001). Litigation. International Encyclopedia of the Social and Behavioral Sciences, 13, 8989–8995.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Uncommon Approach, IncMelbourneAustralia

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