{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T11:10:13Z","timestamp":1788693013322,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The impact of presumptive coverage policies for work\u2010related mental health disorders has not been extensively studied to date. Using data from the Association of Workers\u2019 Compensation Boards of Canada (AWCBC), our objectives were to describe the evolution of compensated mental health conditions, and to explore the association between the implementation of presumptive coverage and the number of compensated mental health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Datasets on mental health lost\u2010time claims (LTCs) were obtained from the AWCBC for 2001\u20132019. The total number of all\u2010cause LTCs was used as a denominator. Independent variables included presumptive coverage, union coverage, unemployment rate, proportion of service industry workers, proportion of working women, physicians and psychologists per 100,000 inhabitants, and workers\u2019 compensation board coverage. Regression and interrupted time series analyses were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Over the study period, mental health LTC accounted for 0.97% of all\u2010cause LTCs: half of the former were PTSD cases. In the multivariate analysis, presumptive coverage policies restricted to PTSD were only positively associated with the proportion of PTSD LTCs (Incidence Rate Ratio, [IRR]\u2009=\u20091.237, 95% CI 1.005\u20131.521) but not with other mental health LTCs. More lenient policies were positively associated with the proportion of PTSD LTCs (IRR\u2009=\u20091.211, 95% CI [1.025\u20131.430]), and non\u2010PTSD mental health LTC (IRR\u2009=\u20091.435; 95% CI [1.001\u20132.058]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Workers\u2019 compensation presumptive coverage policies for mental health conditions have the effect of increasing claim volumes for these conditions. When restricted to coverage of PTSD, the portion of PTSD of all LTC is larger, but there is no documented ripple effect on other mental health conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ajim.70132","type":"journal-article","created":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T10:33:35Z","timestamp":1788690815000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Presumptive Coverage Policies and Workers\u2019 Compensation of Post\u2010Traumatic Stress Disorder and Other Mental Health Conditions: A Retrospective Time\u2010Series Study in Canada 2001\u20132019"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1168-4201","authenticated-orcid":false,"given":"Quentin","family":"Durand\u2010Moreau","sequence":"first","affiliation":[{"name":"Division of Preventive Medicine University of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6028-3186","authenticated-orcid":false,"given":"Alexis","family":"Descatha","sequence":"additional","affiliation":[{"name":"CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en sant\u00e9, environnement et travail) \u2013 UMR S1085, SFR ICAT, CAPTV Pr\u00e9vention F\u00e9d\u00e9ration University of Angers Angers France"},{"name":"Indiana University School of Public Health\u2010Bloomington (IU SPH\u2010B) Bloomington Indiana USA"},{"name":"Department of Occupational Medicine, Epidemiology and Prevention Donald and Barbara Zucker School of Medicine at Hofstra\/Northwell Hempstead New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4973-8474","authenticated-orcid":false,"given":"Anil","family":"Adisesh","sequence":"additional","affiliation":[{"name":"Division of Occupational and Environmental Medicine UConn Health Farmington Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8286-4563","authenticated-orcid":false,"given":"Peter","family":"Smith","sequence":"additional","affiliation":[{"name":"Institute for Work and Health Toronto Ontario Canada"},{"name":"Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425787","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"2022"},{"key":"e_1_2_11_3_1","unstructured":"Government of Canada. Posttraumatic Stress Disorder Among Adults in Canada. Results From the Survey on Mental Health and Stressful Events (Cycle 1 and Cycle 2). Available athttps:\/\/health-infobase.canada.ca\/ptsd-survey\/(accessed on 2 June 2026)."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-049651"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2023.2214872"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqt003"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1136\/oemed-2014-102207","article-title":"The Prevalence of Mental Health Disorders in (Ex\u2010)Military Personnel With a Physical Impairment: A Systematic Review","volume":"72","author":"Stevelink S. A. M.","year":"2015","journal-title":"Occupational and Environmental Medicine"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0706743720974824"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.45.1.02"},{"key":"e_1_2_11_10_1","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2023.1151248","article-title":"Work\u2010Related Posttraumatic Stress Disorder in Paramedics in Comparison to Data From the General Population of Working Age. 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An Environmental Scan of Presumptive Coverage for Work\u2010Related Psychological Injury (Including Post\u2010Traumatic Stress Disorder) in Canada and Selected International Jurisdiction. Prepared for Workplace NL by the SafetyNet Centre for Occupational Health and Safety research at Memorial University.2018. Available athttps:\/\/www.mun.ca\/safetynet\/media\/production\/memorial\/administrative\/safetynet\/media-library\/projects\/PTSD_Presumptive_Coverage.pdf(accessed on 24 December 2025)."},{"key":"e_1_2_11_23_1","unstructured":"Government of Newfoundland and Labrador. Presumptive Coverage for Post\u2010Traumatic Stress Disorder for All Workers Covered by the Workplace Health. Safety and Compensation Act. Available athttps:\/\/www.gov.nl.ca\/releases\/2018\/exec\/1204n04\/(accessed on 24 December 2025)."},{"key":"e_1_2_11_24_1","unstructured":"Workers\u2019 Compensation Board of Nova Scotia. Self\u2010Assessment for Psychological Injury. 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