[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-394776-105":59,"doc-detail-394776-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","conservative-care-evidence-summary-2019-reducing-disability-psychosocial-determinants-influencing-recovery-pdir-evidence-summary","Conservative Care Evidence Summary 2019 - Reducing Disability: Psychosocial Determinants Influencing Recovery (PDIR) - Evidence Summary","","Conservative Care Evidence Summary 2019 outlines how psychosocial determinants influencing recovery (PDIR) can affect return-to-work after industrial injuries, and why routine screening is needed to identify workers at increased risk of delayed recovery. The resource explains core PDIR concepts, contrasts PDIR with formal mental health conditions, and describes validated screening tools and intervention options. It also provides evidence summaries for provider-led and specialist-led interventions, practical recovery messages, and additional clinical resources such as algorithms, terminology glossary, questionnaires, and citations. It does not change coverage or payment policy.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/conservative-care-evidence-summary-2019-reducing-disability-psychosocial-determinants-influencing-recovery-pdir-evidence-summary/394776/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/conservative-care-evidence-summary-2019-reducing-disability-psychosocial-determinants-influencing-recovery-pdir-evidence-summary/394776.png","ImageObject",300,407,{"name":92,"@type":93},"McGucket","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-26",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are psychosocial determinants influencing recovery (PDIR) and why do they matter?","Question",{"text":112,"@type":113},"PDIR include factors that shape how people deal with difficult situations, such as attitudes, beliefs, education, habits, and supports. They can facilitate or impede recovery, especially when progress is slower than expected or coping capacity is impaired.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does this resource distinguish PDIR from mental health or psychological conditions?",{"text":117,"@type":113},"Mental health conditions based on a psychological diagnosis are rarely accepted as work related and are managed through a different compensation process requiring a claims manager-approved evaluation. Symptoms that do not meet diagnostic criteria, such as mild/moderate depression or anxiety, can be addressed as PDIR without a formal mental health diagnosis.",{"name":119,"@type":110,"acceptedAnswer":120},"When should routine PDIR screening and dedicated interventions be used?",{"text":121,"@type":113},"Dedicated PDIR interventions are not needed in most cases, but routine PDIR screening is important to identify workers at increased risk of delayed recovery. Validated screening tools and intervention options help guide timely, individualized care planning rather than a one-size-fits-all approach.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},394776,1791570355,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Conservative Care Evidence Summary 2019 Industrial Insurance Medical Advisory Committee and Industrial Insurance Chiropractic Advisory Committee  \nReducing Disability: Psychosocial Determinants Influencing Recovery (PDIR)  \nTable of Contents  \nSummary Information 2  \n􀁸  Psychosocial Determinants of Recovery Overview  \n􀁸  Common PDIR presentations  \n􀁸  Common PDIR Interventions  \nClinical Resources 3  \n􀁸  PDIR Screening and Intervention Algorithms  \n􀁸  Key Recovery Messages  \nConcept, Discussion and Assessment 7   \n􀁸  Psychosocial Determinants Concepts  \n􀁸  Psychosocial and PDIR Assessment  \n􀁸  PDIR Screening Scales  \n Functional Recovery Interventions 12   \n􀁸  Options for Providers  \n􀁸  Summaries by Specific Risk Factor  \n􀁸  Assessment and Responses summary  \n PDIR Interventions Evidence Summaries 16  \n􀁸  AP-Provided PDIR Interventions  \n􀁸  Specialist-Provided PDIR Interventions  \n􀁸  Specialist-Provided Mental Health Interventions  \nAdditional Materials 31   \n􀁸  PDIR Terminology Glossary  \n􀁸  Functional Recovery Questionnaire  \n􀁸  Validated PDIR Scales Summary Table  \n􀁸  Support Systems Assessment and Conversations  \n􀁸  Managing Hostility, Anger, Disruptive Behavior  \n􀁸  Addressing Signs for Self-Harm/Suicide  \n􀁸  Interpersonal Conflict Management and Resolution  \n􀁸  PDIR and MH Screening and Tracking Scales  \n􀁸  Evidence and Methodology  \n􀁸  Citations  \nPurpose and Intended Use  \nThis resource focuses on routine screening and methods to address psychosocial determinants influencing recovery (PDIR) . PDIR includes normal reactions to, and behavioral factors associated with work injuries that can affect recovery. Many factors contribute to their development including individual distress tolerance and coping skills. These are highly variable and affect workers differently.  \nDedicated PDIR interventions are not needed in most cases, but routine PDIR screening is important to identify those at increased risk of delayed recovery. There are a number of validated screening tools and intervention options for PDIR. Patient and provider interventions also factor in, thus precluding a ‘onesize-fits-all’ approach. This resource assists in recognizing the “when’s and how’s” of impacts PDIR may have on recovery.  \nThis resource was jointly developed by the Industrial Insurance Chiropractic and Medical Advisory Committees (IICAC & IIMAC) and the Washington State Department of Labor and Industries (L&I) . In addition to helpful evidence-based clinical strategies, it includes a synthesis of published literature regarding biopsychosocial factors that commonly impact recovery from work injuries. This practice resource does not change L&I coverage or payment policy. This and other practice resources are in the public domain and are available for download at the L&I website under Treatment Guidelines and Resources.  \nContinuing Medical Education credits (3 CME/CEU) are available for this resource.  \nPractical Application Points  \n􀁸 Psychosocial issues affect everyone, to varying degrees.  \n􀁸 Routine assessment of ability to cope with psychosocial issues informs screening and care planning.  \n􀁸 PDIR reflects best patient management practices and is easily incorporated into practice.  \n􀁸 Incorporation of PDIR strategies identifies, and offers timely intervention options, for psychosocial issues known to increase disability risk.  \nPsychosocial Determinants Influencing Recovery (PDIR)  \nPDIR include factors that impact how people deal with difficult situations (e.g., attitudes, beliefs, education, habits, and supports) . Individual circumstances and capacity determine how these may facilitate or impede recovery. Most people have adequate coping skills for normal recovery. PDIR become critical when progress is less than expected, a worker's coping capacity is impaired, or external factors become overwhelming (e.g., job loss) . Most providers can identify and manage PDIR themselves as part of routine \"good doctoring.” Enhanced support (e.g., activity ","cbCaigVLafMx1kT0","https://ap.wps.com/l/cbCaigVLafMx1kT0","pdf",1611348,48,"English","# Summary Information\n## Psychosocial Determinants of Recovery Overview\n## Common PDIR presentations\n## Common PDIR Interventions\n# Clinical Resources\n## PDIR Screening and Intervention Algorithms\n## Key Recovery Messages\n# Concept, Discussion and Assessment\n## Psychosocial Determinants Concepts\n## Psychosocial and PDIR Assessment\n## PDIR Screening Scales\n# Functional Recovery Interventions\n## Options for Providers\n## Summaries by Specific Risk Factor\n## Assessment and Responses summary\n# PDIR Interventions Evidence Summaries\n## AP-Provided PDIR Interventions\n## Specialist-Provided PDIR Interventions\n## Specialist-Provided Mental Health Interventions\n# Additional Materials\n## PDIR Terminology Glossary\n## Functional Recovery Questionnaire\n## Validated PDIR Scales Summary Table\n## Support Systems Assessment and Conversations\n## Managing Hostility, Anger, Disruptive Behavior\n## Addressing Signs for Self-Harm/Suicide\n## Interpersonal Conflict Management and Resolution\n## PDIR and MH Screening and Tracking Scales\n## Evidence and Methodology\n## Citations","[{\"question\":\"What are psychosocial determinants influencing recovery (PDIR) and why do they matter?\",\"answer\":\"PDIR include factors that shape how people deal with difficult situations, such as attitudes, beliefs, education, habits, and supports. They can facilitate or impede recovery, especially when progress is slower than expected or coping capacity is impaired.\"},{\"question\":\"How does this resource distinguish PDIR from mental health or psychological conditions?\",\"answer\":\"Mental health conditions based on a psychological diagnosis are rarely accepted as work related and are managed through a different compensation process requiring a claims manager-approved evaluation. Symptoms that do not meet diagnostic criteria, such as mild/moderate depression or anxiety, can be addressed as PDIR without a formal mental health diagnosis.\"},{\"question\":\"When should routine PDIR screening and dedicated interventions be used?\",\"answer\":\"Dedicated PDIR interventions are not needed in most cases, but routine PDIR screening is important to identify workers at increased risk of delayed recovery. Validated screening tools and intervention options help guide timely, individualized care planning rather than a one-size-fits-all approach.\"}]","Conservative Care Evidence Summary 2019 - Reducing Disability: Psychosocial Determinants Influencing Recovery (PDIR) - Evidence Summary | PDF",1790411514,121]