Contracted psychologist's assessment report under WorkSafeBC's Psychology & Neuropsychology Assessments program.
- Completed by
- Contracted registered psychologist
- Issued by
- WorkSafeBC
- Format
- Word document
- Language
- English
WorkSafeBC 83D682: Comprehensive Mental Health Report
Contracted Comprehensive Mental Health Program (CMHP) teams use this report at three points: the intake report (83D683), the core program summary after the 10-week treatment period (83D684), and the continued intervention summary at discharge (83D685). It covers participation, clinical summary and outcome measures, return-to-work strengths and risks, workplace factors, self-harm risk, and discharge status and recommendations.
Who completes it
The treating occupational therapist and treating mental health clinician (psychologist, registered clinical counsellor or registered clinical social worker) prepare the report and list the assessment or treatment team.
Submitting and payment
- How to submit it
- Upload the completed report as a PDF through the Telus Provider Portal within 3 days of completing intake, of the end of the 10-week core program, or of discharge.
Good to know
- Three outcome measures are mandatory at each phase: RTW-SE (return-to-work self-efficacy), AAQ-II, and PROMIS-SD-SF for sleep.
- Contact the WorkSafeBC officer as soon as plan changes affect treatment length or outcome, and at least 5 business days before discharge to confirm discharge status.
- Rate self-harm risk as low, medium or high using the rule sets in the CMHP Reference Manual, and outline a care plan if suicidality is a concern.
- Discharge status is ticked as able to return to work, able to return with considerations, continued intervention recommended, or other, with a rationale.
Get the official form
Download the current version from the source each time; forms change without notice.
Comprehensive Mental Health Program Report
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Frequently asked questions
When are WorkSafeBC CMHP reports due?
Each is due within 3 days of its trigger: the intake report after intake activities are completed, the core program summary after the 10-week treatment period ends, and the continued intervention summary after the discharge date. All are uploaded as PDFs through the Telus Provider Portal.
Who writes the Comprehensive Mental Health Program report?
The treating occupational therapist and the treating mental health clinician, who may be a psychologist, registered clinical counsellor or registered clinical social worker. The report also lists everyone on the assessment or treatment team with their designations, and records attendance at group, mental health and OT sessions.