Your case manager advises that someone will be contacting you to discuss rehabilitation. They don’t give any more details than that.
Rehab calls or visits (please don’t let them into your home offer to meet them anywhere but)
Your rehab consultant has professional and legal obligations to you-find out if they are professionally licensed-then look up their code of conduct, ethics and licensing requirements so you know the boundaries.
Rehab is going to try and find out how your illness or injury was caused-maybe they can shift the claim onto workers comp or elsewhere
Do you like your job because maybe you have a workplace issue not a disability claim. ( Note if it is a workplace issue that has caused or contributed to your disability-you have a legit claim-may need a lawyer)
Have you taken your children out of daycare or saving money by being at home-ie:motivation not to work
Is your spouse over protective and rewarding your illness by providing extra care (Used a lot)
Do you have any other life stressors-elderly or sick family (fishing to look for other reasons you might be off)
All questions will be asked in such a caring and supportive way-
If they can’t find an ulterior motive for you being off then it must be fear!
Enter The fear-avoidance model -for chronic fatigue, chronic pain, fibro and such. This psychiatric model is the hurt vs. harm theory-that it may hurt like hell but you are not harmed by the hurt so you should push on through the pain and fatigue. There is some validity to this but it is way over-used by insurer rehab and can cause much pain and psychological harm to the patient.Way over-used! Your rehab consultant though will find a Psych to say 6-12 treatments and they can cure your mal-adaptive thinking through EVIDENCE-BASED CBT!
Essentially the rehab professional will send you to their cherry=picked treatment providers (who might forget their professional and legal obligations to you-the patient)
If they can’t get you healthy enough to get back to work, or break you so that you are found non-compliant-then they have reports that can help to support a future denial and lower the litigation risk.
Am I cynical-maybe jaded by a traumatic experience-but just go ahead and do the following-which is all reasonable:
- Ask for any patient intake forms prior to any appts. with a provider-Don’t sign a waiver
- Politely make it clear that you personally are to receive any reports at the same time they are released to your Insurer (offer to pay for photo-copying)
- Ask your rehab consultant for copies of their file on you too-regularly-as well as all clinical and chart notes while going through treatment, You just want to make sure everything is accurate.
- Ask your rehab/Insurer for a complete copy of the terms and agreement for referral sent to each provider
- Never go to any appt. alone
- Always ask to hold off on the rehab plan so you can show your Doctor-make an appt with your Doctor about 2 weeks after rehab starts so you can discuss the effects with your Dr. Or it is possible your Doctor may nix the rehab and offer other treatments,