主要资料来源
简明答案
简明答案：这类 WPI 评估通常怎样看
心理伤害 的永久伤残评估不应只看诊断名称或影像结论。重点是 accepted injury、身体系统、maximum medical improvement (MMI)、NSW 指南方法、检查所见、治疗和手术记录、以及任何既往伤害或退变扣减是否有证据支持。
简明答案
已接受的伤害
评估必须从保险公司已接受或正在争议的伤害范围开始。伤害描述过窄，可能影响评估方法和证据。
简明答案
医学评估方法
评估医生需要按照 NSW Guidelines 和相关 AMA5 章节处理 MMI、检查结果、既往扣减和身体系统。
简明答案
索赔影响
WPI 百分比可能影响 Section 66、medical expenses、weekly payments 和 work injury damages 策略，不能只看数字。
评估路径通常怎样建立
心理伤害 的 WPI 报告应说明推理过程，而不只是给出百分比。以下是依赖该百分比前通常需要核对的路径。
First decide whether the 已接受的伤害 is primary 心理伤害 or 心理 symptoms secondary to a physical 伤害. That classification can change whether a psychiatric WPI 评估 is available.
Check that the assessor is an appropriately trained psychiatrist using the NSW psychiatric impairment method, not a generic AMA5 Chapter 14 percentage.
Confirm the primary psychiatric diagnosis, diagnostic reasoning, 治疗 history, medication, hospital history and course of symptoms over time.
Review each Psychiatric Impairment Rating Scale (PIRS) area: self-care, social/recreational aCTivity, travel, relationships, concentration/persistence/pace and employability.
Keep WPI separate from seCTion 11A, reform strategy, 周薪赔偿 and 治疗 争议. Those legal questions matter, but they are not the same as the medical rating method.
NSW 指南和 AMA5 方法要点
NSW does not simply use AMA5 Chapter 14 for psychiatric impairment. The NSW guideline substitutes its own psychiatric impairment rating method.
The assessment should be performed by a psychiatrist trained in the NSW method, and the 报告 should identify the primary psychiatric diagnosis with recognised diagnostic criteria.
The Psychiatric Impairment Rating Scale (PIRS) considers self-care and personal hygiene, social and recreational aCTivities, travel, social funCTioning, concentration/persistence/pace and employability.
The 报告 should use concrete funCTional examples for each PIRS category, not only labels such as mild, moderate or severe.
Primary 心理 impairment is assessed separately from physical impairment. The results of primary psychiatric and physical assessments cannot be combined into one WPI number.
Secondary 心理伤害 is treated differently and receives no separate permanent 永久伤残评估 for SeCTion 66 purposes, although it can still matter for 治疗, capacity and damages 证据.
The assessor should explain whether any pre-existing psychiatric condition has contributed to impairment and how any deduCTion is calculated.
A psychiatric WPI 报告 is not a liability decision. It does not by itself answer whether seCTion 11A or other legal defences apply.
哪些因素可能改变 WPI 百分比
最终百分比可能受评估方法、客观检查、手术结果、既往扣减以及多重伤残合并方式影响。
- PIRS class allocation across the six funCTional domains and whether the examples given support the class chosen.
- Whether the diagnosis is current, work-related and stable enough for permanent assessment.
- 治疗 response, ongoing therapy, medication, relapse pattern and funCTional consistency across records.
- Any deduCTion for pre-existing psychiatric impairment and whether it is reasoned under the same psychiatric method.
- Whether symptoms are primary 心理 impairment or secondary symptoms flowing from physical 伤害, pain, disability or 索赔 stress.
评估医生通常会核对什么
- whether the 索赔 is accepted as primary 心理伤害 or secondary symptoms after a physical 伤害
- whether seCTion 11A or management-aCTion issues affeCT liability
- psychiatric diagnosis, 治疗 history and current funCTional impaCT
- whether symptoms have stabilised enough for 永久伤残评估
- whether physical 伤害 impairment and primary 心理 impairment are being kept separate
可能有帮助的证据
- GP notes, psychologist or psychiatrist 报告s and medication history
- workplace chronology, incident material and 保险公司 liability notices
- certificates of capacity dealing with attendance, concentration, interaCTion and reliability
- rehabilitation provider notes and failed return-to-work attempts
- records explaining whether symptoms arise direCTly from workplace events or secondarily from physical 伤害 consequences
保险公司或评估报告常见争议
- the 保险公司 says the condition is secondary and cannot support permanent impairment compensation
- the 保险公司 says work was not a substantial contributing faCTor
- seCTion 11A is raised in response to management aCTion
- the diagnosis is accepted but capacity impaCT is understated
- the assessment mixes 心理 impairment with physical impairment contrary to NSW rules
收到评估报告后要核对什么
复核 WPI 报告时要问的问题
报告中的风险信号
- The 报告 uses AMA5 mental-and-behavioural language rather than the NSW PIRS method.
- Primary and secondary 心理伤害 are blurred together without explaining the consequence for permanent impairment.
- PIRS categories are seleCTed without funCTional examples.
- The 保险公司 uses a low or unavailable psychiatric WPI to ignore 心理 symptoms in 周薪赔偿 or 治疗 争议.
方法和依赖前核对
- Is the 伤害 primary or secondary?
- Has seCTion 11A been raised?
- Was the psychiatric method under NSW guidelines used?
- Are physical and 心理 WPI results kept separate?
- Does the 报告 explain 工作能力 effeCTs without promising compensation?
- A diagnosis alone does not decide psychiatric WPI; funCTioning over time matters.
- Secondary symptoms may still affeCT 周薪赔偿, 治疗, 工作能力 and damages 证据 even if they are not separately rated for permanent impairment compensation.
- 心理伤害 pages should be legally reviewed because NSW reform and seCTion 11A issues may change strategy.
这如何影响 Section 66、周薪和 work injury damages
SIRA 资料说明，身体伤害的永久伤残赔偿通常需要达到 11% 或以上 permanent impairment；primary psychological injury 通常需要达到 15% 或以上。secondary psychological injury 在 NSW 中有不同处理。
这些门槛不是赔偿承诺。实际影响要看 accepted injury、医学证据、MMI、评估方法和保险公司如何使用该百分比。WPI 可能影响 Section 66 lump sum compensation、medical expenses 时间限制、weekly payments 策略，以及是否需要 work injury damages 门槛建议。
Guideline notes
- NSW Chapter 11 replaces AMA5 Chapter 14 for psychiatric impairment.
- The guideline states secondary 心理 impairment receives no separate permanent 永久伤残评估.
常见问题
心理伤害 的 WPI 可以自己计算吗？
不应自行套用 AMA5 或网上表格。WPI 应由受训评估医生按 NSW 指南、accepted injury、检查结果和病历资料评估。你可以复核报告是否使用了正确方法和资料。
心理伤害 评估为什么要等 MMI？
MMI 代表伤情已经稳定到适合评估永久影响的程度。如果治疗、手术或康复仍可能明显改变情况，过早评估可能不可靠。
如果保险公司报告偏低怎么办？
先索取报告和发给评估医生的资料。核对 accepted injury、身体系统、影像、手术、治疗、工作限制和任何扣减理由，再决定是否需要争议或进一步证据。
心理伤害 会影响 work injury damages 吗？
可能会。WPI 可能影响门槛和策略，但 work injury damages 还需要单独考虑 negligence、past economic loss、future economic loss 和证据一致性。不能只用百分比判断整个案件。
一般资料
本页仅提供一般信息，不构成法律意见。你应就自己的情况取得法律建议，再依赖 WPI 百分比、接受一次性赔偿或回应保险公司决定。
Reviewed by NSW Work Injury Claims - a branch of Stephen Young Lawyers.
相关伤害和评残页面
需要复核 WPI 评估吗？
如果百分比与 accepted injury、治疗史、影像、手术、岗位要求或现有限制不一致，在接受保险公司立场前应先复核报告。