1 CPD Point
IDSS 2025: Navigating PTSD in Accident Compensation – Policy, Practice, and Measuring What Matters
Post-Traumatic Stress Disorder (PTSD) is a significant injury within accident compensation schemes, particularly among workers exposed to trauma and survivors of serious transport incidents. Yet as jurisdictions introduce early intervention programs, presumptive legislation, and reform compensation thresholds, critical questions remain: Are these interventions working? What does successful recovery look like – and for whom? We present a multi-jurisdictional exploration of how PTSD is diagnosed, treated, and managed within Australian workplace and transport compensation systems. Drawing on recent legislative reforms, medical models of care, and operational claim management practices, we explore the tension between facilitating access and maintaining scheme sustainability. We discuss: - The evolution of PTSD recognition in Australian compensation schemes - Early intervention and presumptive PTSD laws for first responders, including effectiveness and unintended consequences - Integrating trauma-informed care with vocational rehabilitation - Eligibility thresholds, impairment tests, and the role of psychosocial hazard regulation - Medicalisation, stigma, cost and compassion. We intend to use examples from recent reforms – including Victoria’s provisional payments, Queensland’s presumptive legislation, and NSW’s mental health claim management reforms – to explore what “value” looks like when supporting recovery from PTSD in compensation systems.
Ash Evans and Hansi Weerasooriya
17 November 2025