Update PTSD policy

An article in the Nov. 18 edition of the Leader-Post speaks to the issue of post-traumatic stress disorder (PTSD) in Saskatchewan firefighters. Their professional association would like it to be presumed that PTSD is work related, instead of having to prove it.

The Workers Compensation Board (WCB) does have policy addressing acute and chronic stress in the workplace, which also includes PTSD. Section 28 relates to firefighters, and presumes that certain types of cancer and injuries to the heart are work related, unless proven to the contrary. There is no presumption regarding PTSD.

Alberta is reportedly the only Canadian province to have enacted a PTSD presumption. The legislation not only focuses on firefighters, but also on other first responders. Ontario, Manitoba and Nova Scotia are considering amendments along similar lines to the Alberta legislation.

A presumption clause should not only focus on firefighters, but also on other first responders, such as emergency medical technicians and police officers. It would have to be determined if an amendment to the Saskatchewan WCB legislation is required, or simply the enactment of new policy or the rewriting of present policy.

Additionally, it may help to have a specialized unit within the WCB to adjudicate and case manage not only claims from firefighters, but all claims involving PTSD and other psychological injuries. This may help in reducing adjudication time, result in more timely medical attention, and a successful return to work.

Outcomes are generally more positive the sooner treatment and return-towork assistance are provided. Andre Gelinas, Regina Gelinas worked for the Saskatchewan Workers Compensation Board for 35 years. He was a member of its appeals committee for 19 years.