Abstract

Aims and MethodTo identify the experiences of patients pursuing a personal injury claim, we carried out a retrospective questionnaire survey.ResultsSixty-one patients from a regional traumatic stress clinic took part. Most were satisfied with the conduct of legal, medical and psychiatric personnel. Thirty-two (53%) reported that the legal proceedings had had an adverse effect on their health/well-being, and about a third reported an adverse effect on domestic relationships. Twenty-four patients (40%) were dissatisfied with the provision of information. More information about the whole legal process would have been welcomed by means of an information leaflet (n=57, 93%), a helpline (n=48, 79%), or a videotape (n=42, 68%).Clinical ImplicationsAlthough seeking redress may contribute to the patient's adjustment, this survey demonstrates that it is not a step to be taken without consideration. As part of their therapeutic management, mental health professionals should consider the implications of such a step with their patients.

Highlights

  • Reported that the legal proceedings had had an adverse effect on their health/well-being, and about a third reported an adverse effect on domestic relationships

  • Patients would have liked more information in the form of a leaflet (n=57, 93%), a helpline (n=48, 79%) or a videotape (n=42, 68%). This innovative survey involves a relatively small sample, which may not be representative of those who pursue personal injury claims, and relies exclusively on self-report, it makes an important contribution to our overall management of trauma victims by identifying what patients who lodge claims for compensation will require to face

  • Legal proceedings can be very lengthy, which may trap the individual in the ‘sick role’ and prevent closure on this unhappy event in their lives

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Summary

RESULTS

Sixty-one patients from a regional traumatic stress clinic took part. Most were satisfied with the conduct of legal, medical and psychiatric personnel. Seeking redress may contribute to the patient’s adjustment, this survey demonstrates that it is not a step to be taken without consideration As part of their therapeutic management, mental health professionals should consider the implications of such a step with their patients. The legal principle of compensating for personal injury was first enshrined in the Workmen’s Compensation Acts of the nineteenth century. This humanitarian approach has been progressively strengthened by other developments in the UK, including the Criminal Injuries Compensation Scheme which was established in 1964 and publication of the comprehensive report Liability for Psychiatric Illness (Law Commission, 1998). We do not challenge the right of patients to lodge such actions, but it is pertinent to consider what impact such an action might have on them

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