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Return to Work That Works

Why Most Psychological Injury RTW Processes Are Failing - And What to Do About It

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Matt Butterworth · Jun 19, 2026 · 1 min read
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Key Insights

  • Psychological injury is the fastest-growing workers’ compensation claim category in Australia: median time off 34.2 weeks, median cost $58,615 per claim (Safe Work Australia, 2024).
  • The problem: most return-to-work (RTW) processes are designed to manage a claim, not a risk.
  • Three frameworks for getting psychological injury RTW right: the Psychosocial RTW Risk Triage (Green/Amber/Red), the 4Cs Safe Return Leadership Model, and the High-Risk Return Protocol.
  • Secondary harm during the RTW process – the framework for the preventable hazards that lead to secondary psychological injury – is the most common reason RTW processes fail.
  • WHS Act 2020 (WA) duties make this an officer-level matter, not just an HR matter.

Think about the last psychological injury your organisation managed. Not a near-miss – a real case. Someone who actually went off work. Now be honest: how confident are you that the process that followed actually made that person safer? Not legally compliant. Safer.  If there’s a gap between those two answers, you’re not alone. Most return-to-work (RTW) processes for psychological injury are designed to manage a claim. Very few are designed to manage a risk. And that gap is costing Australian organisations real money, real legal exposure, and real people.

The Scale of the Problem

Psychological injury is now the fastest-growing workers’ compensation claim category in Australia – and by a significant margin.

According to Safe Work Australia’s February 2024 data report on psychological health and safety in the workplace:

  • 34.2 weeks is the median time off work for psychological injury, compared to just 8 weeks for physical injury
  • Psychological injury accounts for ~9.2% of serious workers’ compensation claims – and is the costliest category
  • The median cost per claim is $58,615, compared to $15,743 for physical injuries and diseases
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