The News You Need for July 30
The Social Determinants of Health play a huge role in workers' recovery, and what about buddies in Alaska?
Understanding the Social Determinants of Health in Worker Recovery: A Guide for Insurance Professionals and Attorneys?
In the realm of workers' compensation, the road to recovery for injured individuals is often paved with complexities that extend far beyond physical healing. While medical treatment plays a crucial role in rehabilitation, the social determinants of health (SDOH) wield significant influence over an individual's ability to recover and return to work. In this article, we will explore what SDOH are, how to identify them, their impact on worker recovery within the compensation system, and how service providers and healers can better support individuals by addressing these determinants.? ? What are Social Determinants of Health?? ? SDOH are the conditions in which people are born, grow, live, work, and age that shape their health outcomes. These determinants include factors such as socioeconomic status, education, employment, social support networks, physical environment, and access to healthcare services. Research has shown that these non-medical factors can significantly influence an individual's overall health and well-being.??
Identifying Social Determinants of Health? ?
Recognizing the various SDOH affecting an injured worker requires a comprehensive assessment that extends beyond medical records. Insurance professionals and attorneys should consider conducting interviews with the injured individual to gather information about their living conditions, employment history, social support systems, and financial situation. Additionally, utilizing community resources and collaborating with social workers can provide valuable insights into the broader context of an individual's life.? ?
Impact on Recovery in the Workers' Compensation System? ?
The influence of SDOH on worker recovery cannot be overstated. Individuals facing socioeconomic challenges such as unstable housing, financial insecurity, or lack of access to transportation may struggle to adhere to treatment plans, attend medical appointments, or afford necessary medications. Additionally, stressors related to work environment, job dissatisfaction, or lack of social support can impede progress and prolong recovery timelines.
Supporting Recovery Through Understanding? ?
As service providers and healers within the workers' compensation system, it is imperative to address the SDOH impacting injured workers to facilitate optimal recovery outcomes. This involves adopting a holistic approach that goes beyond medical interventions to address the root causes of health disparities. Here are some strategies to consider:? ?
1. Holistic Assessment: Conduct thorough assessments that encompass both medical and social factors to gain a comprehensive understanding of an individual's needs.? ?
2. Collaborative Care: Foster collaboration among medical professionals, social workers, legal representatives, and community organizations to provide integrated support services tailored to the individual's circumstances.? ?
3. Advocacy: Advocate for policies and initiatives that address systemic barriers to health equity, such as affordable housing, living wages, and access to quality education and healthcare.? ?
4. Empowerment: Empower injured workers by involving them in decision-making processes, providing education on their rights and available resources, and offering opportunities for skill-building and employment reintegration.? ?
The Path to Recovery ?
The social determinants of health play a significant role in shaping the recovery journey of injured workers within the compensation system. By acknowledging and addressing these determinants, insurance professionals and attorneys can better support individuals on their path to recovery, ultimately promoting positive health outcomes and enhancing overall well-being. Embracing a holistic approach that prioritizes social justice and equity is essential in achieving true healing and rehabilitation for all.?
‘Buddy Exemption’ gets a Thumbs Down from Alaska High Court
Juneau, AK (WorkersCompensation.com) -- It would make sense that if you hired your friend to do some work around the house for you, even if you paid them, it probably wouldn't trigger workers' compensation coverage.
However, as was the case in Amos v. Tidwell, No. 2-18626 (Alaska 07/26/24), the so-called "buddy exception" doesn't necessarily apply if you hire your friend to help you complete work for a different friend.
What Happened in the Amos Case?
A worker fell from the roof of a shop building that he was helping a builder build. The builder promised to pay the worker for his work. The builder asked the worker to help him out with the job, which was on the homestead property of the builder's friends.
The worker filed a workers' compensation claim against the builder and the Alaska Workers' Compensation Benefits Guaranty Fund for his injuries. The builder asked the Alaska Workers' Compensation Board to dismiss the claim, alleging that he had not hired the worker but brought him on as a friend to help out. The board decided that the worker had an employment contract with the builder, but it determined that the builder was not an "employer" under the Alaska Workers' Compensation Act.
According to the board, employment based friendship fell within the consumptive uses exemption from the act's coverage. The Alaska Workers' Compensation Appeals commission affirmed the board's decision, agreeing that the worker's work fell within a history or custom of friends helping each other.
The worker appealed to Alaska's Supreme Court.
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The Law that Applied and What the Court Said
In Nickels v. Napolilli, 29 P.3d 242 (Alaska 2001), the Alaska Supreme Court held that, under Alaska's statutory workers' compensation scheme, the legislature has the duty to define exempt categories of employees, and so the commission erred in this case when it created a "buddy" exemption from coverage.
"We conclude that there was an employment relationship" between the worker and the builder, the court explained.
Productive vs. Consumptive Uses of Labor
So, if the "buddy exemption" didn't apply, could the builder defend on the grounds that his use of the worker's services was consumptive rather than productive in nature? Not in this case.
In Kroll v. Reeser, 655 P. 2d 753 (Alaska 1982), the Alaska Supreme Court explained that there is an exemption for consumer-employers who hire workers to perform tasks at or related to their personal residences. The theory applies to "householders" since, even if they have a business with compensation, they are not producers of goods or services when they employ someone at their homes for their personal benefit. Examples include:
+ Hiring a young neighbor to mow the lawn.
+ Retaining a practical nurse to stay with a sick child.
The issue in this case involved whether the exemption applied because the builder was friends with the property owners.
According to the court, the relationship between the builder and the property owners wasn't the one at question. Instead, it was the one between the worker and the builder that mattered.
"A householder who hires someone to shovel his own driveway may appropriately argue that he is not an 'employer' as defined in the Act because he himself has hired that person and is using that person's labor as a consumer, to maintain his home," the court wrote. "But a snow-removal contractor is not exempt from the Act when hires someone to shovel other people's driveways."
Thus, the productive/consumption distinction did not apply to the builder's activities on the shop because the project "was not a project personal to him, built on his property," the court explained.
The court also pointed out that the commission's deciding that the worker was a "part-time" and "transient" worker under Alaska law was a mistake because the board didn't address the question in its ruling, meaning that it wasn't up for consideration when the case made its way to the commission.
Workers' Comp 101: Those who've read the full case of the Amos decision on Simply Research, know that in Alaska, "part-time help" means a person who on an intermittent, irregular, noncontinuous basis performs work that is either not an integral part of the regular business of the beneficiary of the work or that is not the regular business, profession, or occupation of the worker, while "transient help" means a person who does not have a permanent work residence and who performs work that is not an integral part of the regular business of the beneficiary of the work.
Thus, the Alaska Supreme Court reversed and remanded the commission's decision for further proceedings.
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