Psychological care has always carried a stigma for lower socioeconomic classes, implying that only those who are weak would require such care. Common question of an injured worker: _Was you father ever depressed?_ Answer: _No, he was a strong man._
Psychological care in relation to injury should occur every two to three weeks to avoid development of emotional dependency. Psychological care in groups is often a decidedly poor idea since patients in pain merely share their misery without sharing their solutions (which occur after settlement).
Patients carry much emotional baggage into an accident. They may then seek to use injury related psychological care for non-injury agenda such as their marriage, children, and extended family problems as well as their criminal past, addictions, and then a host of phobias, sexual, and financial problems.
Also, once in psychological care, some patients attempt to feign or amplify emotional symptoms feeling that this will contribute to their PPD rating.
In toto, it is best to have a patient examined/evaluated. Care will be recommended for decidedly few, fewer still will comply and those that do should be seen for 8-12 visits and then reassessed for progress. If progress cannot be objectively demonstrated, it is not reasonable for the care to continue.