I would go down the stress R/A route to find specifics about areas which use
the most energy. Obviously workstation assess, moving and handling, but I am
guessing it is more the psychological aspects which are more challenging.I
am also not sure how much time you have with him. If you are able to then
exploring what he wants from a work & life long term perspective would be
useful. This is to help bring about a balance between work and life so he is
able to do both. This will also help with motivation and making decisions
about where to put energy. Frequently I have found that individuals throw
everything they have into work; then find that the tiredness is overwhelming
and that they have no life enjoyment. This is where the CBT will also help;
to explore these questions.
The lady with the depression - I think you need to write to her
GP/specialist to find out details of the problem and from their perspective
short, medium and long-term prognosis.It would also be useful to see if you
can build a closer connection with them, with the long term aim of working
together to bring her back into work. As you know a stepped approach will be
necessary; starting with regular contact with a specified and trusted
individual at work, initially via phone but then face to face. I am not sure
if she is ready to start on that approach, or if there are relationship
difficulties at work which also need to be considered. What does she want,
is she able to state this or is she too ill at the moment? Is this her first
episode? What triggered it?
Lots of questions for more detail really is needed.
Anna
----- Original Message -----
From: "Vicki Rees" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, October 02, 2012 1:39 PM
Subject: Re: [OCC-HEALTH] CFS
> Sorry for lack of info - the CFS chap is a graphic designer, designs
> literature and publications takes photos etc
>
> The depression case person works in a warehouse picking product, for
> our deliveries,
>
> I have regualr contact with her once a month, she does ring me and HR
> and OH have met with her once, but this last month she has tailed off
> contact and is struggling with the contact. When she is on the phone
> she doe not always make sense and have offered supportive home visits
> but she is not keen.
>
> Its difficult as she will be aware the company has made a number of
> redundancies but no in her area in the last month. They are trying to
> be supportive, but thier expectations of mental health solutions are
> faster than what is realility.
>
> Many thanks again
>
> On 10/2/12, Anna <[log in to unmask]> wrote:
>> Hi
>>
>> CFS
>>
>> This is difficult to advise without knowing what his job is - physical
>> and
>> mental demands. I have recommended in these situations to consider doing
>> a
>> stress risk assessment to gain understanding of where the person finds
>> the
>> most draining activities are. From this adaptations can be suggested
>> within
>>
>> the areas identified. Don't forget the impact of travel/commuting.
>>
>> Depression
>>
>> Again what is this person's job? I am assuming that they have had no
>> contact
>>
>> with work?? What is their daily routine like?
>>
>> Anna
>>
>> ----- Original Message -----
>> From: "Vicki Rees" <[log in to unmask]>
>> To: <[log in to unmask]>
>> Sent: Tuesday, October 02, 2012 12:46 PM
>> Subject: Re: [OCC-HEALTH] CFS
>>
>>
>>> HI
>>>
>>> I was reading this with some interest as I have a chap who has been
>>> diagnosed with CFS, and I have successfully got him back to work full
>>> time over a matter of months.
>>>
>>> He has been seen by a consultant in a specialist hospital we have in
>>> the area for this and recommended CBT - in which the therapist decided
>>> it was not for him as he was at a different level of recovery to the
>>> others !
>>>
>>> He has paid for treatments in psychotherapy and nutrition and all
>>> kinds of other things himself including the lightening therapy course.
>>>
>>> What I am really keen to know if anyone can help with is how to manage
>>> the long term, relationship and expectations of work. He works for
>>> months with no problem - gets run down and then is out for week/months
>>> and we phase him back, we monitor workloads, he boss is supportive, we
>>> allow WFH days and I know he would like one day a week perm but the
>>> business is not keen and would like him 5 days here! He was diagnosed
>>> since 2009, and we are as supportive as possible.
>>>
>>> I know it comes under the DDA and any help /advise would help, I am
>>> beginning to be concerned they will make a rash decision.
>>>
>>> Also I have a serious depression case (chronic) and they have been out
>>> since June this year have just been referred to a consultant and HR
>>> are keen to get them back, they struggle walking up the road and cross
>>> sides to aviod people incase they say anything known or not?
>>>
>>> Any help would be greatfully recived.
>>>
>>> Apologies for the long email
>>>
>>> Thanks Vicki
>>>
>>> On 9/27/12, Karen Coomer <[log in to unmask]> wrote:
>>>> Hi Sharon
>>>>
>>>> The couple of documents attached has details of a systematic review,
>>>> some
>>>> useful references and a literature review.
>>>>
>>>> Regards
>>>>
>>>> Karen
>>>>
>>>>
>>>>
>>>> From: [log in to unmask] [mailto:[log in to unmask]] On
>>>> Behalf
>>>> Of sharon naylor
>>>> Sent: 26 September 2012 20:22
>>>> To: [log in to unmask]
>>>> Subject: [OCC-HEALTH] CFS
>>>>
>>>>
>>>>
>>>> A current project is looking at RTW strategies for people experiencing
>>>> CFS.
>>>> I have looked in all the usual places, but thought it would be useful
>>>> to
>>>> canvas this lists opinions.
>>>>
>>>> I am looking at (eg) :
>>>> Graded exposure to activity
>>>> Phased returns to work
>>>> Advantages of CBT
>>>> Identification of associated issues (eg depression)
>>>> Signposting on for associated issues
>>>>
>>>> HR have concerns that RTW plans extend ad infinitum, I have concerns re
>>>> line
>>>> management responsibilities in RTW plans not being met. I am looking at
>>>> striking some sort of compromise, some guidelines that will be
>>>> effective,
>>>> acceptable to all (particularly me), and not have individuals returning
>>>> to
>>>> OH on a weekly basis with the cases not moving forwards.
>>>>
>>>> Any comments/policies/examples that I could have a look at and
>>>> plagiarise
>>>>
>>>> if
>>>> necessary?Description: Image removed by sender. Emoji
>>>>
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>>>> replying.
>>>>
>>>>
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>>>>
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>>>>
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>>>
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