Hi Dawn,
Have you suggested she self-refer to Remploy mental health support services? We have had good feedback from clients using this service
Regards
Vicky
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Sarah L Redfearn
Sent: 24 April 2015 10:26
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] evidence based for a phased rtw
Dawn,
Sounds like quite a complex case for you and it sounds as though you and the Organisation have actually done quite a lot to support this individual. Ultimately the individual also has to take some responsibility for their health and their return to work.
Have you explored her motivation to resume working? Perhaps ask her the magic question..."if there is anything at all that can be done, what would it be?" This might give you an indication of how they see their future with regards to work. Using a CBT approach of challenging some of her thoughts and beliefs about work may help for some perspective to be gained, although you need to be happy to do this. I might also suggest mediation for the person she is not happy to work with.
Try not to become too overwhelmed with the case, give your advice as you would usually, if you feel that there is no further advice about her health in relation to work at this time that you can offer at this time, it is okay to say this. I can sometimes find myself looking for a solution to a situation, however it might not exist. OHA's are advice givers and the Organisation need to take the responsibility for implementing that advice or not.
I have had a look for a some evidence to support the 3 month phased return being reasonable however all I can find is that it is reasonable to review the phased return periodically, perhaps this is something that you should consider doing and if the phased return looks like it will be extended longer than the 3 months, then the Organisation should decide if this is acceptable for them or not. They can then speak with the individual and tell them that the phased return will or will not be supported further.
Sarah
-----Original Message-----
From: D Veal [mailto:[log in to unmask]]
Sent: 24 April 2015 09:39
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] evidence based for a phased rtw
Thank you Jo.
I have a lady off work 6 months with fibromyalgia. and her symptoms are multiple including anxiety,poor sleep pain and so on. She has under c/o of OH started a RTW plan and the company have listened to her concerns and made adjustments to include having a certain person with her who she feels comfortable to work with ( she has also a ongoing feud with another work colleague and they are both not happy to work together) she has started on 3 days 3hrs per day and this is flexible to avoid peak traffic, then 4 days same with wednesday off then gradually aim to increase her hors on these and then back fill wednesday last. I felt that a 6 week period would be fair.
Had a letter from GP as (company funded 6 months of psychotherapy and have now said not funding anymore) they feel this should continue and that she should have pahsed plan over 3months with gradual increase in hours and role.
I have suggested that she sits with manager to break down her role into red,amber and green of the work she feels is most difficult for her and then bring this to next review and so we can marry the hours and role together as we increase her.
However I feel that 3 months is not reasonable. Has anyone had a simialr case and how did they manage it and what do others feel is reasonable?
I want to be fair but feel this person is expecting a lot and not from experience taking enough responsibility themselves. ( they were offered medication and they refused and the tone of reports from the specialists involved are that they have given advice and she has refused it for her own personal reasons(The end result is they have suggested pilates/yoga and tai chai and deep breathing.)
I just want to ensure I have some evidence base to my reports on RTW.
I know that most PHP's feel if a person is not fit to RTW on a minimum of 4 hrs per day that they are not fir.
I think OHA's offer a little more felxibility but the intial request by this person was for 2hrs per day. I said if she couldnt do 3 hrs then I felt she was unfit.
She has had a panic attack in her first week at work and been in tears. I am due to review next week.
Thought please.... AKA help!
D :)
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