She would hit the roof lol she really is not very appraochable.
Thanks though
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On Fri, 4/24/15, Gloudon Vicky <[log in to unmask]> wrote:
Subject: Re: [OCC-HEALTH] evidence based for a phased rtw
To: [log in to unmask]
Date: Friday, April 24, 2015, 4:27 PM
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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