There are occasions when a breach of confidentiality is required and justified,
You care can be found wanting in both what you do and not do.
Maintain your documentation and get clinical support if able,
I had a similar case and had to get the head of HR to agree to the breach (when not able to get support),
it was in the process of advising the employee of my intentions that the penny finally dropped,
and I was able to get him along to his GP (who was fantastic) and took over.
Campbell
-----Original
Message-----
From: [log in to unmask]
[mailto:[log in to unmask]] On Behalf
Of Jean Greening-Jackson (Occupational Health)
Sent: 24 January 2008 15:39
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Urgent
help needed - apologies for not changing subject line
I had a similar situation recently, and spent a long time talking to the employee. I then persuaded him to let me ring the GP whilst he was with me. He was seen and referred quickly.
If the employee absolutely refuses though, all you can do is document everything you advise and perhaps get the employee to sign and agree it.
I have had other situations where a compromise has been to contact a friend or member of the family, again with the employees agreement, and let them take a decision. Quite often they will come and collect the employee and take over from there.
You can always point them to Samaritans as well.
From:
[log in to unmask] [mailto:[log in to unmask]] On Behalf Of Ellie Paige
Sent: 24 January 2008 15:17
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Urgent
help needed - apologies for not changing subject line
Dear List, if you had an employee who diosclosed suicidal thoughts that he had not disclosed to anyone else would you contact the GP?
Employee is on anti-depressents but stopped taking them, and has stated suicidal thoughts and disclosed ways in which they could take their own life. No actual plans or attempts yet. Manger referred them as they did not seem 'well'! Very depressed and did not actively engage but stated the above as he was so down
Any thoughts greatly appreciated
Ellie
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