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Diane, Yes like you I always ensure the priority is that I am closer to the door however in an ideal office layout I also ensure the client is not blocked by me from exiting. Sorry if I didn't explain myself better. The psychiatrist was an independant practitioner and therefore did not have the help on hand however I will admit they probably had a larger office than some of the cubby holes I have tried to work in! Regards Kate ________________________________ From: Diane Romano-Woodward <[log in to unmask]> To: [log in to unmask] Sent: Saturday, 15 October 2011, 7:17 Subject: [OCC-HEALTH] Mental Health Assessment I would definitely have this person be seen by an OH physician, possibly with myself there as witness/support for the OHP. While I am comfortable that I could identify the answer to the criteria mentioned, the fact is that this lady is likely to lose her job. If she chooses to take legal action against the employer, the sad fact is that an OH physician's opinion will have more weight, so it is , in a way, protecting the organisation. Additionally, if this lady has such severe mental health issues, then I would consider this a fairly complex case and would refer to OHP on that basis. I would also have a meeting with HR manager after all was sorted out discuss prevention of similar problems and to learn lessons= how the situation had deteriorated to such an extent without prior referral to OH, and why they had access to the psychological report without being able to share it. Interesting comment about the room layout... I have always worked on the opposite premise.. I need to be nearer to the door to be able to escape. I presume psychiatrists have the luxury of doing consultations in premises where there are always people around who can be summoned for help and who are skilled in restraint... Cheers Diane ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH