I believe that the issues in this case are primarily employee relations matters causing xxxx emotional upset and she would otherwise be at work. Therefore I strongly advise that mediated discussions between her, management and HR occur urgently ‘round the table’ to address and attempt to resolve these matters.
Tim
the phrase below is Carr`s - I think it will fit just nicely with a paragraph that I often use
In my opinion the issues in this case are not primarily medical. Bert states that he is suffering from an acute stress reaction to events at work. Resolution of this “stress” is best achieved by management, not occupational health, intervention.
This type of reactive state (in my opinion and based on my experience) is usually as a result of a precipitating factor, sometimes called an index event. Resolution of the precipitating factor is often the most useful tool in resolving the reactive state.
Therefore
 In my opinion initially there needs to be some full and frank dialogue between Bert and his employer about the various issues at work.
 This may need to escalate to formal mediation.
 In my opinion such a meeting may well prove to be the best way of facilitating a return to work and I would strongly recommend it.
 I think that without this management intervention absence, sanctioned by his GP is likely to continue in the longer term. The GP will be offering advice that will serve the interests of his patient, as he will be acting as his patients advocate
From: Naylor, Sharon [HMPS]
Sent: 28 October 2011 15:30
To: 'Occupational Health mailing list'
Subject: RE: [OCC-HEALTH] Sharing of Phrases for Reports
Ilove this phrase........
I cannot predict a return to work date as the scenario does not match the usual medical model of illness + treatment = recovery. Instead symptoms and absence are likely to persist until a solution that is satisfactory to all parties is reached.
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Mary Smolen
Sent: 27 October 2011 19:32
To: [log in to unmask]Subject: Re: [OCC-HEALTH] Sharing of Phrases for Reports
I think this is a great idea. Thanks very much for starting this thread. Looking forward to some more contributions. Really useful; and combined with the previous IT tips oils revolutionise some report-writing tasks. Thanks again.
Sent from my iPhone
Just thought I'd start a thread of "phrases" that we use on a regular basis that might be useful to others? (I know I am always scanning colleagues reports for any new ones!)
WORK RELATED STRESS CASES (ISA statements taken as read)
 As you are aware XXXXXXXXXXXXXXXXX leading to perceived work related stress/distress. It may be worth noting that “stress” in itself is not a clinical illness but instead is used in general parlance to describe an adverse reaction (which can manifest as physical and/or psychological symptoms e.g. disturbed sleep, anxiety, anger etc) to particular situations due to incompatibly between the person and the situation for non-medical reasons. The GP has recently prescribed medication to alleviate some of the symptoms of her
distress.
There is no evidence of significant underlying recognised mental health disorder e.g. clinical depression, generalised anxiety disorder etc.
 I cannot predict a return to work date as the scenario does not match the usual medical model of illness + treatment = recovery. Instead symptoms and absence are likely to persist until a solution that is satisfactory to all parties is reached XXXX agreed with my opinion that if the work issues were to resolve symptoms of distress would likely resolve allowing a return to work.
 If proposed solutions are not acceptable to XXXX then XXX may have to consider whether XXX wishes to seek alternative employment where there is less mismatch between perceived capabilities and the job demands.
 The ultimate solution to this issue is likely to be management not medically orientated as symptoms are directly attributed to specific issues in the workplace and related to individual perceived incapability (whether on constitutional/personal tolerance grounds) to perform the core activities of the contracted job role.
 GP support, talking treatments, and self care methods may help alleviate symptoms of distress but they are unlikely to be a solution in themselves.
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