MILLER HEALTH MANAGEMENT

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CASE STUDY 5

Successful Return to Work 4 Days/week after Inability to Cope and Depression

Background

spacer 35-year-old executive assistant to VP with four years service.

Family

spacer Left school at 16, married at 19 years of age and had 2 children aged 14 and 10.
spacer Returned to work when youngest child was 6 months old.
Husband’s business failed 5 years previously, at which time both she and her husband had depressive episodes.

Changes at work

spacer Did not want a ‘career’, but her boss was promoted to VP and gave her a bigger job.
spacer Her new role included new projects with increased workload, additional pressures, and managerial responsibilities.

Events leading up to inability to cope

spacer Declining support from her parents who had recently retired and moved away.
spacer Regularly visiting her husband in hospital after working a 10-hour day.
Cancelling a business meeting in Paris due to her husband’s condition: then working from home to catch up on workload on the day before her holiday.
Returning from holiday to 270 emails, as well as uncertainty about the status of the plans for an offsite meeting which she and a colleague were responsible for planning.
Working from home the next day at which point she felt unable to cope, culminating in a panic attack for which she was medically treated.

Occupational Health Intervention

spacer Seen by occupational physician who referred her privately to a consultant psychiatrist.
spacer Initially treated as an outpatient, but eventually admitted for treatment for 3½ weeks as husband also became depressed at this time.
Occupational physician liaised with consultant psychiatrist and psychologist to monitor condition and to determine when employee would be fit to be rehabilitated back to work.

Outcome

spacer After 6 months’ sickness absence, employee was rehabilitated back to work part-time with no management responsibilities.
spacer Employee improved her ability to manage pressures, and also recognised her limitations.
She asked to be placed in a position with no management responsibilities, and requested a 4-day working week.
She successfully returned to work 4 days a week.